There are four types of external hemorrhoids: 1) varicose veins; 2) connective tissue external hemorrhoids; 3) thrombosed external hemorrhoids; and 4) inflammatory external hemorrhoids. The manifestation and prognosis of different hemorrhoids are different, such as varicose external hemorrhoids and connective tissue external hemorrhoids, the possibility of eliminating the hemorrhoids through medication does not exist, but inflammatory external hemorrhoids, topical medication can be used to be able to shrink or eliminate the presence of hemorrhoids very well, therefore, different types of hemorrhoids determine the effectiveness of topical medication, among the four types of hemorrhoids, which can shrink or eliminate very well Of the four types of hemorrhoids, only inflammatory external hemorrhoids can be treated satisfactorily with topical medication, and for connective tissue external hemorrhoids, varicose veins, the effect is almost non-existent.