For the treatment of hemorrhoidal fistula, the best way is to treat the hemorrhoids themselves, you can usually use potassium permanganate lotion or saline to wash around the anus, can achieve the purpose of anti-inflammatory, anti-itching, for the purpose of improving the blood circulation around the anus is also beneficial, if there are conditions, it is best to adhere to the warm water sitz bath 1-2 times a day. You can also use Chinese medicine for fumigation, these can effectively eliminate the symptoms of hemorrhoidal fistula. You can also use hemorrhoid cream or hemorrhoid suppository for treatment, Ma Yinglong hemorrhoid cream or anus tai hemorrhoid stickers and other creams for the treatment of hemorrhoids as well as hemorrhoidal fistula symptoms have a very good efficacy. At the same time, in order to change the effect of constipation and dry stools on hemorrhoids, patients can also take oral acai jiao pills for treatment. For patients who do not respond well to medication, surgical excision of the hemorrhoids or stripping of the hemorrhoidal core is required.