The main manifestations of mixed hemorrhoids are blood in the stool and painful anal swelling, initially blood on hand paper, occasionally blood dripping and shooting, and in the late stage, the nucleus of the hemorrhoid prolapses after the stool, which can be returned by itself in mild cases, or sent back by hand in severe cases, with local foreign body sensation, and constipation, or unpleasant defecation. It is more likely to occur in the right front, right back and left side of the anus, i.e. at 3, 7 and 11 o’clock of the truncus position. Performance I. Blood in the stool is painless, intermittent, and bright red blood after stool: It is also a common symptom in the early stage of internal or mixed hemorrhoids. The blood in stool is mostly caused by the feces rubbing the mucous membrane or forceful defecation, causing the dilated blood vessels to rupture and bleed. In light cases, it is mostly blood on the stool paper, followed by dripping blood, and in heavy cases, it is jet-like bleeding, which can often stop on its own after a few days. This is important for diagnosis. Constipation, dry and hard stools, drinking alcohol and eating irritating food are all triggers for bleeding. If the bleeding is repeated for a long time, anemia can occur, which is not uncommon clinically and should be differentiated from bleeding disorders. Performance two, hemorrhoid prolapse: often late symptoms, more blood in the stool followed by prolapse, because of the late hemorrhoid body enlarges, gradually separated from the muscle layer, feces was pushed out of the anus. In the lighter cases, the prolapsed hemorrhoid only prolapses during stool and can return on its own after stool, while in the heavier cases, it needs to be pushed back by hand. A few patients complained that prolapse was the first symptom. Performance three, pain: simple internal hemorrhoids no pain, a few have a feeling of swelling, when internal hemorrhoids or mixed hemorrhoids prolapse embedded, edema, infection, necrosis, then there are different degrees of pain. Performance four, itching: late internal hemorrhoids, hemorrhoids prolapse and anal canal sphincter relaxation, there is often secretion outflow, due to secretion stimulation, there is often itching discomfort around the anus, and even skin eczema, the patient is extremely uncomfortable.