Perianal abscess hard lump without pus can be eliminated by conservative treatment, medication and surgery. 1. Conservative treatment: If there is only a lump without pus around the anus, it may be in the recovery period of perianal abscess, we should keep the cleanliness and hygiene of the perianal area in our daily life, avoid spicy and stimulating diet, and we can locally give sitz bath with warm water or 1:5000 potassium permanganate solution, to promote the local blood circulation and the elimination of hard lumps. 2. medication: perianal abscess with hard lumps but no pus, may be the early stage of abscess, according to their own actual situation, under the advice and guidance of the doctor, the use of metronidazole suppositories, ichthyolite ointment, levofloxacin capsules and other medications, in the period of the use of medication can be warm water sitz baths, to avoid unauthorized abuse of drugs. 3. Surgery: If the hard lumps of perianal abscess are more serious, you can choose surgery under the doctor’s advice, incision and drainage of abscess, and anti-inflammatory treatment at the same time. Perianal abscess with hard lumps without pus, once found, first of all, we should go to the regular hospital in time for examination, clear diagnosis, under the guidance of professional doctors to give standardized and reasonable treatment, to avoid delaying the condition.