Hemorrhoids are a common disease of the anus, folk have “ten people nine hemorrhoids” said. However, what is hemorrhoids is divided, see the advertisement propaganda, often alarmist, said what “hemorrhoids can be turned into anal fistula, can be cancerous, can be life-threatening” and so on, people talk about hemorrhoids. Hemorrhoids are actually in that kind of disease? In fact, hemorrhoids are not scary. Recognition and research on hemorrhoids, from a long time, but also in the deepening. China’s ancient medical doctors believe that hemorrhoids are “tendons and veins across the solution” caused. With the development of modern medicine, hemorrhoids “doctrine” is also endless 1970s, the nature of hemorrhoids research breakthrough, 1975 Thomson first proposed | “hemorrhoids are normal anatomical structure of everyone,” and further Thomson, in 1975, first suggested that “hemorrhoids are a normal anatomical structure found in all people” and further emphasized that “hemorrhoids are not a disease and should not be removed unless they are symptomatic”. In 1980 in the United States held in Atlanta, hemorrhoid surgical symposium, the chairman of the General Assembly, Professor Marino made such a summary: “The main conclusions of this meeting are: (1) do not treat the symptoms of no anal signs; (2) do not treat the signs of no anal symptoms. Now, hemorrhoids are “normal anatomical structure” point of view has been recognized by the anorectal community at home and abroad. China’s famous anal and intestinal experts, Professor Zhang Dongming in November 2003, the 11th national Chinese medicine anal and intestinal academic conference pointed out that “hemorrhoids are due to the anal cushion hypertrophy”. And pointed out: the anal cushion in the maintenance of anal function has an important significance. When there is feces, liquid or gas in the intestine, the blood vessels in the anal cushion will be dilated, so that the anal canal will be further occluded, and the above mentioned substances will not be able to overflow out of the anus casually. We used to encounter this situation, that is, hemorrhoidectomy patients, although there is no damage to their anal sphincter, but the patient’s control of stool time is significantly shortened, is due to the removal of the anal cushion. To sum up, “hemorrhoids can be transformed into anal fistula, or hemorrhoids can be cancerous, or hemorrhoids can be life-threatening” and so on is no scientific basis, from the above point of view and the “see hemorrhoids cut” practice is also inappropriate. Regrettably, due to the interest of the tendency to move, these incorrect views and practices are now flooding the medical market, is jeopardizing the majority of hemorrhoidal patients, and there is a growing trend. So, with hemorrhoids how to treat it? (1) first have a clear diagnosis, to determine whether it is hemorrhoids. I have received a patient, male, 16 years old, because of blood in the stool to a hospital, according to hemorrhoids given surgical treatment, after surgery is still blood in the stool. And find a county a famous hemorrhoids and fistulas specialist, continue to hemorrhoids surgical treatment, after surgery or blood in the stool, and once due to bleeding caused by severe anemia (hemoglobin 40g/l). In January 2003 to our hospital, after examination of the anal canal only see normal anal cushion bulging, did not see hypertrophied anal cushion (i.e., hemorrhoids), and did not see bleeding points. Considering that the patient’s blood in the stool is not caused by hemorrhoids, after doing colonoscopy, confirmed the diagnosis of sigmoid colon, rectal vascular development abnormalities. It can be seen that the diagnosis is not clear, the treatment will be wrong. Not only can not go to the clinical efficacy, but also lead to adverse consequences. (2) for the diagnosis of clear hemorrhoids, its treatment should also be based on the different stages of hemorrhoids, give different treatment. For only bleeding and no other symptoms of hemorrhoids, the main drug treatment; bleeding, accompanied by prolapse of hemorrhoids, should also be the first drug treatment, ineffective and then consider other therapies; prolapse of serious, and accompanied by bleeding, pain, or incarcerated, then consider surgical treatment. It is important to note that treatments such as the laser HCPT machine are also surgeries, as they also require anesthesia, and there are incisions and pain after treatment. The principle of surgical treatment, while eliminating the symptoms of hemorrhoids, should ensure that the patient’s good anal function, and should pay particular attention to patients with annular mixed hemorrhoids.