Ms. Wang, 38 years old, has had excessive vaginal discharge before and after her period for half a year. In the past two months, the vaginal discharge has become yellow like rotten eggs, with an abnormal fishy smell like rotten eggs, accompanied by vulvar itching, small pustules, soreness in the waist and back, pain in the lower abdomen, decreased appetite, tasteless mouth, loose stools, yellow and hot urine, dizziness, fatigue, and general weakness. She went to the hospital immediately for treatment. Gynecological examination: normal vulva; smooth vagina, moderate amount of yellow and leucorrhea; hypertrophic cervix, moderate erosion, dark ecchymosis; slightly enlarged and tender. Pelvic ultrasound showed: 1. Bilateral adnexa thickening, left adnexa cyst (4.5 cm 4.0 cm). 2. A small amount of fluid in the Tau cavity, 1.5 cm. 3. Hypertrophic cervix. Physical examination: dark red tongue, yellow and greasy fur, diagnosed as chronic pelvic inflammatory disease. The syndrome is phlegm dampness and blood stasis, which accumulates and turns into heat, and the damp heat descends and accumulates in the uterus, which causes Ms. Wang to have excessive vaginal discharge, which is like rotten eggs, corrodes the internal and external vulva, and causes itching. Prescription: Pinellia, Tangerine Peel, Yun Fuling, Atractylodes, Atractylodes, Fritillaria, Leonurus, Corydalis, Coix Seed, Trillium, Curcuma, Millettia, Pangolin, Raw Astragalus, Euryale, Cortex Moutan, Phellodendron. Decoction, 1 dose per day. Decoction the residue again, take 100 ml of the liquid, retain enema every night, and supplement with diet therapy (30 grams of coix seed, 30 grams of red bean, 30 grams of Euryale, 30 grams of yam, 50 grams of polished rice porridge, one meal per day); 30 grams of dandelion and raw hawthorn each for tea. After taking 15 doses, the second diagnosis: leucorrhea decreased, vulvar itching alleviated. After taking another 15 doses, the third diagnosis: leucorrhea turned from yellow to white, the amount decreased, and vulvar itching disappeared. After taking another 10 doses, the fourth diagnosis: leucorrhea was small and clear during two menstrual periods. The prescription was continued for consolidation treatment for another 10 days. Gynecological examination and pelvic B-ultrasound showed no abnormalities. |
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