Internal hemorrhoids refers to the varicose vein mass that occurs above the anal dentate line, the surface is covered with mucous membrane, and there is often blood in the stool, prolapse of hemorrhoids, constipation and other major manifestations of hemorrhoidal diseases. Mostly occurs in adults. Mainly due to congenital venous wall weakness, and due to dietary indiscipline, overeating spicy alcohol and wine thick flavor, dry heat within the birth of the lower compression of the large intestine, as well as sedentary squatting, weight-bearing long-distance travel, constipation, women’s childbirth, abdominal obstruction, resulting in the blood flow is not smooth, the blood is stagnant, the heat and the blood to wrestle with the blood, the blood and qi and blood, the tendons and veins intertwined, stagnant and not dispersed and become. Internal hemorrhoids can be found everywhere in our lives. Diagnosis of internal hemorrhoids can also be based on routine examination including: anal palpation, anal visualization, rectal palpation and anoscopy. First, anal visual diagnosis: first of all, you should check whether there is blood, pus, feces, mucus, lumps and fistulas around the anus, in order to determine the nature of the lesion. Such as the anus around the internal hemorrhoids, polyps prolapse, whether there are external hemorrhoids, fistulas and eczema. Then ask the patient like a stool as under the struggle, the doctor with both hands of the food, middle finger will gently and naturally to the sides of the anus apart, so that the anus turned out, observe any lesions, such as hemorrhoid location, number, size, color, whether bleeding points, whether anal fissure and so on, or with the special glass suction anal suction hemorrhoids sucked out of the check, this visual diagnosis on the diagnosis of anal fissure and annular hemorrhoids, sometimes more than the anoscopy is more accurate. Second, anal palpation: to touch the skin around the anus temperature, elasticity is normal, in the case of lesions, such as anal carbuncle can be touched around the anus swelling, skin burning, mass was diffuse swelling, flat, soft sinking and texture hardness, etc., the center of the sense of should be pointed, such as anal fistula can be touched to stripes of hard knots, the outer mouth from the anus length, size, depth, etc..