Vulvar Intraepithelial Lesions From Non Tumor Samples Of Chinese And Western Medicine Is Reviewed

Nonneoplastic epithe-lial disorders of vulvar is a kind of chronic diseases with pigment changes and degeneration in female genital skin and mucosal tissue, including squamous hyperplasia of vulvar、lichen sclerosus of vulvar and other skin diseases. Due to squamous hyperplasia of vulvar and lichen sclerosus of vulvar patients the skin and mucosa showed mostly white, so it is also called the white lesions of vulva. The disease was first known as leukoplakia of the vulva vulva dry syndrome, dystrophy of vulva in the past. The main manifestations of vulvar were itching skin、hypopigmentation、dry、hypertrophy,or even atrophy、ulceration,and seriously affect the patient’s quality of life, caused some distress.In Ancient Books, there is no the name of the disease recorded, but according to the signs and symptoms, that this disease belongs to"pruritus vulvae","erosion of vulva","vaginal pain".Its pathogenesis, always due to the disorders of liver and kidneys, or dampness-heat invasion, also related to qi and blood、meridians; Liver and kidney deficiency, then deficiency of yin-blood, or spleen Yang deficiency, lost the ability of warm, or wind formation from blood deficiency, then dryness evil invasion, or hot and humid betting, injury to the genitals, or long illness into stasis, blood stasis blocking collaterals; Whether deficiency in origin or feeling external injuries, all can cause vulva skin mucous pigment loss, urticant bear hard, gradually skin dryness, loss of elasticity, hypertrophy and atrophy. Western Medicine believes that all kinds of external factors (female vulva environment, infection factors, etc.) and many internal factors (local microcirculation, autoimmune factors, sex hormone and its receptor, genetics factors and molecular biology factors, etc.) integrated affects the occurrence and development of the disease, but the pathogenesis of this disease is still unclear, remains to be further research, in order to more comprehensive understanding of the disease process, so as to better guide the treatment.Chinese medicine treat the disease, from the perspective of the liver and kidney, treats dialectical, according to the different type, respectively adopt the method such as nourishing liver and kidney, nourish blood and moisten dryness, heat-cleaning and dampness-eliminating, modem physicians not only inherit and carry forward the traditional medicine method and experience, but also opens up many new treatment ideas, use external treatment、internal and external treatment、acupuncture、point injection and Chinese medicine iontophoresis, has formed some experience and homemade paste, achieved good curative effect, no adverse reaction,recurrence rate is low. Western medicine treat the disease uses the external treatment, include drug therapy, physical therapy treatment. Drug therapy always use hormone drugs, such as cortisol, testosterone propionate, but it has certain side effects of long-term use, physical therapy need more professional instrument treatment, sort is various, especially focused ultrasound has become a popular research in recent years, but this method patient adherence is poor, unable to finish the course, and the equipment is still not been widespread promotion. Chinese medicine treatment from the perspective of the whole, vary from person to person, give individual treatment, more willing to adopt this treatment. Therefore, combination of traditional Chinese and western medicine, can improve the treatment efficiency, reduce the side effects, because of treating both cause and symptoms, reducing the recurrence rate, accelerate the recovery of the disease, well play their respective advantages, show the advantages and development prospects of combining traditional Chinese and western medicine treatment of the disease.