Vulvar neurodermatitis

　　1. Etiology

　　The etiology of vulvar neurodermatitis is not yet clear. It is generally believed to be related to dysfunction of the nervous system, imbalance in the excitation and inhibition processes of the cerebral cortex. Patients often have neurasthenia, insomnia, and climacteric symptoms. Overly tense spirit, emotional fluctuations, or excessive fatigue can trigger this disease. Scratching, friction, sweating, or other physical mechanical stimuli also often cause it. Infection and obesity can exacerbate the condition.

　　2. Pathogenesis

　　Vulvar neurodermatitis is characterized by excessive epidermal keratinization or incomplete keratinization, with the epidermal papillae extending downward, hyperplasia and thickening of the stratum spinosum and dermis, edema within and between cells. There is chronic inflammatory cell infiltration and fibrosis around the blood vessels.

　　1. Etiology

　　The etiology of vulvar neurodermatitis is not yet clear. It is generally believed to be related to dysfunction of the nervous system, imbalance in the excitation and inhibition processes of the cerebral cortex. Patients often have neurasthenia, insomnia, and climacteric symptoms. Overly tense spirit, emotional fluctuations, or excessive fatigue can trigger this disease. Scratching, friction, sweating, or other physical mechanical stimuli also often cause it. Infection and obesity can exacerbate the condition.

　　2. Pathogenesis

　　Vulvar neurodermatitis is characterized by excessive epidermal keratinization or incomplete keratinization, with the epidermal papillae extending downward, hyperplasia and thickening of the stratum spinosum and dermis, edema within and between cells. There is chronic inflammatory cell infiltration and fibrosis around the blood vessels. Common complications of vulvar neurodermatitis include infection and dissemination.

　　Vulvar neurodermatitis commonly occurs at the labia majora and perineum, and can also be seen on the inner side of the thigh. The initial stage of localized neurodermatitis is characterized by intermittent local itching, which gradually worsens and becomes more itchy when exposed to heat. Due to scratching, the skin rapidly becomes lichenified, appearing as numerous millet seeds to sorghum seeds in size, pale red, brownish yellow, or round or polygonal hard and shiny flat papules consistent with the skin color, densely arranged in patches, with a surface covered with a large amount of scales. There may be scratches, blood crusts, and hyperpigmentation. The boundary of the lesion is unclear. If the course of the disease is long, the skin may become thick and rough due to long-term scratching and stimulation, showing lichenoid changes, decreased pigmentation, with the condition varying from severe to mild and recurrent, and may affect the entire body, especially the elbow pits, axilla, limbs, face, and trunk.

　　1, Prognosis:Recurrent attacks.

　　2, Prevention:Pay attention to regular life, prevent overwork, avoid washing the vulva with hot water or soap water, and avoid scratching. Avoid spicy foods. Pay attention to regular life, prevent overwork, avoid washing the vulva with hot water or soap water, and avoid scratching. Avoid spicy foods.

　　3, Nursing care:Vulvar neurodermatitis often occurs in the elderly and post-menopausal women. It often changes with the seasons, with exacerbation in summer and remission in winter.

　　The diagnosis of vulvar neurodermatitis relies not only on clinical manifestations but also on related auxiliary examinations, which are indispensable. The commonly used examination methods are as follows:

     1, Vaginal secretion examination.

　　2, Histopathological examination.

　　First, treatment for vulvar neurodermatitis

　　1, Peanut Adzuki Bean Red Date Garlic Soup

　　Formula: Peanuts with their skin 90 grams, adzuki beans, red dates each 60 grams; garlic 30 grams.

　　Preparation: Boil all the ingredients together in water to make soup.

　　Effect: Boost Qi and nourish blood, eliminate dampness and detoxify.

　　Usage: Take in the morning and evening.

　　2, Chrysanthemum Loofah Clam Meat Soup

　　Formula: Clam meat 30 grams, chrysanthemum flower 15 grams, loofah 10 grams.

　　Preparation: Boil the above three ingredients in an appropriate amount of water to make a decoction, and season with salt.

　　Effect: Boost Qi and nourish Yin, clear heat and unblock the meridians.

　　Usage: Drink the soup and eat the meat, once a day, for 10 consecutive days.

　　3, Houttuynia Bean Kelp Soup

　　Formula: Mung beans 30 grams, kelp 20 grams, Houttuynia herb 15 grams.

　　Preparation: Boil the above three ingredients in water to make a decoction, remove Houttuynia herb, add sugar to taste appropriately.

　　Effect: Clear heat and detoxify.

　　Usage: Drink the soup and eat the beans and kelp. Once a day, for 7 consecutive days.

　　4, Mung Bean Lily Job's Tears Congee

　　Formula: Job's tears 50 grams, mung beans 25 grams, fresh lily 100 grams.

　　Preparation: Separate the lily into petals, remove the inner membrane, add green beans and Job's tears to the water and cook until half done, then add the lily and simmer over low heat to make porridge, add sugar to taste.

　　Effect: Nourish yin, clear heat, eliminate dampness and detoxify.

　　Usage: Once or twice a day.

　　5, Water Spinach Soup

　　Formula: Portulaca oleracea, water spinach each 30 grams.

　　Preparation: Boil the above two ingredients in water, and then extract the juice.

　　Effect: Clear heat and eliminate dampness, cool blood and detoxify.

　　Usage: Drink, once a day.

　　6, Chinese Yam and Red Date Decoction

　　Formula: Red dates and Chinese yam 30 grams each.

　　Preparation: Boil the above two ingredients in water to make a decoction.

　　Effect: Clear heat, detoxify and cool blood.

　　Usage: Drink the soup, twice a day.

　　7, Lotus Leaf Congee

　　Formula: Fresh lotus leaf 20 grams, glutinous rice 200 grams.

　　Preparation: Boil lotus leaf for 20 minutes first, then remove the dregs and cook congee with it.

　　Effect: Clear heat and eliminate turbidity.

　　Usage: Take at will in the morning and evening.

　　8, Lotus Node Soup

　　Formula: Lotus node 30 grams.

　　Preparation: Boil the lotus node in water and extract the juice.

　　Effect: Clear lung heat, cool blood and remove blood stasis.

　　Usage: Drink the soup, twice a day, can be used for 7 to 10 days.

　　9, Celery and Tofu

　　Formula: Celery 20 grams, tofu 30 grams.

　　Preparation: Wash and chop celery, cook it with tofu, add salt to taste and eat.

　　Effect: Clear heat and detoxify.

　　Usage: Take one dose per day, the number of times taken depends on the condition.

　　Second, what foods are good for the body with vulvar neurodermatitis

　　1. Eat more vegetables and fruits.

　　2. Drink more tea or light beverages.

　　3. Appropriate blood-cooling and detoxifying foods. Mung beans, glutinous rice, cucumbers, bitter melon, purslane, green tea, etc.

　　Third, it is best not to eat those foods for vulvar neurodermatitis

　　1. Avoid spicy and刺激性 foods: Spicy and刺激性 foods can affect the endocrine system in the body, causing skin itching and affecting treatment. Spicy and刺激性 foods include chili, pepper powder, mustard, green onions, garlic, white wine, etc.

　　1. Avoid greasy foods: Greasy foods mainly refer to oil and fat. Excessive intake of these foods can promote the secretion of sebaceous glands, exacerbating the condition. At the same time, it is also necessary to eat less sweet and salty foods to promote skin recovery.

　　2. Avoid seafood and刺激性, allergenic foods when itching is severe.

　　1. General Treatment

　　Relieve mental burden, pay attention to a regular lifestyle, avoid excessive mental tension and fatigue. Abstain from alcohol and spicy foods. Avoid adverse physical or mechanical stimulation. Commonly used drugs include vitamin B1, sedatives, and antihistamines. Such as 25mg diphenhydramine, taken before bedtime; 10mg astemizole (Hismin), once a day, taken orally; 4-8mg chlorphenamine (Pulmin), three times a day, taken orally; or 10ml of 10% calcium gluconate, once a day, intravenous injection; or 1mg of calcium gluconate, three times a day, taken orally.

　　2. Local Treatment

　　Locally available corticosteroid hormone ointments or creams can be applied. Such as 0.25% fludrocortisone. Dimethyl sulfoxide, 10% pine tar, etc., for those with明显 skin lichenification, 5% salicylic acid, 10% black soybean tar ointment, and corticosteroid cream can be applied. It can also be used to make a subcutaneous injection of 2ml of compound quinine and 2ml of 2% procaine at the local skin damage site, once a week, 5 times as a course, do not inject into the skin during injection to prevent necrosis. In addition, local skin damage can also be appropriately selected for wax therapy, superficial X-ray irradiation, local application of radioactive nuclides 33P or 85Sr, cryotherapy, laser irradiation, and magnetic therapy, which have certain therapeutic effects on the disease.