How to treat vaginitis

Patient's question:

All symptoms: Abnormal vaginal discharge, bad breath, vulvar itching, bloating, face swelling
Onset time and cause: Approximately two years
Treatment history: Enlarged cervix, fluid accumulation in the uterus, abnormal vaginal discharge with odor, vaginitis, etc.
Used many medications for vaginitis, but without improvement, so seeking help: Please help analyze the condition and tell how to treat it.

Doctor's answer:

1. Traditional Chinese Medicine (TCM) considers excessive leukorrhea with yellow, viscous, foul-smelling discharge, localized redness, and a sensation of heat, swelling, and pain as a case of damp-heat stagnation. The treatment principle for vaginitis should focus on clearing heat, resolving dampness, and stopping discharge. Commonly used herbs include Poria, Poria cocos, Radix paeoniae rubra, Cortex moutan, Alisma orientale, Berberis, Gardeniae fructus, Terminalia chebula, Plantago asiatica, and Glycyrrhiza. Alternatively, oral administration of Longdan Xiegan Pill can also achieve good therapeutic effects.
2. TCM views excessive leukorrhea with white, viscous discharge and a sensation of swelling and heaviness in the lower abdomen as a case of dampness and turbidity stagnation. The treatment principle for vaginitis should focus on strengthening the spleen, resolving dampness, and stopping discharge. Commonly used herbs include Codonopsis pilosula, Atractylodes macrocephala, Atractylodes rhizoma, Poria cocos, Dioscorea opposita, Coix seed, and Tangerine peel. Alternatively, oral administration of Longbai Dawaoyan Pill can also achieve good therapeutic effects.
3. TCM considers excessive leukorrhea with a mixed yellow and white color, viscous texture, and a foul odor, along with localized sensations of heat and heaviness, as a case of liver qi stagnation and spleen deficiency. The treatment principle for vaginitis should focus on soothing the liver, clearing heat, strengthening the spleen, and resolving dampness. Commonly used herbs include Cortex moutan, Radix paeoniae alba, Atractylodes rhizoma, Poria cocos, Coix seed, Bupleurum, Gardeniae fructus, Alisma orientale, Carthamus tinctorius, Plantago asiatica, and Glycyrrhiza. Alternatively, oral administration of Jia Wei Long Dan Xie Gan Wan can also achieve good therapeutic effects.