According to my clinical observation for more than ten years, 80% to 90% of the rectal mucosa has mild or moderate flaccid prolapse phenomenon, especially in middle-aged and elderly patients is more common, and its symptoms are mainly: 1. The consequences are: 1. Due to mild or moderate relaxation and prolapse of the rectal mucosa, the abnormal stimulation of the anus leads to shortness of breath and prolonged defecation, thus aggravating the degree of hemorrhoid attacks; 2. Due to mild or moderate relaxation and prolapse of the rectal mucosa, its contraction force decreases during peristalsis, defecation power is insufficient and defecation is difficult; 3. The residual feces is delayed until the next bowel movement and is already dry, so the phenomenon of hard head of feces and then soft. The stimulation of the anus by dry stool can aggravate the hemorrhoid attack. Therefore, increasing the rectal power and relieving the loosening and prolapse of the rectal mucosa can effectively solve the phenomenon of poor bowel movement, thus reducing the attack of hemorrhoids and aggravating the degree of hemorrhoids. The solution: 1. high spot injection of hemorrhoid elimination spirit; 2. pph surgical treatment; 3. instruct the patient to perform the correct anal lifting exercise. The following is to elaborate one by one; 1. the concentration of hemorrhoid elimination spirit: lidocaine = 1:1 in the anoscopic bladder truncated position 3, 7, 11 points of high down submucosal point injection, each layer interval 2 ~ 3 cm, while in each internal hemorrhoid nucleus injection, through the injection point of sclerosis atrophy to achieve the purpose of shrinking hemorrhoids, rectal mucosa pulling, tightening and fixed, can effectively relieve the rectal mucosa relaxation prolapse, so as to relieve the urgent The pph surgical treatment can reduce the recurrence rate of hemorrhoids by performing circumferential partial excision of the high rectal mucosa, shortening the rectal stroke after anastomosis, reducing the relaxation of the rectal mucosa, while pulling the internal hemorrhoids upward, keeping them away from the anus, reducing the stimulation of hemorrhoids to the anus, and reducing the recurrence rate of hemorrhoids. In order to increase the contraction force of rectal peristalsis and improve the defecation power deficiency, it is especially important to perform correct anal exercise in addition to the use of intestinal power drugs, especially to solve the phenomenon of hard head and soft back during defecation, which can not only reduce the incidence of hemorrhoids, but also have a good effect on the treatment of anal fissure without anal stenosis. The treatment of anal fissures without anal stenosis also has a good effect.