The treatment of anal pruritus includes: 1, treatment of systemic or local diseases, such as treatment of diabetes in patients with diabetes, and treatment of hemorrhoids and anal fistulas in those with local hemorrhoids and anal fistulas; 2, internal treatment methods, Chinese medicine is divided into wind-heat type, blood deficiency wind type, rheumatic pruritus, oral medication for evidence-based treatment, Western medicine can take oral antihistamines; 3, external treatment methods include external washing preparations of Chinese herbal medicines to clear heat and detoxify dampness. There are also local topical ointments, such as Qing Dai, bitter ginseng, old stork grass, etc.; 4, serious can use local closure therapy, or local surgery, such as the excision or peeling of local lesion flaps; 5, laser, physiotherapy and other microwave therapy.