Lai XX, female, 69 years old.During repeated defecation, the tumor in the anus came out for 3 years. 3 years ago, when defecating, the tumor in the anus came out. The prolapsed matter was cylindrical and often had mucus attached. It needed to be returned to the original position by hand after stay in bed and came out again after walking. It was accompanied by bright red blood when defecating, swollen anus, poor defecation.Usually, the stool is soft and formed, and is discharged once a day. When the stool is loose , it can not be controlled and is often discharged involuntarily.On June 25, 2018, the patient seeked medical advice of director Ye Ling. Physical examination: the patient's tongue is light, the fur is thin and white, the pulse is weak, her face is colorless, and she is tired.Special examination: Visual examination: At the lithotomy position, the appearance of the anus is normal. After squatting hard, the full layer of the rectum is cylindrical, about 12cm long, with congestion and edema of the rectal mucosa, accompanied by mild erosion;Finger examination after repositioning: anal sphincter is loose and weak, and the Sense of twining fingers is obviously ;Anoscopy: The mucosa at the lower end of the rectum folds and accumulates, with congestion, edema and mild erosion.Supervisor Ye Ling believed that the case belonged to "prolapse of the anus" of traditional Chinese medicine. She performed Xiaozhiling submucosal column injection combined with circular suture. According to the tongue and pulse,the case was characterized by "deficiency in origin and excess in superficislity". The modified Buzhong Yiqi Decoction is taken orally to replenish the central qi, raise the content of astringent, and the GutuoKushen lotion is smoked to raise the content of astringent, heat clearing and dampness relieving,She was followed up for four years, and there was no recurrence.,TCM diagnosis,　rectal prolapse;mixed hemorrhoids(syndrome of sinking of qi due to spleen deficiency and damp heat syndrome),Western medicine diagnosis,　type II III rectal prolapse;mixed hemorrhoids,Therapeutic methods,　Xiaozhiling submucosal column injection combined with circular suture;Buzhong Yiqi Decoction (modified oral),Fumigation and washing with GutuoKushen Lotion.,Clinical outcomes,　No rectal prolapse was found in defecation on the 5th day after operation; No prolapse 3 weeks after operation; The rectum did not prolapse after 2 and 4 years of follow-up.