For itchy anus, physicians like to use external remedies such as herbal washes, creams and powders to relieve the localized irritations and stop itching. The herbs are selected to promote the circulation, reduce inflammation, arrest excessive secretions, stop pain and itchiness, lubricate dryness and promote the healing process.

• Sopora root (15g), processed alum (3g), belvedere fruit (10g), arnebia root (10g), natural indigo (10g), wild chrysanthemum (10g). After decocted, add 10ml of rice vinegar into the solution.
• Sopora root (30g), common cnidium fruit (20g), Dahurian angelica root (12g), wild chrysanthemum (20g), amur corktree bark (20g), belvedere fruit (20g), acorus (15g) and honeysuckle flower (15g); for newly developed cases add in pricklyash peel (10g) and borneol (5g, dissolve directly in the decoction); for chronic and persistent cases add in angelica root (10g), sessile stemona root (10g) and dried tangerine peel (10g). This is suitable for anal itching with skin rash.
• Chinese rhubarb root, duckweed, sopora root, garden burnet root, schizonepeta herb, and common cnidium fruit, for 30g each. This is suitable for wet anal itching.
• Duckweed, Siberian solomonseal rhizome, sessile stemona root, argy wormwood leaf, and Dahurian angelica root, for 30g each; pricklyash peel (10g). This is suitable for anal itching with dry and rough skin changes.
• Angelica root, fleeceflower root, ledebouriella root, puncturevine caltrop fruit, common cnidium fruit, belvedere fruit and dictamnus root bark, for 30g each. In case if the localized skin is thickened and darkened, add red peony root and common burreed tuber for 30g each.

Application: soak the herbs in water for 20 minutes, cook for 20 minutes to make 2000ml of solution. Steam the anal region with the hot solution; after the water cool down, soak for 10 minutes more. Do this after bowel movements or before going to bed. After finished, pat gently to dry and then apply on a thin layer of protectant, such as calamine solution for drying or herbal cream for lubrication. One pack of the herbs can be used for 2 to 3 times.