Perianal abscess has no pus and hard lumps indicate that the lesion has not formed an abscess, generally non-surgical treatment, such as the use of antimicrobial drugs, physiotherapy, and so on. 1. Antimicrobial drugs: common clinical antimicrobial drugs are third-generation cephalosporins such as cefotaxime, ceftriaxone, etc., but also piperacillin, amikacin, metronidazole, etc., which can be used as the first-line drugs in the treatment of perianal abscess, and it is best to choose targeted antimicrobial drugs according to the results of the sensitivity results of the bacterial culture to improve the prognosis and improve the efficacy of the treatment. 2. Physiotherapy: high frequency heat therapy helps to improve the patient’s pain, effectively inhibit bacterial reproduction, accelerate the metabolism of local tissues, so that the patient can get a better healing effect. Patients with perianal abscess without pus and hard lumps should go to regular hospitals in a timely manner, and follow the doctor’s instructions for treatment as early as possible to prevent further development and aggravation of the condition.