When do I need surgery for a prolapsed hemorrhoid?

Hemorrhoids prolapse, roughly divided into three types: 1, prolapse during the stool, within the self-retraction; (requires an outpatient visit, external internal Chinese medicine control) 2, prolapse during the stool, can not be retracted by itself, need to be retracted by hand; (complete treatment requires surgery, drug conservative treatment can relieve symptoms) 3, prolapse, can not be retracted by itself; also known as embedded. (Complete treatment requires surgery, drug conservative treatment is ineffective) Note: Many patients, who have prolapsed hemorrhoids, may be taking TCM pills, but not all patients are suitable. Tonic Zhong Yi Qi Pill is mainly used for prolapsed hemorrhoids caused by subluxation of the middle qi, please do not take it indiscriminately when the evidence is unclear.