Vaginitis is a very common gynecological disease. There are many causes of the disease, the most common of which is bacterial infection. For example, many women do not pay attention to genital hygiene, so the probability of suffering from vaginitis will be greatly increased. The harm of this disease is very great. Patients need to go to the hospital for a systematic examination. The current common examination methods are as follows. 1. Internal examination: For women with sexual experience, obstetricians and gynecologists will use internal examination. The doctor will use the gloved index and middle fingers to gently insert into the vagina and touch the cervix. At the same time, the doctor will use the other hand to press the abdomen to check whether the uterus is enlarged, or whether the ovaries are enlarged or have tumors. 2. General: Leucorrhea is a mixture of vaginal mucosal exudates, cervical canal and endometrial gland secretions, and its formation is related to the action of estrogen. 3. Amine test: The leucorrhea of patients with bacterial vaginosis may have a fishy odor, which is caused by the amines in the leucorrhea being volatilized after being alkalized with potassium hydroxide. 4. Clue cells: Clue cells refer to patients with many bacilli condensed at the edge of the vaginal epithelial cells. In the hanging drop smear, the edges of the vaginal epithelial cells are granular or stippled, making them unclear. These are clue cells. They are the most sensitive and specific sign of bacterial vaginosis. Clinicians can make a diagnosis of bacterial vaginosis based on a positive amine test and the presence of clue cells. 5. Chlamydia test: Testing of cervical mucus can confirm bacterial vaginitis caused by mycoplasma infection. If you have these symptoms, especially those with pain during sexual intercourse, lower abdominal distension, more than two sexual partners, or those whose symptoms do not improve with continuous medication or recur repeatedly, you need to get checked. Traditional Chinese medicine treatment of vaginitis: 1. Oral prescription Nourishes yin and kidney, clears away heat and stops leukorrhea. The prescription is Zhibai Dihuang Pills with modifications. Take 12g of medicinal Rehmannia glutinosa, 12g of Cornus officinalis, 15g of Chinese yam, 12g of Alisma orientalis, 15g of Chinese toon root bark, 20g of dandelion, and 15g of Eclipta prostrata. Boil in water twice and take in the morning and evening. Take 1 dose daily. 2. External treatment 30 grams of Sophora flavescens, 20 grams of Cnidium monnieri, and 10 grams of Wolfbane. 10 grams of realgar and 15 grams of gentian. Crush the medicine into gauze wrap, add half a basin of water and boil for half an hour, remove the residue and take the juice, fumigate and wash while it is hot, about 20 minutes, fumigate and wash once before going to bed every night. For patients at the beginning, the effect can be seen after 2 to 7 times of treatment, while for patients with a long course of illness, the effect can be seen after 7 to 15 times of treatment. During the treatment, stop having sex and avoid spicy food. 3. Chinese patent medicine Take Danxiegan Pills twice a day, 4.5 grams each time, and swallow them. Suitable for stagnation of heat in the liver meridian; take Zhidaijing tablets twice a day, 4.5 grams each time, and swallow. Suitable for those with damp heat. 4. Drug contraindications Because this disease is caused by damp-heat evil, it is forbidden to use medicines with warming and tonifying yang effects during the illness, such as red ginseng, aconite, dried ginger, Evodia rutaecarpa, clove, asarum, Piper longum, galangal, deer antler, psoralea corylifolia, Cuscuta australis, Morinda officinalis, Epimedium, bull whip, Curculigo, yellow dog kidney, Cynomorium songaricum, Gecko, Cistanche deserticola, etc., and Chinese patent medicines such as Shiquan Dabu Pills, Yougui Pills, Jinkui Shenqi Pills, etc. |
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