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.

痔病是临床上常见的肛肠疾病之一，发病率居肛肠疾病之首。目前中西医结合治疗痔病领域涌现出许多新的临床证据。为更好地指导中西医结合诊疗痔病的临床实践，本工作组在《中国痔病诊疗指南（2020）》的基础上，开展指南更新必要性评估与临床问题遴选，确定了需要更新的19个临床问题与8个结局指标，并以《痔中西医结合诊疗指南》在中华中医药学会申请立项。参考最新的国内外临床实践指南，基于研究证据的系统检索与客观评价，结合我国中西医临床专家的经验，经过工作组的充分讨论及广泛征求意见，最终汇总13条临床问题，形成17条推荐意见。本指南的制订旨在为各级医疗机构的医务工作者提供科学、具体的指导，促进中西医结合治疗痔病的规范化应用，提高治疗效果，减少复发率及术后并发症，改善患者的生活质量。