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...some have a shape like hanging pearls original: "垂珠" (Chuizhu)., some like chicken hearts original: "雞心" (Jixin)., some like cow teats original: "牛妳" (Niunai), and some like sheep teats original: "羊妳" (Yangnai).. Some appear like a string of cataracts original: "串瞖" (Chuanyi); likely referring to a clustered or beaded texture., others like upturned flowers original: "翻花" (Fanhua); a traditional term for protruding, irregular growths., some like gas protrusions original: "氣突" (Qitu)., and some like blood jets original: "血射" (Xueshe).. Furthermore, there are cases where there is no visible shape externally but the patient suffers internally, and cases where there is no visible shape either internally or externally, yet there is pain in both. Generally, when they first emerge, the shape is small, but over time the shape grows large. When they first take form, the pain is still bearable, but over time the pain becomes unbearable.
Although the shapes of hemorrhoids are numerous, they are all caused by the affliction of Damp-Heat Damp-Heat: "濕熱" (Shire). In Chinese medicine, this refers to a state of inflammation and fluid stasis, often treated by clearing heat and draining moisture.. Now, Damp-Heat is a condition that should be easily dissipated; why is it that the more it is treated, the more painful it becomes? It is entirely because the patient does not observe the necessary prohibitions original: "禁忌" (Jinji); lifestyle and dietary restrictions essential for recovery., indulging in sexual desires without restraint and gluttonously eating original: "饕食" (Taoshi). rich flavors without limit. Consequently, the hemorrhoid transforms into a fistula Fistula: "漏" (Lou). While a hemorrhoid is a swelling, a fistula is an abnormal "leak" or tunnel that breaks through the skin..
Hemorrhoids are easy to treat, but fistulas are difficult to cure. This is because while hemorrhoids have many different shapes, they do not have a ruptured opening. Thus, when taking medicine, there is no worry of a leaking cup original: "漏卮" (Louzhi); an ancient metaphor for a vessel that cannot hold its contents, meaning the body cannot retain the medicine's effects.. Once it becomes a fistula, however, consuming food leads to the leakage of vital energy, and swallowing medicinal tonics only serves to damage the blood.