Perianal abscess is an acute anorectal disease, which forms inflammatory mass at an early stage. It can be treated with traditional Chinese medicine. Oral Xianfang Huosheng Decoction can clear heat and detoxify, diminish swelling and relieve pain, and oral Toupus Powder can also clear heat and detoxify, penetrate pus and support toxin. Western medicine can also be used for treatment. According to different pathogenic strains, sensitive antibiotics can be selected for anti infection treatment. If it is a tuberculous abscess, it should also be treated with anti tuberculous drugs. Once the perianal abscess forms pus, it should be cut and drained as soon as possible, and the drainage should be unobstructed without leaving a dead cavity. For the low abscess that occurs below the levator ani muscle, it should try to find a reliable internal mouth, and strive for one-time surgical treatment to prevent the formation of anal fistula. After the operation, the patient should be given Chinese herbal fumigation and washing actively, and the incision dressing should be changed actively. The above scheme is only for reference. Please use the specific drugs under the guidance of professional doctors according to your own conditions.