The vaginitis is under the vagina mucous membrane and the mucous membrane the knot contracts organization’s inflammation, is gynecology department outpatient service common disease. The normal healthy woman, as a result of anatomy and the biochemistry characteristic, the vagina has the nature to the pathogen invasion to defend the function, when vagina’s nature defense function is destructed, then the pathogen easy to invade, causes the vagina inflammation, after the young girl and the menopause, because the woman the estrogen lacks, the vagina epidermis is humble, in the cell the glycogen content reduces, vagina PH reaches as high as about 7, therefore the vagina resistivity is low, is infected easily compared to the puberty and the woman of child-bearing age.
??The vaginitis on clinical has the change as well as the vulva sore take the leucorrhea character itches as the main clinical characteristic, the sexual intercourse pain is also burningly painful common, when the infection implicates the urethra, may have the urine pain, the urine to urgently await the symptom.
??The common vaginitis has the bacterial vaginitis, the infusorium vaginitis, the rosary fungus vaginitis, the senile vaginitis. Garder and so on once conducted the research to 1181 example vaginitises, discovered that 41% are bacterial, 27% for fungus, 24% for infusorium. The senile vaginitis will occur after the menopause later, the ovary excision or the pelvic cavity radiotherapy, its disease incidence rate will it is reported that reach as high as 98.5%.
??The vaginitis mainly belongs to the Chinese medicine ” morbid leucorrhoea “, “itches cloudy ” the category.
Cause of disease pathogenesis
??First, bacterial vaginopathy’s cause of disease pathogenesis
??This sickness occurrence, Yu of Gan, spleen, kidney Chinese medicine multi-responsibility three dirty and wind, cold, wet, evil heat.
??1. the hepatorenal Yin deficient vulva, the vagina place of for the channels and collaterals crowding together, institute of the penis accumulation, flush, no matter what with the foot three after (the greatly cloudy spleen, full heart and the kidneys kidney, foot faints cloudy liver after to follow this fully) cloudy. Liver Tibet blood, main reinforcement; Kidney Tibet essence, around host two cloudy. Because if the talent is insufficient, the room fatigue prolificacy, the essence and blood consumes the wound, either 77 years, kidney deficiency of yin fluids and of blood empty, the menses use up certainly, flushes, no matter what the arteries fade, the cloudy blood is insufficient, cannot Germany raise the vaginal orifice, either the cloudy deficiency-fire is prosperous, the wound burns cloudy winds sends.
??2. the liver faints the cloudy liver after Yu Rezu after to circle the genitals, if the internal injury seven sentiments, the liver strongly fragrant stagnation of flow of vital energy, Yu Jiuhua is hot, the heat burns the channels and collaterals. The liver loses releases sparsely, the internal combustion engine is disadvantageous, transports wet is abnormal, wet in stops with Yu Re wrestles the knot, sends the hot and damp bottom pouring, straight commit genitals, but lives the cloudy pain, the belt inferior card. Fine blue host gynecology · morbid leucorrhoea” said: “the woman worries the wound spleen, also adds Yu Nu the wound liver, therefore the liver flamings after it Yu Huonei, the next gram sign earth, the spleen earth cannot transport, sends the hot and damp gas yun between the belt channel.”
??3. the hot and damp bottom pouring hot and damp is a sickness, has endogenous and division the external disease factors. Endogenous many food nurtures Liang with spleen weakness liver Yu Huozi to concern strong. Because the external disease factors, the silk thread business post-natal butcher room is often void, hot and damp seizes the opportunity to sneak in evilly, the straight commit genitals butcher official becomes morbid leucorrhoea, the cloudy pain and so on sickness.
??Second, infusorium vaginitis’s cause of disease pathogenesis
??Because this sickness is mainly the hot and damp pent up, the insect pest cloudy is the result.
??Inside and outside hot and damp has division evilly. If for a long time occupies the wetland and so on to send wet evil outside invades, Yu Erhua is hot, or the menstrual period, post-natal, hot and damp evil seizes the opportunity to sneak in poisonously, this is hot and damp for the external disease factors. If the element body temperament is weak, or the liver-Qi depression, the wooden gram spleen earth, the spleen loses transports healthily, wet in remains, stops the note lower burner, but yun melts hotly, for endogenous hot and damp. Hot and damp pent up, no matter what the belt does not solidify, then morbid leucorrhoea increases, color yellow. The lower burner is hot and damp, the arm fails to keep an appointment superiorly concurrently drenches the card; Wet evil in the course of time will gradually become the poison, either infection painfully hot sun perverse trend, hot Sheng Poxue reckless action, either internal poisoning caused by damp corrosion flesh, then obvious morbid leucorrhoea bloody pus, either sees ” the leukorrhea with itching of external genitals “, “the cloudy sore”. The wet saprophytic insect, or conserves one’s health carelessly, the insect evil straight commit genitals, the insect pest cloudy cloudy itches, cloudy burningly painful.
??Although this sickness gets sick in the genitals, but with internal organs and so on liver spleen concerns every time. Because many wet evil is sickness.
??Third, reads the different fungus vaginitis cause of disease pathogenesis
??Because this sickness are many wet muddy pent up, infects the evil poisonous result.
??1. wet muddy pent up sign empty wet anti-, Yu Nu the wound liver, the wet muddy pent up, flows into the lower burner, violates and the genitals, wet saprophytic insect surface morbidity, because either for a long time occupies the wetland, feels wet evil, either conserves one’s health carelessly, the neglect health, the polypite evil poisonous straight commit genitals send have this sickness.
??2. clamps wet Fang Laochan Yin deficient the audiences, long illness or is pregnant the anus blood to owe empty, the hepatorenal insufficiency, cannot Germany raise qiao said that gets sick seizes the opportunity to sneak in evilly, sends for this sickness. Therefore on clinical any disease with thirst and excessive urination and the pregnancy easy to contract this illness repeatedly.
??Fourth, senile vaginitis’s cause of disease pathogenesis
??This sickness main mechanism for hepatorenal Yin deficient, hot and damp bottom pouring.
??1. after the hepatorenal Yin deficient old body fades or the surgery excises the ovary, the essence and blood is insufficient, liver deficiency of vitalness of the kidneys empty, flushes, no matter what empty fades, the belt channel fails to keep an appointment, body fluids leakage under, then morbid leucorrhoea quantity are many. The cloudy deficiency-fire is prosperous, burns the vein, compels the blood to go out, then morbid leucorrhoea clamps the blood, cloudy is scalding hot and is painful. The cloudy blood is insufficient, cloudy qiao raises first, creates an incident dry cloudy itches.
??2. the hot and damp bottom pouring old essence and blood owes empty, cloudy qiao loses raises, seizes the opportunity to sneak in evilly wet, or spleen weakness wet anti-, with in vivo deficiency-fire cemented, the hot and damp bottom pouring sends morbid leucorrhoea, to itch cloudy, to drench the card and so on various sickness. Or because of conserves one’s health carelessly, the hot and damp evil straight commit genitals become. If the hot and damp suffering in the course of time, will melt forms pus spoiled may cause the condition aggravation.
The doctor practicing western medicine thought that vagina’s environment receives the host frequently the metabolite, bacterium’s product and the exogenetic factor (sexual intercourse, flushing and other disturbances), but is unstable. The vagina bacteria colony is complex, besides the protozoan, the fungus, still included many aerobes and the anaerobe, these microorganisms may divide into altogether roost and pathological, grows in ~ common environment, between various microorganisms possibly has the orange anti-function. What another affects its growth is the hydrogen ion concentration, when pH3.8~4.2, is advantageous in altogether roosts the fungus the reproduction, particularly bacillus lacticus, this is in the healthy vagina’s main mold mushroom spawn, in the vagina fluid density may reach 105~108ml, when after vagina by microorganism infection, if the bacillus lacticus gets the advantage, still could maintain pH3.8~4.2, then not the pathogenesis, moreover the bacillus lacticus can also produce H202, will suppress its reproduction to other microorganism virose function. Other like young chain coccus, the intestines bacillus, the bacillus proteus, the Garv base coccus, Wei the coccus and so on will be forever common in the vagina lower extremity, usually does not have the symptom. Between the vagina bacteria colony each other restriction, enables the pathology bacterium to have the function, if this kind is destroyed balanced, restricts function vanishing mutually, therefore the hydrogen ion concentration drops, the bacillus lacticus loses the superiority, the pathology fungus can reproduce, has the symptom. The bacterial vaginopathy is because in the vagina the bacillus lacticus reduces, but other bacteria reproduce massively, mainly has the mixed infection which the Gartner fungus, each kind of anaerobe and the mycoplasma cause. The infusorium vaginitis causes by the vagina trichomonad, the attribute dissemination infectious disease, the ways of infection (disseminates through the direct infection through sexual intercourse, contracts infusorium vaginitis’s spouse, in its seminal fluid 75% might find infusorium) and the indirect infection (through each kind of bath gear, swimming pool, public toilet or pollution clothes, instrument), in the general survey, infusorium’s detection rate was 3.56%, including some women non-inflammation performance to call it the carrier. The rosary fungus vaginitis mainly causes by the white rosary fungus, in the normal healthy vagina, also often may parasite few this fungus, but is not taken bad generally, when organism immunologic function low or has bacteria colony being out of balance is the reproduction surface pathogenesis, therefore sees in the pregnancy, diabetes, the application immunity inhibitor, the long-term antibiotic application, moreover in moist hot and damp environment, also easy to infect. Statistics indicated that must is pregnant in the woman approximately 10% and in the pregnant woman 1/3 infects this sickness, but are few because of the symptom obvious seeing a doctor. (For example light bobbin planned vaginitis’s disease incidence rate which as for the non-white rosary fungus saccharomycetes and so on) caused from 1988 9.9% to rise to 1995 17.2%, infected HIV woman non-white rosary fungus infected person recently infected person many two times; Contracts the recurrence rosary fungus vaginitis’s woman to infect the non-white rosary seedling compared to infection white rosary fungus many 2.47 times. Because after the senile vaginitis is the menopause elderly women ovarian function declines, the estrogen level reduces, the vaginal wall withers, the mucous membrane thins, in the epithelial cell the glycogen content reduces, in the vagina the PH value rise, the partial resistivity drops, the pathogenic bacteria easy to invade the reproduction to cause the inflammation.
Clinical manifestation
??First, bacterial vaginopathy
??1. the symptom this sickness patient clinical approximately has 10%~50% symptomlesses, has the symptom to sue has the fish rank stink iron grey leucorrhea, the vagina scalding hot feeling, sickness itches.
??2. the symptom secretion easy to wipe off on the vaginal wall, the vagina mucous membrane may not have the hyperemia, be not inflamed.
??3. common complication and gynecology department cervicitis, pelvic inflammatory disease synchronize, also often with the infusorium vaginitis synchronize, has in the report infusorium trained masculine woman to have 86% women to merge this sickness. In addition after gestational bacterial vaginopathy often may cause the bad perinatal result like chorion amnitis, the amniotic fluid infection, the fetal membrane early broken, the premature delivery and the c-section or the vagina post-natal endometrium infection and so on.
??Second, infusorium vaginitis
??1. the symptom leucorrhea increases, sometimes may for the thin size shape, the yellow or Huang Lvse, mixes has the courage and uprightness, in 20% leucorrhea has the froth. The vulva is sick itches, scalding hot, the sexual intercourse pain is also common, when the infection implicates the urethral meatus, may have the urine pain, the urgency of urination, even hematuria.
??2. the symptom this sickness inspection obvious vagina and cervix of the uterus mucous membrane hyperemia dropsy, disperses common in the red spot, or grass each shape breaks out, the latter arch has the abundant leucorrhea.
??3. the common complication infusorium can consume in the epidermis the glycogen, changes in vagina’s pH value, the hindrance bacillus lacticus grows, therefore easy to cause the sequential bacterial infection, this time the leucorrhea assumes the grass green, has the ozone.
??Third, rosary fungus vaginitis
??1. the symptom most common symptom is the leucorrhea are many, the vulva and the vagina scalding hot epidemic disease itches. Affects the urethra, may also have frequent micturition. Urgency of urination, urine pain and so on sickness.
??2. the symptom model’s leucorrhea assumes congeals milkiness or for the piece massive, the vagina and vestibulum vaginae mucous membrane dropsy, duplicate has the white to congeal highly the milky thin film, assumes punctual or the laminated distribution, easy to strip, its under to suffer injury the blood flushes basis, either forms ulcer, either leaves behind the ecchymosis, the serious small lip of vulva swelling adhesion. But the leucorrhea not has the above typical characteristic, may appear from the water sample until the milk curd type leucorrhea, if some are some thin limpid size exudations completely, often includes the white flap.
??Fourth, senile vaginitis
??1. the symptom mainly increases for the leucorrhea, many are the yellow water sample, serious may be the purulent, has the stink, sometimes is the pale courage and uprightness, even has the few vaginas to bleed. Under often is accompanied by the abdomen and the vagina falls the bulge feeling or the vagina skin the inflammatory secretion influence, may have the mild sickness to itch.
??2. the symptom obvious vagina assumes the senile change, rugosofusalina vanishing, the epidermis is humble, the mucous membrane hyperemia, the surface disperses common in the punctual hyperemia, is serious when the epidermis cracking-off forms the table shallow ulcer, the cervix also has the punctual hyperemia. The senile vaginitis like prolonged does not recover, under after the mucous membrane the knot contracts the organization fibrosis, vagina elasticity vanishing, causes the colpostegnosis, sees especially by the arch department, so that the exposed cervix of the uterus is difficult.
??The rosary fungus vaginitis comparatively sees on clinical, the recurrence rate is high, doctor practicing western medicine’s pharmacological treatment general short-term curative effect is good, can improve the clinical symptoms well, but it has certain side effect, and cannot prevent the recrudescence effectively. But the senile vaginitis mainly by the hormone substitution therapy primarily, the method is more unitary, and after stopping the medicine, easy to recur, existence suggestion endometrium cancer breast cancer morbidity risk. Therefore, still had certain difficulty in the treatment. But the Chinese medicine treats the vaginitis to embark from the whole, either peaceful and quiet hot and damp, either is good for the spleen is wet, either benefit hepatorenal, either the sparse liver is good for the spleen, matches stops by the insect disinfestation itches; While internal affairs, outside the union governs the law, the inside and outside gathers governs, the clinical curative effect is good, not obvious bad side effect.
??At the same time, the traditional Chinese medicine thought: “evil collects, its gas must empty. “on the clinical many pregnancy woman, the tumor patient, or other diseases sends the failure patient also Chang Yiji has this sickness, therefore should also pay attention strengthens this kind of patient’s own disease-resistant ability, “effects a permanent cure ” is prevents and controls the recrudescence the important link, through the internal medicine traditional Chinese medicine, enhancement disease-resistant ability, has provided the new method of treatment for us. Regarding the recurrence rosary fungus vaginitis patient, we except pays great attention the partial treatment in the treatment, meanwhile gives the dialectical internal medicine traditional Chinese medicine, on clinical often obtains the consolidated curative effect.
??The old stage as a result of the ovarian function failure, the estrogen is low, the vagina mucous membrane thins, the partial resistivity is weaken, these factors cause the vagina to infect easily are taken bad. Regarding the vulva and vestibule hyperemia obvious, we use the clearing heat and detoxication to raise the blood to invigorate the kidney the traditional Chinese medicine to raise the blood to relieve sickness the effect which Tang Jiantang the sitz bath receives treats the symptoms and the causes. Outside treats takes orally straightens up the solid this traditional Chinese medicine and coordinates to govern the law, the curative effect obviously, and may prevent the recrudescence.
Treatment characteristic
??The vaginitis is gynecology department’s one kind of common disease, in recent years because caused the infective agent gradual increase, its disease incidence rate also gradually elevated, the people discovered that caused pathogenesis the pathogen type to be also getting more and more, for example the past thought that the rosary fungus vaginitis caused purely by the white rosary fungus, the modern research pointed out that other like non-white rosary fungus (for example light bobbin planned saccharomycetes and so on) also to be possible to cause the vaginitis, moreover its disease incidence rate increased year by year. Vaginitis’s pathogenesis thought formerly is sends because of the pathogen attack, the modern research favors in the vagina the bacteria colony being out of balance result, usually between the vagina bacteria colony each other restriction, enables the pathology bacterium to have the function, if this kind is destroyed balanced, restricts function vanishing mutually, the hydrogen ion concentration drops, the bacillus lacticus loses the superiority, the pathology fungus can reproduce, has the symptom. At present the doctor practicing western medicine treated vaginitis’s research still by just right for the illness processing primarily, was quite unitary to the infusorium vaginitis and the senile vaginitis’s treatment, treatment infusorium vaginitis mainly by metronidazole primarily, treatment senile vaginitis mainly by hormone substitution therapy primarily, but treats the rosary fungus vaginitis’s medicine to develop from a gram mildew zuo kind of medicine to fluorine Kang Zuolei, in recent years some scholars proposed the micro ecology therapy, namely through resumes vagina’s bacteria colony being out of balance, but is treating vaginitis’s function. Doctor practicing western medicine’s present these pharmacological treatment general short-term curative effect is good, can improve the clinical symptoms well, but it has the very big side effect, like the treatment infusorium vaginitis extinguishes Man Ling to have the possibility to the embryo to send is unbalanced the function, the hormone substitution therapy treatment senile vaginitis possibly increases patient’s endometrium cancer and so on disease incidence rate which gets sick, the medicine has certain harm as for treatment rosary fungus vaginitis’s onamot Kang Zuolei to the liver function, and cannot prevent the recrudescence effectively.
??The Chinese medicine treats the vaginitis to embark from the whole, either peaceful and quiet hot and damp, either is good for the spleen is wet, either benefit hepatorenal, either the sparse liver is good for the spleen, matches stops by the insect disinfestation itches; While internal affairs, outside the union governs the law, the inside and outside gathers governs, the clinical curative effect is good, not obvious bad side effect. At present because outside governs the medicine direct action to being sick the spot, pointed, moreover the medicine absorption is rapid, disturbs few to organism inner rim boundary, is effective quickly, is one non-wound treatment way, the simplicity of operator.
Prevention and recuperation
??Because vaginitis’s morbidity mainly as well as infects and so on factors mutually with the personal hygiene related, therefore usually must pay attention cleanly, prevents the pathogenic bacteria the attack, ceases the origin of infection, and strengthens the physique, the prevention recrudescence.
??First, life recuperation
??1. pays attention to the personal hygiene, maintains the vulva clean dry; The attendance washes trades the underpants, does not use in common the bath towel, the bathtub with other people, does not put on nylon or similar fabric underpants, sick period has used the bath towel, the underpants and so on should boil the disinfection.
??2. strengthens the hygienic propaganda, to the factory, the institution, the resident is specially the dormitory female worker, the female student and so on, should the regular general survey, Pu govern, eliminates the origin of infection.
??3. treatment period forbids the sexual intercourse, or uses the condom to prevent the cross infection. Menstruation period avoids the vagina medication and the sitz bath suitably. The outbreak should inspect husband’s urination and the prostate gland fluid repeatedly, when the necessity inspects many times repeatedly, like should one and treats for the masculine gender.
??Second, diet recuperation
??Diet suitable light, envies the pungent stimulation, in order to avoid ferments lives hot and damp or consumes the wound cloudy blood. The attention diet nutrition, the enhancement physique, exorcises goes out.
??Third, spiritual recuperation
??The vaginitis patient should set minds at rest, fears raises the personality, and carries on the mental healing according to patient’s disposition and the morbidity cause, strengthens the exercise, the enhancement physique, enhances own immunologic function. Eliminates the suggestion factor positively, immediate cure reproductive organ each kind of inflammation.
Apr
19
By: Gelais
