Dangshen and Zhiqiao for Rectal Prolapse Treatment, Rectal Prolapse

Function and Indications
Tonifies the Middle Jiao and augments qi, lifts yang qi. Indications: Rectal prolapse.

Formula Composition
Codonopsis pilosula (12g), Atractylodes macrocephala (12g), Angelica sinensis (12g), Bupleurum chinense (12g), Angelica dahurica (12g), Halloysitum rubrum (12g), Citrus reticulata pericarpium (9g), Ligusticum chuanxiong (6g), Glycyrrhiza uralensis (honey-fried, 6g), Cimicifuga heracleifolia (6-9g), Coptis chinensis (8g), Scutellaria baicalensis (10g), Citrus aurantium (15-30g), Astragalus membranaceus (honey-fried, 30-60g).

Usage and Dosage
1 dose daily, decocted in water and divided into 2 oral doses.

Modifications

For Grade II/III prolapse: Standard dosages listed above are maintained. Citrus aurantium may be increased to 60-120g if necessary.

For Grade I prolapse without significant exudate: Reduce Coptis chinensis, Scutellaria baicalensis, Angelica dahurica, Halloysitum rubrum, and Ligusticum chuanxiong by 50%.

Adjunctive topical therapy (for severe cases): Decoct Rheum palmatum (30g), Sophora flavescens (30g), and Mirabilitum (60g) in water twice daily for fumigation and washing of the affected area.

Case Validation
A clinical case of rectal prolapse showed improvement after 2 doses and significant efficacy after 6 doses.