Bartholin's Gland Cyst

　　⑴ The presence of chronic inflammation causes obstruction of the Bartholin duct, poor secretion excretion, leading to cystic expansion of the gland and the formation of cysts.

　　⑵ After the acute inflammation of the Bartholin gland subsides, if the duct is still blocked and secretions cannot be excreted, the pus is absorbed, and the fluid gradually becomes clear, forming a Bartholin gland cyst.

　　⑶ Trauma to the vaginal and perineal lateral sides during childbirth, forming scars, or improper perineal lateral incision injury to the Bartholin duct, causing the opening of the Bartholin duct to become blocked, retention of secretions, and also causing Bartholin gland cysts.

　　⑷ Congenital narrowing of the Bartholin duct, or thick secretions, poor excretion of Bartholin fluid, can also lead to cyst formation.

　　If the abscess is not treated in time, it may occasionally spread to the posterior side, forming a perirectal abscess, and sometimes even溃破 into the rectum.
　　After incision and drainage of the abscess, most abscess cavities can be completely closed and healed, but occasionally fistulas can form, with continuous small amounts of secretion excreted. Palpation may reveal small and hard nodules with mild tenderness. Sometimes pus may be discharged from the fistula, and sometimes the fistula may close spontaneously or become narrow, accumulating pus again and forming an abscess. It may also recur and fail to heal for a long time.

　　If the Bartholin gland cyst is small and without infection, the patient may not have any自觉 symptoms. If the cyst is large, the patient may feel a sense of坠胀 at the vulva or have sexual intercourse discomfort. Examination shows that the cysts are mostly unilateral, but can also be bilateral, and the cysts are mostly elliptical in size and can remain unchanged for several years.

　　Bartholin gland cysts are generally not preventable, belonging to glandular secretion obstruction. It is still advisable to focus on active treatment. The presence of chronic inflammation causes obstruction of the Bartholin duct, poor secretion excretion, leading to cystic expansion of the gland and the formation of cysts.

　　Indications：

　　Applicable for the early stage of acute Bartholin glanditis without abscess formation

　　Raw materials for preparation：

　　Lonicera japonica, Forsythia,芍药，丹皮，野菊花，皂角刺各15克，制乳香、制没药各10克，

　　Treatment method:

　　Boil the gauze for 20 minutes, first fumigate and then sit in the bath, twice a day.

　　Therapeutic diet for Bartholin's cyst:

　　Crucian Carp Adzuki Bean Soup

　　Composition: One crucian carp, 60g adzuki beans.

　　Usage: Remove the head, tail, and bones of the crucian carp, and cook the meat with adzuki beans until the beans are soft. Take in two doses.

　　Indications: Used for excessive leukorrhea, damp heat and toxicity.

　　Poria Cocos Glutinous Rice Porridge

　　Composition: Poria cocos 30g (ground into powder), glutinous rice 30-60g.

　　Usage: First cook the glutinous rice into porridge, add the powdered Poria cocos when it is half-cooked, mix well, and cook until the rice is done, and take it on an empty stomach.

　　Indications: Those with spleen deficiency and dampness according to traditional Chinese medicine.

　　Dietary taboos for Bartholin's cyst

　　Patients with Bartholin's cyst should eat more light foods, and the diet should be light. Eat more fresh fruits and vegetables, and drink more water.

　　Patients with Bartholin's cyst should eat more nutritious and easily digestible foods! More protein should be supplemented.

　　Patients with Bartholin's cyst cannot eat some spicy,刺激性, greasy foods, as these foods will trigger the condition and make the condition worse. Eating these foods during treatment will affect the treatment and make the treatment ineffective or less effective.

　　Since the cyst can exist for a long time without change for many years, regular observation is required without treatment. If the cyst gradually grows larger, affects life, or frequently gets infected, often forming abscesses, ostomy surgery for Bartholin's cyst can be performed. This method is simple, minimally invasive, and can still preserve the gland function. However, the ostomy should be large enough, and it is best to place a drain after surgery, flush once a day with hydrogen peroxide or 2% iodophor, a total of 3-4 times, to prevent postoperative adhesion and closure, and the recurrence of cysts. Once an abscess forms, it should be incised and drained.

　　In recent years, the use of CO2 laser for ostomy surgery has a high cure rate, no adverse reactions, simple operation, short treatment time, no need to suture the wound, and patients can be treated outpatients. Due to the high thermal effect of the laser, it can coagulate and carbonize tissue cells. Because the laser has an affinity for hemoglobin, it has a good hemostatic effect, with less bleeding during and after surgery, and can preserve the normal function of the glands, without affecting sexual life, no infection after surgery, and no need for antibiotics. However, the application range of this technology is not wide, and further observation and research are needed.