What prescriptions does traditional Chinese medicine use to treat Bartholin's gland cysts?

Bartholin's gland cyst is a common and frequently occurring disease among women, mostly occurring in women of childbearing age. After the acute inflammation subsides, if the gland duct is blocked, the secretion cannot be discharged, and the pus gradually turns into clear liquid to form a cyst. Sometimes, the mucus in the gland cavity is thick or the congenital gland duct is narrow and the drainage is not smooth, which can also form a cyst. If there is a secondary infection, the abscess will recur repeatedly. It is easy to ulcerate and suppurate after scratching, and even lead to deterioration and endanger life. Let's take a look at how Chinese medicine uses prescriptions to treat Bartholin's gland cyst.

1. Evil poison enters the body

Main symptoms: Sudden swelling and pain on one side of the vulva, followed by swelling that rises, difficulty in movement, accompanied by fever, chills, bitter and dry throat, thick and foul-smelling white and yellow discharge, dry stool and yellow urine. Red tongue, yellow fur, rapid pulse.

Symptom analysis: Mostly due to poor regulation during menstruation and after childbirth, infection with pathogenic toxins, entering the body and turning into heat, which is stagnant and flows down to the liver meridian, so the vulva is swollen and painful; pathogenic toxins enter the body, and the struggle between the positive and the negative leads to fever and chills; heat toxins accumulate in the liver meridian and flow down, so there is bitter mouth and dry throat, and a large amount of leucorrhea with foul odor; heat burns body fluids, so the urine is red. Red tongue, yellow fur, and slippery and rapid pulse are all signs of heat in the liver meridian and internal accumulation of toxic heat.

Treatment method: Clear away heat, detoxify, promote blood circulation and remove blood stasis.

Prescription: Wuwei Xiaoduyin with added flavor. 30g of dandelion, 30g of ground clove, 20g of honeysuckle, 20g of forsythia, 20g of tiankui seeds, 10g of frankincense, 10g of myrrh, 15g of moutan bark, 15g of red peony root. If the mouth is dry and bitter, add 15g of gentian and 15g of raw earth; if the fever is severe, add 20g of gypsum and 15g of gardenia; if the stool is dry and hard to pass, add 10g of rhubarb; if the leucorrhea is heavy, even purulent and thick, add 20g of smilax glabra; if the swelling and pain are severe, add 5g of notoginseng powder.

2. Excessive toxic heat

Main symptoms: The swelling of the ulcer is getting worse, the skin of the swollen area is red, the crust is thin, and it is soft when pressed, or pus has been discharged from the ulcer, which is often foul-smelling, accompanied by fever, thirst, and heavy vaginal discharge. The tongue is red, the coating is thin and yellow, and the pulse is deep and rapid.

Symptom analysis: The evil toxins enter the body, turn into heat over time, and then rot and turn into pus, so the vulva is swollen and severe, the skin of the swollen area is red and thin, and it is soft when pressed or it breaks and pus comes out; the toxic heat is excessive inside and moves downward, and the yin fluid is damaged, so the symptoms include fever, thirst, and heavy vaginal discharge. The red tongue, yellow fur, and deep and rapid pulse are all signs of internal heat.

Treatment method: Clear away heat, detoxify, resolve blood stasis and discharge pus.

Prescription: Xianfang Huomingyin. 20g of honeysuckle, 15g of licorice, 15g of pangolin, 15g of soapberry, 15g of angelica, 15g of red peony root, 10g of frankincense, 10g of myrrh, 20g of radix trichosanthis, 15g of dried tangerine peel, 15g of saposhnikovia, 15g of fritillaria, 15g of white scutellaria. If the pus has been cleared, remove the pangolin and soapberry; if the bowel movements are constipated, add 10g of rhubarb and 10g of betel nut; if the heat is severe, add 10g of rhubarb and 15g of coptis; if the patient is upset and thirsty, add 15g of radix rehmanniae, 15g of gardenia, and 15g of scrophularia.