”The term “internal urgency” describes the urgency of the stool in the abdomen, the distress and pain, and the desire to be relieved as a pleasure; “posterior heaviness” refers to the feeling of heavy stagnation and difficulty in passing stool to the anus. There is a feeling of heavy stagnation, anorectal and caudal swelling and pain, and a sense of bowel movement but incomplete and difficult to pass. The medical book “Record of the Witnesses” says: “there is due to fire and heat, fire is rapid and dry, there is due to gas stagnation, the large intestine of the gas congestion and does not pass, there is due to stagnation, the intestines and stomach have special knots fall, there is due to gas deficiency, the middle qi down can not rise, there is due to blood deficiency, the intestines are dry, the deficiency sits and blames, need to regulate the intestines to regulate the stomach, up and down to pass the qi, the disease is also slow.” It points out the TCM pathogenesis of most of these symptoms. ”The patient’s feeling of “internal urgency” is, on the one hand, an internal urgency in the stomach, similar to intestinal spasms that are both painful and wanting to have a bowel movement. On the other hand, it is the urge to have a bowel movement when the bowel stimulates the anus, but in reality there is no bowel movement at all, because it is basically finished, and even if it comes out, it is only a small amount of stool or a very small amount of stool with mucus or mucus jelly-like. The evidence of abdominal pain and distress, heavy anus and unpleasant bowel movements first appeared in the Book of Difficult. In the book “Jing Yue Quan Shu”, a distinction is made between hot and cold and the properties of the organs: “In those who suffer from urgency, the disease is in the lowermost part of the wide intestine, but the origin of the disease is not in the wide intestine, but in the spleen and kidney. All hot dysentery, cold dysentery, deficiency dysentery are there, not all think heat.” It is pointed out that there is heat, cold, deficiency, and reality, and the essence of the disease is to treat the spleen and kidney. It has good clinical guidance. In general, anal swelling and shortness of breath are symptoms of rectal irritation, but there are also some non-rectal diseases with this symptom. If there is prolonged manifestation of laxity and intestinal disorder, be alert to disease transformation. Most of the early stages of gastrointestinal diseases are non-organic diseases, which are the best time to combine Chinese and Western medicine to deal with them, and are easily converted into chronic and prolonged diseases after missing them. Treatment is based on toning the spleen and kidneys, draining the liver and spleen, and clearing dampness and heat. It should be understood that the urgency is not limited to bacteriophageal dysentery, such as ulcerative colitis and many other common intestinal diseases are accompanied by a feeling of incomplete defecation: many people have a feeling of incomplete defecation, and the stool is not shaped, uncomfortable feeling of unpleasant defecation. Most of the incomplete bowel movement feeling is caused by chronic enteritis. The chronic enteritis can come from acute enteritis extended or recurrent, the course of the disease more than 2 months. Long-term overwork, emotional stress, excessive mental stress, and malnutrition can all be triggers. It can also be secondary to mastication disorders, lack of gastric acid, post-gastrectomy, intestinal parasitic diseases, etc. According to the clinical diarrhea, the amount and frequency of diarrhea increase, thin stool, even watery stool, accompanied by intestinal rumbling, but no urgency, nutritional disorders, combined with a history of recurrent episodes or the presence of the cause of chronic enteritis, the diagnosis is generally not difficult.