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The patient stated that she suffered from hemorrhoids since she was 22 years old. When she first began having symptoms, the hemorrhoid would come out after a bowel movement. Over time, however, the hemorrhoid would come out again, causing symptoms of stinging pain and swelling. These symptoms occur most frequently when the patient has to stand for a long period in a cold environment or when she feels tired. The patent stated that since she was little, she used to delay the urge to empty her bowels when she was outside of her home. In addition, she tends to sit and read for a prolonged time on the toilet. These habits seem to have made the symptoms worse.

2. The blood stasis due to spleen qi deficiency.

She often has had severe sharp pain around the CV-10 area. Whenever she experiences pain on the abdomen, she takes famotidine, which she reports does help soothe the abdominal pain. She has a history of a duodenal ulcer and has taken the medication since 2009.The patient states that if she skips a bowel movement for a day or two, she strains to move her bowels just as she might in childbirth. The patient stated that sometimes there is fresh red blood with her bowel movement. She can also feel the external hemorrhoid tissue become swollen, painful, and burn, all of which, makes it difficult for her to sit correctly. When she has to stand or sit for a long time, the patient reported that the hemorrhoid tissue becomes more irritated