White lesions of vulva

White lesions of vulva refers to a group of female genital skin, mucous membranes nutritional disorder caused the disease genital tissue degeneration and pigment change. Its incidence may itching humid stimulus with long-term, the lack of certain nutrients, metabolic disorders, and other factors. The disease mostly occurs in middle-aged women. Mainly genital itching and genital skin pigment and flexible to change, Chinese medicine literature only “Yin Yang” records, without records of white lesions of vulva.

Etiology, Pathology
Red Rendu three veins a source manifold, out of the cell in the same, through the vulva and vagina, with the essence and blood, two losses, the impact of red, he served as the Governor normal regulatory function of the three-pulse, so that the perineal skin loses nourish cause local lesions. Caused the pathological changes of reasons:
Hot and humid place vulva hot and humid Kurume not to go, dipping vulva Erzhi.
2. Liver-fire long depression of the fire, the shift in the vulva, heat blanch context Erzhi.
Qi and blood qi the prime virtual the vulva context dystrophy Erzhi.
Liver and kidney ferrite liver and kidney, red any deficiencies, vulvar dystrophy Erzhi.
5. The kidney essence decline ferrite kidney or chronic illness and kidney, kidney essence decay and weakness Du, vulva dystrophy Erzhi.

Diagnostic points
Genital itching, genital skin pigment loss, but must QUICKER biopsy to diagnose this disease.

[Dialectical type]
Heat bet white lesions of vulva, skin moist impregnated with multicolor yellow, genital itching. Yellow and greasy fur, slippery pulse.
The stagnation of the fire vulva white lesions dry chapped skin, itching, with multi-color yellow, irritability, red urinate constipation. Yellow moss, pulse string.
3. The blood weak vulva atrophy type malnutrition mainly Vulvar lichen sclerosus, atrophic changes, dizziness, pale complexion, palpitations, fatigue. Moss thin, pale tongue, weak pulse.
4. Liver and kidney genital atrophic changes, dry wilt and dry, with less itching, vaginal dryness. Dizzy, weak waist, dry mouth, red tongue, thready pulse Shen.
5 of kidney essence decline genital atrophic changes, dry chapped backache soft knee, chills limbs. Pale tongue, weak pulse.

【Genotyping treatment]
1 heat bet Governing law: heat dampness spot removers.
Recipe: the Kochia scoparia soup (prescription) addition and subtraction.
Kochia scoparia 15 grams flavescens 12 grams 10 grams 12 grams Treats Coix seed 12 grams 12 grams castor seed millet six a casual (including fried) 9 grams wind the capillaris 9 g Scrophulariaceae the 10 grams Patrinia 12 gram Less: with multi- yellow infiltration vulva, 10 grams plus Anemarrhena, Treats 9 grams, gall 10 grams, 12 grams Atractylodes; the Yin Yang unbearable, plus the Solanum lyratum 15 grams, 12 grams of Radix, soil Poria 15 grams.
The stagnation of the fire Governing Law: the Liver Xiehuo spot removers.
Recipe: Longdan, addition and subtraction.
Gentian, capillaris 10 g, 9 g of Health 9 g shanzhiside, rhubarb 3 g 15 g (after) Treats 9 grams Dictamni verbena 15 Akzo wood the 12 Keze diarrhea 10 gram Less: the vulva dry skin chapped by 15 grams Jiamai winter of 12 g Zhimu, donkey-hide gelatin 9 g (molten Chong), red peony 10 grams; the constipation Jiamai winter 12 g melon baskets Ren, 9 g (to play).
Qi and blood conquer qualitative gas the nourishing Chuban.
Recipe: Decoction Bazhen.,
Codonopsis 12 grams Astragalus 10 grams 9 grams Atractylodes Poria 10 grams Angelica 9 grams of white peony 10 grams Rehmannia 10 Yasar 9 grams of plastic (molten Chong) Epimedium Cnidium 10 grams Zhigancao 9 g 3 gram Less: vulvar atrophy, plus dogwood 9 grams, 10 grams of Anemarrhena officinalis 9 g Epimedium 12 grams, Radix 12 grams.
Liver and kidney Governing Law: Kidney and Liver spot removers.
Recipe: Zuogui the Pill.
The large habitat 15 grams 10 grams yam medicine dogwood 9 g Dodder 12 grams medlar 10 grams of Achyranthes bidentata 9 g the turtle version gum 12 g (molten Chong) Cnidium 10 grams Ligustrum lucidum 12 Keba halberd meat 9 g Bozi 9 grams subtraction: vaginal dry itch by plus Polygonatum 12 grams, Radix 10 grams, Angelica 9 grams.
The kidney essence bad governance the law: YSTJR spot removers.
Recipe: Yougui nine subtraction.
Rehmannia 12 grams 10 grams yam medicine cornus 9 grams 9 grams medlar 10 grams, 10 Kedu Chung Dodder 10 restraint aconite (fry) antler (molten Chong) Polygonatum 10 grams, 12 grams Astragalus 12 grams

[Chinese patent medicines]
1. Longdanxiegan Daily 2, 4.5 g each swallow.
For the stagnation of the fire.
2 of Zuoguiwan 2 times a day, each 3 grams swallow. For liver and kidney.
3. YouguiWan 2 times a day, each 3 grams swallow. For kidney yang decline.
4. Shiquandabu pill daily 2 times, each 3 grams swallow. For the blood weak.
5 Dabuyin pill 2 times a day, 4.5 g each swallow. For yin those.

[Easy ways]
Treatment of white lesions of the vulva, in addition to internal medicine, if with the external treatment, can improve the therapeutic effect, now outside the rule of CLC as follows:

The 1. Scattered Cnidium Cnidium 15 grams, 12 grams of alum, Sophora 10 grams, one hundred and 12 grams, decoction Bath.

Epimedium 9 grams, 9 grams Chuanjiao Tribulus terrestris 9 grams, 9 grams of Curcuma the Pyrolae 15 grams, 12 grams of Cnidium, matrine and 9 grams, the final end of 10 grams, 10 grams of wind, decoction sit bath.

[Other therapies]

【Note】
The disease long-term healing may be malignant, in the course of treatment should be closely followed, if necessary, repeat for histological examination.
2. Keeping the vulva clean, thorough treatment of vaginitis, vulvitis avoid grasping the outer genitals, avoid using hot water to scrub the vulva.
Increase nutrition, including vitamin intake, keep the mood relaxed.