Abstract： Objective： To observe the effect of therapy of hip bath with Lexi Prescription I combined with Buzhong Yiqi Decoction on postoperative recovery of mild- to- moderate anemic hemorrhoids. Methods： A total of 74 patients with anemic hemorrhoids who were given external stripping and internal ligation for treatment were randomly divided into the control group and the treatment group，with 37 cases in each group. The treatment group was treated with hip bath with Lexi Prescription I combined with Buzhong Yiqi Decoction， and the control group was given the hip bath with Potassium Permanganate Solution for treatment. Both groups were treated for 14 days，and followed up for 20 days after surgery. The clinical effects，scores of pain，edema and dragging and distending discomfort in the anus，levels of hemoglobin (Hb) and vascular endothelial growth factor (VEGF)，and hospitalization time and recovery time of postoperative wound were compared between the two groups. The incidence of adverse reactions was recorded. Results：After 20 days of surgery，the clinical effective of the treatment group was better than that of the control group (P＜0.05). On the third day after surgery，the scores of pain，edema and dragging and distending discomfort in the anus in the two groups were decreased when compared with those on the first day after surgery (P＜0.05)，and the above three scores in the treatment group were lower than those in the control group (P＜0.05). On the fourteenth day after surgery， the levels of Hb and VEGF in both groups were increased when compared with those on the first day after surgery (P＜0.05)，and the above two levels in the treatment group were higher than those in the control group (P＜0.05). The hospitalization time and recovery time of postoperative wound in the treatment group were shorter than those in the control group (P＜0.05). During treatment， there was no significant adverse reaction in the two groups. Conclusion： The therapy of hip bath with Lexi Prescription I combined with Buzhong Yiqi Decoction can effectively mitigate the postoperative clinical symptoms of patients with mild- to- moderate anemic hemorrhoids， which can increase the levels of Hb and VEGF， accelerate the recovery of wound and shorten the hospitalization time.