Abnormal amount, color, texture, and odor of leucorrhea often require related examinations, especially gynecological examinations and laboratory smear examinations to determine the type and cause of inflammation, especially further examinations to rule out cervical cancer. and other malignant diseases.
(1) Internal treatment with traditional Chinese medicine
1. Spleen Yang deficiency type
Syndrome: heavy vaginal discharge, white or yellowish color, thin texture, no Persistent odor, mental fatigue, lukewarm limbs, poor appetite and loose stools, swollen soles of both feet, pale complexion, pale tongue, white and greasy coating, and slow and weak pulse. Treatment principles: Strengthen the spleen and replenish qi, promote yang and remove dampness. Main recipe: Add or subtract the soup. Prescription: Atractylodes macrocephala, yam, ginseng, white peony root, atractylodes, licorice, tangerine peel, black mustard, bupleurum, and plantain.
If the spleen is deficient and the kidneys are accompanied by low back pain, add Dipsacus Dipsacus, Eucommia ulmoides, and Cuscuta japonica; if there is abdominal pain caused by cold coagulation, add Cyperus rotunda and mugwort leaves; if the vaginal discharge lasts for a long time and slippage persists, add Gorgon fruit, Keel bones, oysters, cuttlefish bones, golden cherry seeds, etc.
2. Kidney Yang deficiency type
Syndrome: heavy vaginal discharge, white and cold color, thin as water, continuous dripping, dizziness and tinnitus, low back pain, chills, cold limbs, lower abdomen Feeling of cold, frequent urination, especially at night, loose stools, dull complexion, pale and moist tongue, thin and white fur, and deep, thin and slow pulse. Treatment Principles: Warm the kidneys and help yang, astringent essence and stop vaginal discharge. Main prescription: addition and subtraction of internal tonic pills. Prescriptions: deer antler, dodder, Tribulus terrestris, astragalus, Tribulus terrestris, aster antler, cinnamon, mulberry octopus, Cistanche deserticola, and aconite.
If you have diarrhea and loose stools, remove the cistanche deserticola and add psoralen and nutmeg.
3. Yin deficiency and dampness type
Syndrome: not much vaginal discharge, yellow or red and white color, thick texture or smelly, dryness and discomfort in the vagina, or There is a burning sensation, soreness and weakness in the waist and knees, dizziness and tinnitus, red cheeks and red lips, restlessness and heat in the five palpitations, insomnia and dreaminess, red tongue, less or yellow greasy coating, and thready and rapid pulse. Treatment principles: Nourishing yin and nourishing the kidneys, clearing away heat and removing dampness. Ingredients: Zhibai Dihuang Pills plus Gorgon Fruit and Golden Cherry Seeds.
4. Damp-heat injection type
Syndrome: heavy vaginal discharge, yellow in color, sticky, smelly, or accompanied by genital itching, chest tightness and upset, bitter mouth and dry throat, Poor appetite, pain in the lower abdomen or lower abdomen, short red urine, red tongue, yellow and greasy coating, and wet and frequent pulse. Treatment Principles: Clear away heat, promote dampness and stop bandages. Main side: stop side. Prescriptions: Polyporus, Poria, Plantago, Alisma, Artemisia, red peony root, paeoniae, Phellodendron, gardenia, Achyranthes bidentata.
If the liver meridian is damp and hot, symptoms include excessive vaginal discharge, yellow or yellow-green color like pus, thick or foamy texture, odor, accompanied by itching and pain in the vagina, dizziness, and sore throat. For dryness, irritability and irritability, constipation, red urine, red tongue, yellow and greasy coating, stringy and slippery pulse, take Longdan Xiegan Decoction plus Sophora flavescens and Coptis Rhizome.
5. Dampness and poison accumulation type
Syndrome: excessive vaginal discharge, yellow-green like pus, or both red and white, or mixed with five colors, like rice swill, smelly and filthy Smell, lower abdominal pain, lumbosacral pain, bitter mouth and dry throat, short red urine, red tongue, yellow and greasy coating, slippery and rapid pulse. Treatment principles: Clear away heat, detoxify and remove dampness. Main recipe: five-flavor disinfectant drink. Prescription: Add Smilax poria and coix seed. Dandelions, honeysuckle, wild chrysanthemums, purpurea, and geraniums.
If you have pain in the lumbosacral region and have an unpleasant odor in your vaginal discharge, you can add Scutellaria barbata, Andrographis paniculata, Houttuynia cordata, and acanthus root bark to clear away heat, detoxify and eliminate filth; if you have painful urination with stranguria and white turbidity, Add Achyranthes bidentata, Polygonum cuspidatum and Licorice root as appropriate.
(2) External treatment with traditional Chinese medicine
1. Vaginal fumigation with traditional Chinese medicine: mainly suitable for various vaginitis such as Candida and Trichomonas. For drug fumigation, you can generally use Fukang lotion, Jieeryin, Fuyinjie diluted and then fumigation and bathing. For those with severe clinical symptoms, use the following traditional Chinese medicine decoction to rinse the vagina and then fumigate the basin.
Prescription: 30g of Rhizoma Rhizoma, Cnidii 30g, Sophora flavescens 30g, Phellodendron 30g, Schizonepeta 30g, Dandelion 30g, Fructus Fructus 10g, Kochia 30g. For fungal vaginitis, add 30g each of Peilan and Hibiscus bark; for trichomonal vaginitis, add 15-20g each of black plum and coptis; if the vulva has ulcers, add borneol and rhubarb. Usually once a day, 20 to 30 minutes each time, for 7 days.
2. Vaginal administration of medication: The medication can be added after flushing or fumigation. Generally, Baofukang suppository, or various symptomatic tablets and suppositories can be used. Once a day, 1 course of treatment every 7 days. Use 2 to 3 courses of treatment. Sexual intercourse is prohibited during the treatment period. If your spouse has symptoms, you should be treated at the same time.
(3) Western medicine treatment
If the leucorrhea is abnormal due to inflammation, external drugs need to be selected for different causes. If it is for other reasons, further examination and treatment are required. Cervical polyps and cervical cancer require surgical intervention.