External hemorrhoids are visible as hard lumps around the anus, which can first be treated conservatively and also medically, by fumigating the perianal area, for example, you can use pain relief such as Shen Tang or Bitter Ginseng Soup to fumigate the anus first and then wash it, which plays a role in reducing swelling and reducing stasis in the hemorrhoidal veins. You can also apply hemorrhoid cream or Jiuhua cream to the perianal area to reduce swelling and relieve stagnation and swelling of the hemorrhoid veins. You can also insert tylenol suppositories to help clear heat and dampness and reduce swelling and pain. And you can also take oral Chinese medicine, such as blood activating and dispersing stasis soup, which can play a role in regulating qi and resolving stasis; you can also take oral tonics and qi soup, which can play a role in regulating qi and strengthening the spleen. If the external hemorrhoid mass is longer, more painful, and local thrombosis is formed, it should be promptly removed surgically, such as thrombectomy.