External hemorrhoid blisters should not be punctured. If the patient punctures the external hemorrhoid blister, during normal defecation, the excreta may contaminate the wound, leading to local infection and inflammation, aggravating the symptoms of external hemorrhoid pain and itching, and even causing local tissue erosion and necrosis, so the external hemorrhoid blister can not be punctured. Patients can use warm water or 1:5000 potassium permanganate solution for sitz bath after bowel movement or before going to bed, or give magnesium sulfate injection wet compresses to promote the absorption of blisters and edema; they can also apply medications such as Ma Yinglong Musk Hemorrhoidal Ointment and Mupirocin Ointment so that the blisters can gradually subside and relieve the pain, itching and other symptoms. Patients should eat a light diet, avoid spicy and stimulating food, eat more fresh fruits and vegetables; quit smoking and alcohol; keep the bowels smooth; avoid squatting and sitting for a long time. Patients with external hemorrhoidal blisters are advised to go to a regular hospital and be treated under the guidance of a doctor.