1. Qi stagnation
The main symptoms: pudendal mass, soft when pressed, movable when pushed, feeling of heaving, or swelling on both sides. The tongue is normal or dark purple, with thin coating and thready pulse.
Analysis: The liver pulse bypasses the vulva, which leads to emotional disorder, stagnation of liver qi, local stagnation of qi and blood, visible pudendal mass and ups and downs. The liver is depressed and qi stagnation, so the two sides are full, and the tongue pulse is the image of liver depression and qi stagnation.
2. Cold solidification
The main symptoms: pudendal mass, soft pressing, pushing and swelling, or long urination and loose stool. Pale tongue, thin and white fur, and slow pulse.
Analysis: Cold pathogen invades the liver vein, and the blood locally congeals and stagnates due to cold. It can be seen that vulvar mass, residual syndrome and tongue pulse are all cold congeals.
The treatment of this disease is mainly surgery, and there are contraindications for surgery. Those who cannot be operated can be treated with traditional Chinese medicine.
First, dialectical choice
1. Qi stagnation
Treatment: Soothing the liver and activating qi, promoting blood circulation and resolving stagnation.
Prescription: Xiaoyao San. Bupleurum chinense 10g, Paeonia lactiflora 15g, Atractylodes macrocephala 15g, Angelica sinensis 15g, Poria cocos 15g, Salvia miltiorrhiza 15g, Paeonia lactiflora 15g and Fructus Aurantii/kloc. For patients with local swelling and pain, Flos Lonicerae 15g, Fructus Forsythiae 15g, and Herba Taraxaci 20g can be added; If the lump is hard, seaweed 15g, kelp 15g and fried pangolin scales 30g can be added.
2. Cold solidification
Treatment: Warming channels and dispelling cold, promoting blood circulation and removing blood stasis.
Prescription; Yanghe decoction is modified. 25g of Radix Rehmanniae Preparata, mustard seed 10g, colla cornus Cervi 15g, 5g of cinnamon, 5g of ginger charcoal, 5g of ephedra, 5g of raw licorice. Litchi seed15g; Severe swelling can be added; For people with thin stools, halloysitum rubrum 15g, Fructus Psoraleae 15g, Rhizoma Dioscoreae 15g, and Atractylodis Macrocephala15g can be added; For patients with deficiency of both qi and blood, Radix Codonopsis 20g, Rhizoma Atractylodis Macrocephalae 15g, Rhizoma Chuanxiong 10g, and Radix Angelicae Sinensis 15g can be added.
Second, other therapies.
(-) Fumigation washing method
1. Sophora flavescens, Fructus Cnidii, Cortex Phellodendri, Folium Artemisiae Argyi, Glauber's salt, Cortex Dictamni Radicis and Alumen 15g each. Decoct in water for 30 minutes, take liquid medicine 100ml, add vinegar 10ml, and smoke and wash twice a day.
2. 20 g of Taraxacum, Viola yedoensis and Hua Shuang, 0/5 g of Salvia Miltiorrhiza, Paeonia Rubra, Rhizoma Sparganii and Rhizoma Curcumae/kloc-. Daily 1 time, decocted and smoked.
(3) External application method
Qilisan and proper amount of rheumatic bone pain medicinal liquor were externally applied to the affected area, daily 12 hours or more, for a total of 1 week.