Analysis of Professor Lai Xiangquan’s Clinical Experience in Treating Intestinal Hemorrhoids with Modified Shaoyao Decoction for Damp-Heat Accumulation and Qi Stagnation with Blood Stasis
赖象权教授运用芍药汤加减治疗湿热蕴结、气滞血瘀型肠风的临床经验探索分析

摘要

目的 探讨赖象权教授运用芍药汤加减治疗湿热蕴结、气滞血瘀型肠风的临床疗效及安全性。方法 研究对象为306例湿热蕴结、气滞血瘀型肠风患者（2023年11月至2025年7月）。所有患者均采用赖象权教授改良后的芍药汤加减治疗，疗程为4周。结果 治疗4周后，两组的临床症状总积分及各项单项症状积分均较治疗前下降，舌脉异常表现均得到不同程度改善，且组间对比显示观察组各项症状积分及总积分均更低，舌脉总改善率更高（P<0.05）。疗效评估显示观察组总有效率明显比对照组更高（P<0.05）。结论 赖象权教授运用芍药汤加减治疗湿热蕴结、气滞血瘀型肠风疗效确切，能显著改善患者的临床症状，且安全性较高，其改良后的方剂组方合理，充分体现了中医辨证论治的特色。

Abstract

Objective To explore the clinical efficacy and safety of Professor Lai Xiangquan's modified Shaoyao Decoction in treating intestinal hemorrhoids with damp-heat accumulation and qi stagnation with blood stasis.
Methods The study subjects were 306 patients with intestinal hemorrhoids due to damp-heat accumulation and qi stagnation with blood stasis (from November 2023 to July 2025). All patients were treated with Professor Lai's modified Shaoyao Decoction for a 4-week course.
Results After 4 weeks of treatment, the total scores of clinical symptoms and individual symptom scores in both groups decreased compared to before treatment, and abnormal tongue and pulse manifestations improved to varying degrees. The comparison between the groups showed that the observation group had lower scores for individual symptoms and total scores, and a higher total improvement rate of tongue and pulse (P < 0.05). The efficacy evaluation indicated that the total effective rate of the observation group was significantly higher than that of the control group (P < 0.05).
Conclusion   Professor Lai Xiangquan's modified Shaoyao Decoction is effective in treating intestinal hemorrhoids with damp-heat accumulation and qi stagnation with blood stasis, significantly improving the clinical symptoms of patients, and has high safety. The modified formula is well-structured and fully embodies the characteristics of TCM syndrome differentiation and treatment.