Wang XH, Li N, Liu X, Liu X, Shi CS. Effects of Tongyangxiao lotion bidet therapy combined with Ziyu ointment on postpartum hemorrhoidal pain, oedema, anxiety, and depression. World J Psychiatry 2025; 15(12): 111180 [PMID: 41357914 DOI: 10.5498/wjp.v15.i12.111180]
Corresponding Author of This Article
Chen-Song Shi, Department of Anorectal Medicine I, Hebei Hospital of Traditional Chinese Medicine, No. 389 Zhongshan East Road, Chang'an District, Shijiazhuang 050000, Hebei Province, China. shichensongjscg@163.com
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Psychiatry
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Retrospective Study
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Dec 19, 2025 (publication date) through Dec 9, 2025
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World Journal of Psychiatry
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Wang XH, Li N, Liu X, Liu X, Shi CS. Effects of Tongyangxiao lotion bidet therapy combined with Ziyu ointment on postpartum hemorrhoidal pain, oedema, anxiety, and depression. World J Psychiatry 2025; 15(12): 111180 [PMID: 41357914 DOI: 10.5498/wjp.v15.i12.111180]
World J Psychiatry. Dec 19, 2025; 15(12): 111180 Published online Dec 19, 2025. doi: 10.5498/wjp.v15.i12.111180
Effects of Tongyangxiao lotion bidet therapy combined with Ziyu ointment on postpartum hemorrhoidal pain, oedema, anxiety, and depression
Xiao-Hui Wang, Na Li, Xia Liu, Xin Liu, Chen-Song Shi
Xiao-Hui Wang, Xia Liu, Xin Liu, Department of Obstetrics, Hebei Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Na Li, Department of Mental Health, Hebei Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Chen-Song Shi, Department of Anorectal Medicine I, Hebei Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Author contributions: Wang XH and Shi CS designed this study; Wang XH and Li N wrote the manuscript; Liu X and Liu X organized the data; Shi CS reviewed the manuscript; all authors critically reviewed and provided final approval of the manuscript; all authors were responsible for the decision to submit the manuscript for publication.
Supported by Hebei Administration of Traditional Chinese Medicine, No. 2024233.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Hebei Hospital of Traditional Chinese Medicine (Approval No. HBZY2023-KY-039-01).
Informed consent statement: All study participants or their legal guardians provided written informed consent for personal and medical data collection before study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: The data used in this study can be obtained from the corresponding author upon request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chen-Song Shi, Department of Anorectal Medicine I, Hebei Hospital of Traditional Chinese Medicine, No. 389 Zhongshan East Road, Chang'an District, Shijiazhuang 050000, Hebei Province, China. shichensongjscg@163.com
Received: July 22, 2025 Revised: August 26, 2025 Accepted: October 9, 2025 Published online: December 19, 2025 Processing time: 128 Days and 1.2 Hours
Abstract
BACKGROUND
Postpartum hemorrhoids are common complications in women after childbirth, with an incidence rate of 37.9%. Progesterone levels increase during pregnancy, which can lead to constipation. Abdominal pressure surges sharply during delivery, which can block the venous return of the rectum and result in hemorrhoids, pain, and edema. Tongyangxiao lotion and Ziyu ointment, traditional Chinese medicinal preparations, have the efficacy of subduing swelling, relieving itching, and promoting healing; however, their combined application in treating postpartum hemorrhoids is less studied.
AIM
To investigate effects of Tongyangxiao lotion sitz bath therapy combined with Ziyu ointment on postpartum hemorrhoidal pain, edema, anxiety, and depression.
METHODS
A retrospective analysis was conducted at Hebei Hospital of Traditional Chinese Medicine on 268 patients with hemorrhoids (September 2023 to February 2025). They were divided according to treatment method into control (wet compress with magnesium sulfate + Ziyu ointment) and observation (Tongyangxiao lotion sitz bath therapy + Ziyu ointment) groups (n = 134 in each group). Degree of pain, comfort level, compliance behavior with medical care, psychological state, therapeutic effect, hemorrhoid edema score, incidence of adverse reactions, and hemorrhoid diameter were compared.
RESULTS
No statistically significant difference was observed in the diameter of the hemorrhoids or edema between the two groups before treatment. Hemorrhoid diameter and degree of edema were significantly smaller in the observation group than those in the control group 14 days post treatment. No statistically significant difference was observed in the scores of the General Comfort Questionnaire (GCQ) dimensions and participants’ compliance before treatment. All GCQ dimension scores were significantly higher in the observation group than those in the control group 7 and 14 days post treatment. The compliance rate was significantly higher in the observation group than that of the control group. No statistically significant difference was observed in the incidence of adverse reactions between the two groups (P > 0.05).
CONCLUSION
Tongyangxiao lotion combined with Ziyu ointment can improve patients’ surface edema, postpartum hemorrhoid pain, treatment adherence, and comfort, reducing negative emotions. This is relatively safe and worthy of clinical promotion.
Core Tip: This study investigated the efficacy of Tongyangxiao lotion combined with Ziyu ointment in 268 patients with postpartum hemorrhoids. Results indicated that this combined therapy significantly reduced the diameter of hemorrhoids, alleviated edema and pain, and improved patients’ comfort, compliance, and psychological state. The mechanism may involve the anti-inflammatory effects of multiple components of traditional Chinese medicine and improved local blood circulation. These results highlight the synergistic advantages of integrated traditional Chinese and Western medicine therapies for postpartum hemorrhoids, and provide a safe and effective treatment strategy for clinical practice.
