Contents 1 Pinyin 2 English reference 3 Overview 4 Causes and pathogenesis 5 Symptoms 6 Syndrome differentiation 6.1 Puduris · Liver meridian dampness and heat syndrome 6.2 Puduris · Yin deficiency and blood dryness syndrome 7 Syndrome differentiation and treatment 7.1 Formula 7.2 Acupuncture treatment 7.2.1 Body acupuncture 7.2.2 Ear acupuncture 8 Attached reference materials: 1 Acupoints for treating vulva itching 2 Prescriptions for treating vulva itching 3 Chinese patent medicines for treating vulva itching 4 Vulva itching in ancient books 1 Pinyin
yīn mén yǎng 2 English reference
genital puritus [Xiangya Medical Professional Dictionary] 3 Overview
Vulval pruritus is vulva pruritus [1]. See Wu Mei'an's "Secret Inner Palace Experience for Women".
Pubic itch (pruritus vulvae[2][3]) is the name of the disease[4]. It refers to a disease whose main manifestations are itching of the female vulva and vagina, or even unbearable itching and pain, or accompanied by increased vaginal discharge [2][3]. It may even spread to the area around the vagina, causing unbearable itching and pain, and restlessness in sitting and lying down. Volume 5 of "Elbow Preparation for Emergency Prescriptions" was published. Pulmonary pruritus is also called pruritus vulva[5] and pruritus vulva[4]. 4 Causes and pathogenesis
Mostly due to liver stagnation transforming into heat, spleen deficiency gathering dampness, dampness and heat accumulating, flowing down the lower body; or due to unclean vulva, sitting in the wetland for a long time, and diseases and insects taking advantage of the deficiency to invade; also due to yin deficiency Caused by dryness of blood [4].
Mostly due to spleen deficiency and excessive dampness, long-term stagnation turns into heat, and dampness and heat accumulate in the lower burner; or worry and anger, liver stagnation generates heat, and the dampness is injected; or it is due to vulva It is caused by uncleanness, prolonged sitting in wetlands, and the invasion of diseases and insects; or the elderly and infirm, liver and kidney yin deficiency, depletion of essence and blood, and blood deficiency causes wind and dryness, resulting in dryness and itching of the vulva [5]. Clinically, damp-heat is the most common disease [5]. Modern medicine believes that this disease is mainly related to trichomonas and fungal infections of the vagina, dry skin, dermatitis, eczema, white spots, certain chemical diseases and mental factors [5].
"Complete Collection of Good Prescriptions for Women": "Pubic itching in couples is caused by insect erosion. The three insects are located between the intestines and stomach. Due to the deficiency of the internal organs, the three insects act and eat away in the vagina. The insects It causes heat, mild itching, and severe pain." 5 Symptoms
Symptoms include itching on the outside of the vagina or inside the vagina, and sometimes severe itching and restlessness [4]. Continuous scratching can cause ulcers, redness, swelling, exudation, and even sores, which is called "yin erosion" [5]. After it becomes chronic, the vulva skin can become thickened and hardened [5].
People who suffer from damp heat often suffer from excessive vaginal discharge, which is yellow in color and smells bad [5].
People with Yin deficiency and blood dryness are mostly elderly women [5]. 6 Syndrome differentiation and classification 6.1 Pulmonary pruritus·liver meridian damp-heat syndrome
Pubic pruritus·liver meridian damp-heat syndrome (pruritus vulvae with syndrome of dampheat in Liver Channel [2]) refers to liver qi invading the spleen, spleen deficiency and excess dampness, Dampness and heat combine together, and damage can occur at any time, with symptoms such as unbearable itching, restlessness, or burning pain, heavy vaginal discharge, yellow color like pus, or foamy rice liquid, thick and foul-smelling texture, irritability, and chest pain. Symptoms of swollen and painful flanks, dry and hard stools, yellow and red urine, red tongue, yellow and greasy coating, and stringy and rapid pulse are common symptoms of vaginal pruritus [6].
6.2 Pruritus vulvae with syndrome of yin deficiency and blood dryness
Pruritus vulvae with syndrome of yin deficiency and blood dryness[2] refers to the lack of essence and blood, loss of nourishment of the vulva, and Dryness causes wind, with symptoms of dryness, burning and itching of the vagina, which persists for a long time, especially at night, less leucorrhea, yellow color, or even bloody discharge, conscious vaginal dryness, and even atrophy of the vulva or local skin chapped, dry mouth Dry throat, dizziness, palpitations, insomnia, red tongue, less coating, and thready and weak pulse are common symptoms of pudendal pruritus [6]. 7 Syndrome differentiation and treatment
For damp-heat patients, the treatment should be to clear away heat and diuresis. Use Paixue Sheshi Decoction (see Yin Erosion Strip) or Longdan Xiegan Decoction [4].
For patients with Yin deficiency and blood dryness, the treatment should be to nourish blood and dispel wind, and use Angelica sinensis drink (Angelica sinensis, white peony root, Ligusticum chuanxiong, Rehmannia glutinosa, Tribulus terrestris, Fatigue, Schizonepeta paniculata, Polygonum multiflorum, Astragalus, Licorice) [ 4].
For insect infection and severe itching, local fumigation and washing with drugs and traditional Chinese medicine decoction can be used [5]. For local use, Cnidium monnieri, Sichuan peppercorns, alum, flavescens, rhizome, raw mugwort leaves, and almonds can be decoctioned and fumigated [4]. "A Complete Collection of Good Prescriptions for Women" recommends taking Longdan Xiegan Pills and Xiaoyao Powder orally, and externally grinding peach kernel into ointment and realgar powder, or taking chicken liver into the yin to kill the parasites [4]. Or acupuncture Yinlian, Qugu, Sanyinjiao [4]. 7.1 Prescriptions
"Comprehensive Prescriptions for Women" (Recipe No. 16 for Prescriptions for Women's Pumbral Itch) To treat vaginal itching in women, rhubarb powder:
Rhubarb (lightly stir-fried) Scutellaria baicalensis Yellow (broiled, one or two each), red peony, scrophulariaceae, salvia, dogwood, cnidium (half and two each), fine powder on top. Before eating, drink two qian of warm wine.
"Guangji Prescription" treats persistent vaginal itching in women:
Anaconda gallbladder, realgar, sulfur, cinnabar, saltpeter, turnip (half and a half each), hellebore (two and a half qian), fine top Grind it at the end, mix it with twelfth lunar month pig fat and make a paste, use old cloth to make a wrap, one and a half inches long like a finger, apply it with medicine, and put it in the inner vagina. When it is easy to make a day, it is better to use three or five taels of pig pepper roots, boil them in slightly hot water, wash them dry and wipe them inside.
Another recipe: No matter how many small thistles are taken, boil them in water and make a soup for hot washing, and use it three times a day.
Cui's prescription for treating unbearable vaginal itching:
Burn almonds into ashes, wrap them in the inner vagina with heat-bearing cotton, and remove them every day.
Another recipe: boil garlic soup and wash it. One side uses wolfberry root.
Another recipe: Wild Wolf Fang (two liang, finely filed) and Cnidoma monnieri (three liang), add three liters of water to it, boil it for ten minutes, and wash it hot.
Another recipe: take chicken liver and place it in the inner yin to absorb heat. If there are worms, they should be gone.
"Ancient and Modern Records" treats women's vaginal itching and worm-like symptoms:
Take the beef liver, cut it into three inches, and put it in the inner vagina. All the worms enter the liver and have no effect. Pork liver is also available.
"Qian Jin Yi Fang" treats women's vaginal itching and prolapse with alumite powder:
The alumite powder is powdered and hollow. Take it with wine and drink it three times a day. 7.2 Acupuncture treatment 7.2.1 Body acupuncture
The main points are Zhongji, Xialiao, Xuehai, Sanyinjiao, Ligou and other points. For those who suffer from dampness and heat, add Yin Lingquan and Bai Chong Nest; for unbearable itching, add Qu Gu and Dadun; for upset and less sleepy people, add Shaofu [5]. 7.2.2 Auricular acupuncture
Select acupoints such as Shenmen, lungs, spleen, liver, external genitalia, and ovaries, and select 2 to 3 acupuncture points each time to strengthen the vagina [5]. 8