Hemorrhoids are a common disease, of which stage III and IV severe hemorrhoids (hemorrhoids prolapsed outside the anus difficult to retract) account for about 20% of patients with hemorrhoids, often bringing greater inconvenience to the patient’s life, the clinical treatment is generally based on surgery, traditional surgery due to surgical complications, long post-operative recovery time, in the clinical application has been less, some years ago the lower rectal mucosal circumcision, with the advantages of rapid post-operative recovery However, the postoperative hemorrhoid retraction is often unsatisfactory in long-term follow-up, and many patients are apprehensive about re-treatment due to their history of failed treatment. In recent years, we have repeatedly reviewed the domestic and foreign professional literature and carefully compared with clinical practice to realize that the causes of severe hemorrhoids include anal cushion subluxation, local vascular lesions and tissue degeneration often exist at the same time, so in the treatment of the combination of Chinese and Western medicine methods, for the anal cushion, vascular lesions, tissue degeneration triple causes at the same time to deal with, after nearly 5 years of clinical practice, proved that the combined application of After nearly 5 years of clinical practice, it is proved that the combined application of sclerotherapy (hemorrhoid elimination spirit), anastomosis, ultrasonic knife cutting hemorrhoids, and long-acting analgesic treatment can completely deal with the problem of prolapsed hemorrhoids and bleeding at one time. The follow-up results show that the symptoms are completely eliminated, the residual hemorrhoids are well retracted, and the long-term efficacy is stable. The specific treatment methods are: (1) Removal of the lower mucosal layer of the rectum with a tubular anastomosis and lifting of the anal cushion. (2) Injecting sclerosing agent hemorrhoid elimination spirit into the submucosal layer of rectum above the anastomosis to fix the mucosa and mechanize the blood vessels, further retracting the hemorrhoid mass, avoiding postoperative bleeding and hemorrhoid tissue subluxation, and ensuring long-term efficacy. (3) The use of ultrasonic knife to remove some of the poorly retracted hemorrhoid tissues instantly solves the problem of subluxation of hemorrhoids; (4) Pain after hemorrhoid surgery is often the main postoperative discomfort of patients, with a long duration, the subcutaneous injection of Melan in the anal canal during surgery, analgesia can last up to a week, significantly reducing postoperative discomfort. Patients can usually be discharged from the hospital 4-5 days after surgery.