Vulvar leukoplakia, itching is unbearable, the doctor will teach you a tender and a cure

vulvar itching occurred 1 year ago , often scratching, because it is difficult for the elderly to open their teeth, so the disease has been delayed until now.

Gynecological examination revealed that the vulva was atrophy, the skin was whitish in some areas, and there was an ulcer on the left labia minora, about the size of a sesame, and it was unbearable. The tongue is red, the coating is thin, and the pulse is heavy and thin.

The patient was introduced to our office for medical treatment. Treatment Nourishes the liver and kidneys, promotes blood circulation, expels wind and relieves itching . Prescription

follows:

(1) Oral side : Rehmannia , Poria , yam, Alisma , Dan , cornus , turmeric Chuan , Salvia, psoralen , wolfberry, nepeta , parsnips , honeysuckle, forsythia. 7 doses, decocted in water.

(2) washing formula : Digupi , wormwood, salvia, psoralen, turmeric, nepeta, parsnip, alum, pepper. 3 doses, decocted in water, fumigated and washed the vulva.

(3) external rubbing medicine : homemade Sanxian white spot cream. After fumigating and washing the vulva in the external washing prescription, first wipe the ulcer with ginger slices, and then apply plaster.

Second visit on February 10: After the medication, the pruritus of the genitals was significantly reduced, and the local ulceration surface was basically healed.

complained of fear of recurring illness and requested to continue taking medication. The patient's tongue is red, the coating is thin, and the pulse is heavy and thin. The original formula has a very good therapeutic effect, so the original formula remains unchanged with eucommia , and dodder seeds use to enhance the power of nourishing the kidney and nourish water and contain wood . After 6 months of medicinal use, the vulvar leukoplakia and ulcerated surface did not expand, and the pruritus symptoms were basically controlled.

Press : There is no clear document record of vulvar leukoplakia in traditional Chinese medicine. According to its clinical manifestations and signs, it can belong to the category of diseases such as "vulvar pruritus", "yin pain", and "negative eclipse". ·Syndrome and Treatment of Miscellaneous Diseases of Women.

The old man believes that the occurrence of this disease is closely related to liver and kidney yin deficiency . Due to lack of congenital kidney qi or chronic disease damage kidney qi , the kidney essence is not enough to cause dystrophy of the vagina. The veins of Jueyin are located in the genitals, insufficient liver yin , the genitals are dystrophic, so the vulva becomes dry, atrophy and white; coupled with the long-term stimulation of inflammation, it ulcers, itching is unbearable.

At present, surgery or external therapy is commonly used in clinical treatment of this disease. However, the symptoms are not the root cause. Menlao advocated that the disease should be treated at the same time as the symptoms. Internal treatment should replenish the liver and kidney, combined with activating blood circulation to remove blood stasis to cure the root cause, and external treatment should be to clear away heat and dampness , dispel wind and relieve itching to treat the symptoms.

For this reason, the three generations of Menshi created and continuously improved the vulva white spot prescription. is the secret family secret prescription of Menshi gynecology. It consists of three parts: oral prescription, external washing prescription and plaster prescription.Fully reflects the purpose of both internal and external treatment:

(1) Oral prescription: Rehmannia glutinosa, yam, turmeric, ligusticum, Alisma, psoralen, , Bupleurum , salvia, mulberry, Nepeta, windproof.

(2) Washing prescription: raw southern star , raw pinellia , turmeric, sophora , pepper, alum.

(3) Plaster prescription: turmeric, mituo monk, realgar each divided into equal parts, grind fine noodles together, and use small milled sesame oil as a paste.

In the oral prescription, Rehmannia glutinosa, Chinese yam, Alisma orientalis, mulberry seeds nourish liver and kidney, fill essence and marrow; turmeric relieves pain and relieves itching.

According to modern research, the curcumin contained in turmeric has anti-fungal infection, anti-cancer effects, and promotes the healing of ulcerated and non-ulcerated wounds;

Buguzhi warms the kidney and helps Yang, and is good at Cure white lesions; Danshen nourishes blood and promotes blood circulation, dredges the meridians; Fangfeng, Nepeta soothes wind and relieves itching, removes the syndrome ; Bupleurum and Gaoben good people liver meridian , it is a meridian, cited The drugs act on the local area downward.

External washing formula uses Sophora flavescens and Zanthoxylum bungeanum as the prime medicine for deworming and relieving itching, turmeric and alum which promote wound healing as minister medicines, and Pinellia and southern star as adjuvant medicines for removing heat and phlegm, fumigating and washing the vulva. Promote the healing of local ulcers.

After cleaning the vulva, apply a traditional Chinese medicine ointment to the affected area to further improve the skin of the affected area in order to slow the effect. Menlao often uses this prescription in clinical practice. For severe itching, add Kochia scoparia and Xu Changqing; for obvious local ulceration, add Cnidium ; for obvious vulvar atrophy,Add eucommia, dodder, etc.

In particular, it should be noted that this disease has a 1%~3% cancer rate, which requires active prevention and treatment and close follow-up.

The original text is excerpted from: [1] Hu Guohua. The essence of national traditional Chinese medicine gynecology schools [M]. Beijing: China Traditional Chinese Medicine Press. 2016.

Hu Guohua Chief Physician _p1

_p1

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Shanghai Hospital of Traditional Chinese Medicine Chief Physician of Gynecology, the fourth-generation successor of Shanghai School of Zhu’s Gynecology, the head of the academic inheritance branch of Zhu’s Gynecology School; the instructor of the national famous traditional Chinese medicine inheritance (fifth batch); Chinese Traditional Chinese Medicine Member of the Standing Committee of the Gynecology Branch of the Society; Chairman of the Gynecology Branch of the China Association for the Promotion of Chinese Medicine Research; the current chairman of the Shanghai Gynecology Professional Committee of Traditional Chinese Medicine, has in-depth research on the treatment of gynecological diseases and facial beauty.

Good at: Chronic pelvic inflammation , adnexitis, vaginitis and other gynecological inflammation, menopausal syndrome, postpartum disease, premature ovarian failure, irregular menstruation, infertility, etc.