Guidelines for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Hemorrhoids (2025 Edition)

Hemorrhoids is one of the common anorectal diseases in clinical practice, and its incidence is the first in anorectal diseases. Many new clinical studies have emerged currently on treating hemorrhoids with integrated Chinese and western medicine. To improve the guidance for clinical practice, our team reviewed the 2020 Chinese Guidelines for Hemorrhoid Treatment and assessed the need for updates. We identified 19 clinical problems and 8 outcome indicators that needed revision. A new project, Integrated Chinese and Western Medicine Guidelines for Hemorrhoid Treatment was proposed to the China Association of Traditional Chinese Medicine. We referred to the latest clinical guidelines, conducted systematic reviews, and evaluated research evidence. We also gathered input from experts in both Chinese and western medicine. After thorough discussion, finally, 13 clinical questions were summarized and 17 recommendations were formed. This guideline aims to provide practical, scientific guidance for healthcare workers in all medical institutions. It seeks to promote the standardized use of integrated treatment for hemorrhoids, improve treatment outcomes, reduce recurrence and complications, and improve the quality of life for patients.