Anal pain according to Chinese Medicine

burning sensation in the anus redirects here

Anal pain can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like anal pain here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here anal pain is often associated with abdominal fullness, abdominal pain and constipation in the pattern “/tcm-education-center/patterns/bright-yang-fire-in-stomach-and-intestines”. As you will see below, we have in record four patterns that can cause anal pain.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of anal pain we’ve identified four herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat anal pain.

The four "patterns of disharmony" that can cause anal pain

In Chinese Medicine anal pain is a symptom for 4 patterns that we have on record. Below is a small explanation for each of them with links for more details.

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Bright Yang Fire in Stomach and Intestines

Pulse type(s): Deep (Chen), Rapid (Shu), Slippery (Hua), Full (Shi)

In addition to anal pain, other symptoms associated with /tcm-education-center/patterns/bright-yang-fire-in-stomach-and-intestines include abdominal fullness, abdominal pain and constipation.

/tcm-education-center/patterns/bright-yang-fire-in-stomach-and-intestines is often treated with Tiao Wei Cheng Qi Tang, a herbal formula made of 3 herbs (including Rhubarb - Da Huang - as a key herb). Tiao Wei Cheng Qi Tang belongs to the category of "formulas that purge heat accumulation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Removes Heat and Dryness in the Lower Burner".

Read more about Bright Yang Fire in Stomach and Intestines here

The Large Intestine is a so-called "Fu" Organ. Learn more about the Large Intestine in Chinese Medicine

Damp-Heat in the Large Intestine

Pulse type(s): Rapid (Shu), Slippery (Hua)

In addition to anal pain, other symptoms associated with /tcm-education-center/patterns/damp-heat-in-the-large-intestine include scanty and dark urine, abdominal fullness and abdominal pain.

/tcm-education-center/patterns/damp-heat-in-the-large-intestine is often treated with Ge Geng Huang Qin Huang Lian Tang, a herbal formula made of 4 herbs (including Kudzu Roots - Ge Gen - as a key herb). Ge Geng Huang Qin Huang Lian Tang belongs to the category of "external formulas for external disorders", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".

Read more about Damp-Heat in the Large Intestine here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Damp-Heat invading the Spleen

Pulse type(s): Rapid (Shu), Slippery (Hua)

In addition to anal pain, other symptoms associated with /tcm-education-center/patterns/damp-heat-invading-the-spleen include scanty and dark urine, feeling of heat and feeling of heaviness.

/tcm-education-center/patterns/damp-heat-invading-the-spleen is often treated with Lian Po Yin, a herbal formula made of 7 herbs (including Goldthread Rhizomes - Huang Lian - as a key herb). Lian Po Yin belongs to the category of "formulas that clear heat and expel dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat".

Read more about Damp-Heat invading the Spleen here

The Large Intestine is a so-called "Fu" Organ. Learn more about the Large Intestine in Chinese Medicine

Heat in the Large Intestine

Pulse type(s): Rapid (Shu), Full (Shi)

In addition to anal pain, other symptoms associated with /tcm-education-center/patterns/heat-in-the-large-intestine include scanty and dark urine, constipation and dry stools.

/tcm-education-center/patterns/heat-in-the-large-intestine is often treated with Ma Zi Ren Wan, a herbal formula made of 7 herbs (including Hemp Seeds - Huo Ma Ren - as a key herb). Ma Zi Ren Wan belongs to the category of "formulas that moisten intestines and unblock bowels", which might be why it is often recommended for this pattern. Its main action as a formula is: "Moistens the Intestines".

Read more about Heat in the Large Intestine here

Four herbal formulas that might help with anal pain

Tiao Wei Cheng Qi Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Removes Heat and Dryness in the Lower Burner. Removes constipation.

Why might Tiao Wei Cheng Qi Tang help with anal pain?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/bright-yang-fire-in-stomach-and-intestines' of which burning sensation in the anus is a symptom.

Read more about Tiao Wei Cheng Qi Tang here

Ge Geng Huang Qin Huang Lian Tang

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Releases the Exterior. Drains Heat.

Why might Ge Geng Huang Qin Huang Lian Tang help with anal pain?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/damp-heat-in-the-large-intestine' of which burning sensation in the anus is a symptom.

Read more about Ge Geng Huang Qin Huang Lian Tang here

Lian Po Yin

Source date: 1862 AD

Number of ingredients: 7 herbs

Key actions: Clears Heat. Transforms Dampness. Regulates Qi. Harmonizes the Middle Burner.

Why might Lian Po Yin help with anal pain?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/damp-heat-invading-the-spleen' of which burning sensation in the anus is a symptom.

Read more about Lian Po Yin here

Ma Zi Ren Wan

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Moistens the Intestines. Invigorates Qi. Unblocks the bowels. Drains Heat.

Why might Ma Zi Ren Wan help with anal pain?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/heat-in-the-large-intestine' of which burning sensation in the anus is a symptom.

Read more about Ma Zi Ren Wan here

Acupuncture points used for anal pain

The five Chinese Medicinal herbs most likely to help treat anal pain

Why might Rhubarb (Da Huang) help with anal pain?

Because Rhubarb is an ingredient in several formulas indicated to treat anal pain as a symptom, like Tiao Wei Cheng Qi Tang or Ma Zi Ren Wan for instance.

Rhubarb is a Cold herb that tastes Bitter. It targets the Spleen, the Stomach, the Large intestine, the Liver and the Pericardium.

Its main actions are: Drains Excess Heat and eliminates Dampness, especially when in the Bright Yang stage according to the Six Stages Theory. Cools the Blood and stops bleeding. Invigorates Blood, breaks up Stasis and relieves pain. Clears Heat and toxins from Excess. Applied topically for Hot sores and Blood Stasis.

Read more about Rhubarb here

Why might Liquorice (Gan Cao) help with anal pain?

Because Liquorice is an ingredient in several formulas indicated to treat anal pain as a symptom, like Tiao Wei Cheng Qi Tang or Ge Geng Huang Qin Huang Lian Tang for instance.

Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.

Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.

Read more about Liquorice here

Why might Houpu Magnolia Bark (Hou Pu) help with anal pain?

Because Houpu Magnolia Bark is an ingredient in several formulas indicated to treat anal pain as a symptom, like Lian Po Yin or Ma Zi Ren Wan for instance.

Houpu Magnolia Bark is a Warm herb that tastes Bitter and Pungent. It targets the Lung, the Spleen and the Stomach.

Its main actions are: Moves Rebellious Qi downward, dries Dampness and relieves Food Stagnation. Transforms Phlegm and redirects Rebellious Qi of the Lung.

Read more about Houpu Magnolia Bark here

Why might Goldthread Rhizome (Huang Lian) help with anal pain?

Because Goldthread Rhizome is an ingredient in several formulas indicated to treat anal pain as a symptom, like Lian Po Yin or Ge Geng Huang Qin Huang Lian Tang for instance.

Goldthread Rhizomes is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Large intestine, the Liver, the Spleen and the Stomach.

Its main actions are: Expels Damp-Heat especially in the Lower Burner. Eliminates Fire toxicity especially when there is associated Dampness. Acts as a sedative by eliminating Heart Fire. Eliminates Stomach Fire. Expel parasites

Read more about Goldthread Rhizomes here

Why might Kudzu Root (Ge Gen) help with anal pain?

Because it is a key herb in Ge Geng Huang Qin Huang Lian Tang, a herbal formula indicated to treat the pattern 'Damp-Heat in the Large Intestine' (a pattern with anal pain as a symptom)

Kudzu Roots is a Cool herb that tastes Pungent and Sweet. It targets the Spleen and the Stomach.

Its main actions are: Relieves muscle tension especially in the neck and shoulders. Relieves the Exterior and scatters Wind. Supports the Fluids and eases thirst. Assists in the expression of measles. Relieves diarrhea. Relieves hypertension.

Read more about Kudzu Roots here