Mixed hemorrhoids is the most featured dominant disease in our department, which is the traditional advantage of our department since the establishment of the hospital. The combination of internal and external treatment of traditional Chinese medicine for mixed hemorrhoids has been a feature of traditional Chinese medicine surgery for a long time. In recent years, through in-depth understanding of anatomical knowledge, and based on the theory of anal pad downward movement and vasodilatation, we have gradually improved the existing mode of surgical treatment, and achieved more thorough treatment effect with less bleeding. At the same time, using integrated analgesia mode of our traditional Chinese medicine oral administration, Chinese medicine soaking and washing, and acupuncture analgesia after operation, combining with specific traditional Chinese medicine treatments such as acupoint application and "Cuo Gu Dao", the defecation function after operation will be improved. That enable patients to get rid of the main symptoms of hematochezia, anus abjectio prolapse and anal pain, and achieve an ideal long-term effect.