Anorectal neurosis is a hysterical manifestation in which the patient feels anomalous or uncomfortable in the anorectal region, but there are no organic changes on objective examination. The patient’s description of symptoms is mainly subjective and fanciful, such as heavy crawling, ants, wind sensation, pain, etc., but the exact location is uncertain, and there is no pressure pain around the anus. This group of patients is often accompanied by pessimism, anxiety, insomnia, fatigue, dizziness, etc. Therefore, Chinese medicine believes that it is mostly due to emotional disorders, worry and sadness in the spleen, which causes liver depression and qi stagnation, lack of blood in the heart, and mental trance. Due to the high prevalence of hemorrhoids, these patients can be accompanied by some common anorectal diseases such as mixed hemorrhoids, but the patients often describe the pain as serious, which does not match the objective examination. Therefore, when diagnosing anorectal neurosis, it is important to catch the feature that the symptoms complained of are seriously inconsistent with the objective examination. The treatment of anorectal neurosis is mainly based on Chinese internal medicine, and according to the evidence, Chinese medicines such as Gui Shen Wan, which regulates the heart and spleen, Kai Yu Shu Liver Pill, which relieves depression in the liver, and Tian Wang Tonic Heart Dan, which calms the mind and nourishes the heart, should be prescribed. Because this disease is related to the spirit, so you can give the patient some psychological hints, you can give the patient some local topical medicine, and tell the use will be effective; in addition, you should let the patient participate in some social activities, active exercise, increase some hobbies to try to distract his attention to the local. After the above multi-method and multi-channel treatment, patients can obtain more satisfactory results.