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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