We often encounter patients who feel painful anal swelling, burning sensation and frequent bowel movements; some feel something blocking their anus and can feel their intestines moving; others feel like ants and worms crawling in their anus, have a special odor or feel damp from time to time; in severe cases, anal pain is unbearable, with recurring symptoms, sometimes good or bad, depressed or irritable, or even painful, which seriously affects life, work and study. work and study. However, although these patients have obvious symptoms, despite such and such tests, no organic pathological changes corresponding to the self-reported symptoms can be found. Some patients may have undergone multiple surgeries or local injections, but the treatment is ineffective and cannot relieve the symptoms. Clinically, we call this kind of functional disorder of the nervous system, which occurs due to the disorder of plant nerves and anorectal nerve dysfunction, with abnormal sensation in the anorectum as the main complaint, anorectal neurosis. These patients are usually more nervous and suspicious, moody, impatient, introverted, and like to be alone. However, it does not mean that they are mentally ill. It is because they are more conscious, think normally, and have no behavioral disorders; it is just that they may have poor psychological quality and suffer from bad mental stimulation, fail to reasonably regulate, resulting in depressed mood, often accompanied by insomnia, dreaminess, headache, chest discomfort, good sighing and other symptoms of neurasthenia and gastrointestinal disorders. After the appearance of such symptoms, first of all, relevant examinations should be conducted to exclude tumor, enteritis, intestinal tuberculosis and other diseases one by one through anal finger diagnosis, intracavitary ultrasound, colonoscopy, CT, magnetic resonance, urine and stool bacterial examination and other examinations. After the diagnosis of the disease is clear, the patient should be relieved of his or her doubts and reduce his or her mental burden and mental tension. Secondly, patients should establish an optimistic mood, a good living system, combine work and rest, and ensure sufficient sleep. Participate in various cultural and recreational activities and physical exercise, such as walking, jogging, gymnastics, swimming, taijiquan, qigong, etc., can well adjust the function of the nervous system, improve the physical and mental state, which is very beneficial to the treatment of this disease. If you don’t pay attention to spiritual healing, it may not be effective even if you take medicine, and it is easy to relapse after being cured. For some patients who do not have obvious effect of pure mental health care, we think it is necessary to carry out appropriate drug intervention treatment. In recent years, we have adopted a combination of Chinese and Western medicine: on the one hand, we give western medicine antidepressant treatment to improve the patient’s bad emotional feelings; on the other hand, we observe that this kind of patients have yellow and thick tongue coating, with obvious manifestations of damp heat in the stomach and intestines, from the Chinese medicine pathogenesis, we identify the evidence and take oral Chinese medicine, and the two-pronged approach has achieved a better clinical effect by treating both the symptoms and the root cause.