Medication treatment for perianal abscess is suitable for the early stages of inflammation infiltration and abscess formation. Commonly used medications include the following: 1. Based on the clinical manifestations of inflammation, determine the type of pathogenic bacteria and select effective antibiotics and sulfonamide preparations, such as penicillin, gentamicin, and sulfonamides. 2. Local treatment, apply topical medications like Ruyi Jinhuang San, ichthammol ointment, and anti - inflammatory pain relief ointment. Use Detox Decoction or a 1:5000 potassium permanganate sitz bath after bowel movements. If the abscess ruptures, rinse with saline or metronidazole. For copious pus, use hydrogen peroxide for rinsing. 3. Oral laxatives or mineral oil can be administered to alleviate pain during bowel movements.