Painful hemorrhoids while sitting may be considered to be due to pressure on the local hemorrhoid nucleus in the anus while sitting and may also be due to sudden edema and thrombosis of the hemorrhoid nucleus resulting in pressure pain. If the hemorrhoid is edematous and thrombosed, you can choose to take oral tablets and apply topical Ma Yinglong musk hemorrhoid cream to reduce swelling and pain in mild cases. If the hemorrhoid nucleus has prolapsed outside the anus and needs to be returned to the anus by the patient’s hand. If the nucleus has repeatedly prolapsed, surgical excision is recommended, and after the operation, attention should be paid to the local disinfection of the wound and the change of medication, and after each bowel movement, choose the Chinese herbal lotion to wash the perianal area to avoid fecal residue.