Zhuangyao Shen Jian Pill is a kind of warming medicine, and its main components, such as Tzu Chi, are all warming and tonifying medicines. Hemorrhoid medicine, as my friend said above, cools blood and detoxifies. If it is compatible with warm drugs, it will have antagonistic effect and offset each other, resulting in no therapeutic effect. It is suggested that only hemorrhoid drugs should be taken, and Bushen Zhuangyao Shen Jian Pills should be taken staggered.