Patient's question:
Now, let's translate the provided text into English, keeping the line breaks as they are:"Now check the test results and carefully examine:
The history of previous treatment and its effectiveness:
Longest duration without recurrence was one year.
What kind of help is needed:
Western medicine had no effect. Can traditional Chinese medicine help?"
(Note: The line breaks `\n` are preserved as per the original format.)
Doctor's answer:
The white discharge you mentioned is a typical symptom of candidal vulvovaginitis, where the discharge appears like curd. Alkaline solutions such as 2-4% sodium bicarbonate or soapy water can be used to clean the external genitalia and vagina, altering the vaginal pH to favor the growth of Candida. After cleaning, antifungal tablets or suppositories containing nystatin should be inserted into the vagina, with a dosage of 100,000-200,000 units each time, once a night, for a course of 10-14 days. Additionally, 3% miconazole cream can be applied to the external genitalia for excellent results. For this stubborn case, oral itraconazole or clotrimazole can be taken to eliminate intestinal candidiasis, or topical miconazole can be used.