Oral Chinese medicine plus vulvar fumigation and washing to cure vulvar leukoplakia

Ms. Chen, 30 years old, has been suffering from vulvar leukoplakia for more than 2 years. She has been treated with Western medicine for many times, but there is no obvious treatment effect. In the past week, Ms. Chen's vulvar itching is unbearable. The itching is more severe before going to bed at night, and she can't even fall asleep. She has to stay up late every day, which seriously affects Ms. Chen's work and life. So Ms. Chen sought treatment from a traditional Chinese doctor.

Ms. Chen reported: In the past week, she has been suffering from restlessness and insomnia, with a significant increase in leucorrhea, yellow color, and obvious back pain. Physical examination: thin body, mental fatigue, red tongue, yellow and greasy tongue coating, stringy pulse. The labia majora and minora and vaginal opening are grayish white, the mucosa is thickened and rough, and there are 3 yellow discharges due to scratching and infection. Diagnosed as vulvar leukoplakia, the syndrome differentiation is liver meridian damp heat, that is, blood heat hyperplasia type. Treatment should be liver clearing and dampness, detoxification, insect killing and itching, oral Chinese medicine plus external medicine treatment.

Prescription: Gentiana, Phellodendron, Hedyotis diffusa, Alisma orientalis, Bupleurum, Smilax glabra, Dictamni, Gardenia, Indigo (dissolved), Licorice. Decoction, 1 dose per day, 3 times a day, morning, noon and evening.

Prescription for external use: Oldenlandia diffusa, dandelion, Sophora flavescens, Wolfsbane, Rehmannia glutinosa, Indigo naturalis, Scolopendra subspinipes, Cortex Moutan, Sichuan pepper, Borneol (dissolved), Prednisone (dissolved), Stemona bulb, Cnidium monnieri, Phellodendron amurense, add 30 capsules of berberine (dissolved), decoct in water, fumigate and wash the affected area and sit in bath for 30 minutes, twice a day.

After more than two months of treatment with the above prescription, Ms. Chen's ulcer healed, vulvar itching disappeared, the skin and mucous membranes turned from grayish white to rosy, her spirits gradually improved, her face became rosy, the amount of leucorrhea decreased and turned white, and she was clinically cured.