Where to apply moxibustion for perianal abscess?

Written by Yang Dong

Colorectal Surgery Department

Updated on June 17, 2025

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Perianal abscess is an acute infectious disease in proctology caused by bacterial infection of the anus. This condition is not suitable for moxibustion. Asking where to apply moxibustion in this case is really unanswerable. The best treatment for a perianal abscess is surgery and choosing antibiotics to perform anti-infection treatment promptly, rather than using moxibustion.

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Written by Chen Tian Jing

Colorectal Surgery

56sec

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How should a perianal abscess be treated effectively?

During the acute phase of a perianal abscess, there is generally severe pain in the anal area, accompanied by redness and throbbing of the skin, and there may be a pus cavity or pus encapsulation under the skin. The treatment of perianal abscess is mainly surgical. The surgical method is incision and drainage, combined with a one-time radical surgery. If the infection involves the local sphincter or has already formed a clear fistula, further incision and ligation surgery may be required. After surgery, it is necessary to thoroughly disinfect and change the dressings of the wound to prevent excessive granulation or the formation of false healing at the local wound. Postoperative diet should consist mainly of light, liquid foods, and spicy and irritating foods should be avoided.

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Written by Chen Tian Jing

Colorectal Surgery

48sec

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What will happen if a perianal abscess is not treated?

Perianal abscesses are localized abscess formations that occur due to repeated infections in the anal crypts. Typically, under perianal ultrasonography, clear pus chambers and related structures can be observed. If perianal abscesses are not treated promptly, there is a high likelihood of expansion of the local pus chambers and dispersion of the pus, leading to an increase in the size of local anal abscesses, which might involve the sacrococcygeal area or the intersphincteric space. The primary treatment for perianal abscesses is surgical, mainly through incision and drainage to evacuate the pus, followed by thorough debridement of the local wound. Additionally, if there are changes in the local sphincter, thread-lifting therapy may also be performed.

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Written by Chen Tian Jing

Colorectal Surgery

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How to operate on a perianal abscess

The surgical methods for perianal abscess vary depending on the location of the lesion. If it is a simple ischiorectal fossa subcutaneous abscess, a one-time incision and drainage surgery is generally used. The local wound is debrided and necrotic tissue is removed. After trimming the wound, it is important to maintain clear drainage of the local wound. Local application of gauze strips for compression and drainage treatment can be used. If the abscess is in the ischioanal fossa or the pelvirectal space, considering that the location of the lesion is deep, a one-time incision and seton drainage radical surgery may be required for the perianal abscess. Post-surgery, thorough disinfection and drainage of the local wound are also necessary.

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Written by Chen Tian Jing

Colorectal Surgery

1min 17sec

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What anti-inflammatory medication should be taken for a perianal abscess?

If the perianal abscess is in the acute phase, one can opt for oral medication that clears heat, cools the blood, reduces swelling, and relieves pain, specifically designed for hemorrhoids, and it can be combined with oral antibiotics for anti-inflammatory treatment. However, treating a perianal abscess with oral medication alone can only alleviate symptoms or prevent the pus cavity from spreading too quickly, and does not provide a radical cure. The definitive treatment for a perianal abscess primarily involves surgery. The surgical method generally used is a one-time radical surgery for perianal abscesses, as the abscess forms a pus cavity and pus under the skin around the anus. Therefore, the surgery initially requires draining of the local pus, followed by thorough debridement of the walls of the pus cavity to allow fresh granulation tissue to regrow, filling the wound and facilitating the recovery of the local wound. (Note: This answer is for reference only. Please consult a doctor and follow the guidance of a professional physician before using any medication. Do not self-medicate.)

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Colorectal Surgery

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Does a recurrent perianal abscess occur in the same location?

The recurrence of a perianal abscess may not necessarily be in the same location, but it is possible. If the internal opening was not completely cleared during the first perianal abscess surgery, this could lead to reinfection of the anal glands and subsequently a recurrence of the perianal abscess. In such cases, it is advisable to visit a hospital early for a perianal MRI to determine the position of the internal opening and the extent of the infected tissue. Then, a one-time radical surgery for the perianal abscess can be performed. After the surgery, it is crucial to consistently use medications like red oil gauze, anal wash, and golden ointment for dressing changes, to promote wound healing and avoid pseudo-healing. Additionally, if a perianal abscess was completely cured once, poor diet, lack of sleep, or frequent alcohol consumption could potentially cause abscesses in other perianal areas later. This situation is quite common, so it is important for patients to maintain a light diet.