Experience in Combined Internal and External Treatment of White Lesion of Vulva from Liver and Kidney
ABSTRACT It is believed that the pathogenesis of white lesions on the vulva lies in liver and kidney dysharmony,and the principle of regulating liver and kidney is recommended,with a combination of internal and external treat-ment,and using multiple methods.Clinically,it is differentiated into deficiency and excess.For deficient patients,liver-kidney yin deficiency is most common,for which self-made Zidi Yanghu Decoction(地养户汤)is used for inter-nal treatment to nourish the kidney and liver,invigorate blood and dispel wind;self-made Shougui Xiyang Formula(首归息痒方)for fumigation,washing and sitz bath is used as external treatment to supplement and invigorate blood,dispel wind and relieve itching.Damp-heat in the liver channel is the most common excess syndrome,for which the internal treatment is self-made Xiaoyao Xiegan Decoction(逍遥泻肝汤)to clear the liver and drain dampness,unblock collaterals and relive itching,and the external treatment is self-made Kubai Zhiyang Formula(苦柏止痒方)for fumi-gation,washing and sitz bath in order to clear heat,drain dampness and relieve itching.If there is accompanied local hypopigmentation,obvious itching,painful ulcers,or scratching due to itching,self-made Zima Yukui Oil(紫麻愈溃油)is often applied topically to eliminate macules and engender flesh.
white lesion of vulvaliver and kidney disharmonynourish the kidney and livercombined internal and external treatment
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