Patient's question:
I am 21 years old. I have had vaginal itching for 5 or 6 years. Every night when I sleep, for some unknown reason, my vagina always itches, and I can't help but scratch it. I haven't treated it seriously, and the white discharge in my underwear is yellow. I'm afraid it will get worse in the future.Doctor's answer:
Traditional Chinese Medicine Treatment:(1) Internal medicine treatment follows the principles of nourishing blood, dispelling wind, and calming the spirit. Suitable herbs include: Poria (Fu Ling) 9g, Ligusticum (Chuan Xiong) 6g, White Peony Root (Bai Shao) 9g, Rehmannia Root (Shu Di) 9g, Sambucus (Ji Xue Teng) 9g, Polygonum (He Shou Wu) 6g, Saposhnikovia (Fang Feng) 9g, Schizonepeta (Jing Jie) 9g, Schisandra (Wu Wei Zi) 9g, Sour Jujube Seed (Suan Zao Ren) 9g, Ziziphus (Bai Zi Ren) 9g, and Licorice (Gan Cao) 6g. Boil in water and take 1 dose per day. Anal and vulvar itching are often treated based on the theory of damp-heat accumulation in the lower body. Therefore, modified formulations such as Long Dan Xie Gan Tang (Drain Liver Fire Decoction) or San Miao Wan (Three Herbs Pill) are used.
(2) External applications in Traditional Chinese Medicine:
One common method involves decocting the following herbs in 2000–3000ml of water:
- Polygonum (Ku Shen) 20g
- Cnidium (She Chong Zi) 20g
- Plantago (Di Fu Zi) 20g
- Saposhnikovia (Fang Feng) 20g
- Stemona (Bai Bu) 20g
- White Flax Root (Bai Xian Pi) 20g
After decoction, the solution is used for sitz baths. For patients with severe vulvar itching, it is recommended to seek immediate medical attention and follow the doctor’s advice for proper treatment. Avoid self-medication, as it may worsen the condition.