Vaginosis caused by Haemophilus vaginalis

　　1. Etiology

　　Vaginosis caused by Haemophilus vaginalis is caused by Haemophilus vaginalis infection.

　　2. Pathogenesis

　　The Haemophilus vaginalis is small in size, with rounded ends, measuring 0.3-0.5nm in length and 0.1-0.2nm in width, resembling cocci, and Gram-negative. Haemophilus vaginalis causes congestion and edema of the vaginal mucosa, and the vaginal pH is often 5.0-5.5.

　　Complications of vaginosis caused by Haemophilus vaginalis include: vulvar congestion and edema, vaginal mucosal congestion, sometimes with petechiae. The secretion is grayish-white, thin, sometimes in small foamy form, with a fishy smell of leukorrhea. One-third of the patients have vulvar itching or burning sensation, and sometimes dyspareunia.

　　It is often accompanied by the presence of anaerobic Gram-negative bacilli and Gram-positive cocci. During treatment, complications such as fungal, proteus, or staphylococcal infections may occur, and it often coexists with trichomonal vaginitis and gas vaginitis.

　　1. The main symptoms are increased leukorrhea, a fishy or ammonia smell, often accompanied by vaginal burning sensation, dyspareunia, and vulvar itching.

　　2. The examination shows that the vaginal mucosa is congested,呈灰红色, with mild edema. The secretion is usually homogeneous, thin, grayish-white, sometimes milky yellow or gray-green, with a fishy smell.

　　Abstain from sexual activity during treatment, and both males and females should be treated simultaneously. Pay attention to personal hygiene and enhance the body's resistance.

　　Haemophilus vaginalis vaginitis often occurs in women of childbearing age who are physically weak and have poor personal hygiene. Some patients may have no symptoms, while others may have mild symptoms, only with increased leukorrhea, foul smell, and peculiar smell. Acute onset patients may have increased vaginal discharge and thin, special-smelling discharge, and grayish white in color. 13% of patients report external vulvar itching or burning sensation, and some have dyspareunia.

　　Prognosis

　　Vaginosis caused by Haemophilus vaginalis has no significant adverse prognosis after treatment.

　　For Haemophilus vaginalis vaginitis, a direct smear of secretions needs to be made and examined under a microscope before drying to find the pathogen, and bacterial culture: blood agar mixed with special culture medium is used for bacterial culture.

　　1, Porophyllum herb drink

　　Wash 50 grams of fresh porophyllum herb with cold water, wash it again with cold water, cut into small pieces, blend in a blender, squeeze out the fresh juice, add 25 milliliters of honey, mix well, and simmer in a double boiler. Divide into 2 servings for drinking. It has the effect of clearing heat and detoxifying, promoting diuresis and stopping leukorrhea, and is mainly used for bacterial vaginitis, with symptoms of damp-heat or internal heat. Porophyllum herb is also known as 'watermelon seed herb', with a sour and cold taste, the function of clearing heat and detoxifying, and stopping leukorrhea, which has a certain inhibitory effect on Shigella, Escherichia coli, Staphylococcus aureus, etc. Porophyllum herb can inhibit inflammation, so it has a therapeutic effect on increased leukorrhea caused by genital tract inflammation. Contraindicated in pregnant women.

　　2, Garlic carp

　　Remove the internal organs and wash a carp, add 50 grams of garlic, and cook together. The 'Modern Application of Ancient Prescriptions' introduces that 30 grams of garlic can be used to wash the affected area. In addition, the 'Chinese Materia Medica' records: 50% garlic glycerin gelatin suppositories, inserted into the vagina once a day, for 7 days in a row, it is effective.

　　3, Radix stemonae and Fructus mume decoction

　　Radix stemonae 15 grams, Fructus mume 30 grams, and sugar to taste. Boil radix stemonae and Fructus mume with an appropriate amount of water, remove the dregs and take the juice, add an appropriate amount of sugar and boil. Drink while hot, take 2-3 times, 1 dose per day, for 3-5 days. It has the effect of clearing heat, promoting diuresis, and killing parasites, and is mainly used for leucorrhea caused by damp-heat in the vaginal tract, with symptoms such as yellow and thick leukorrhea with an odor, and obvious itching.

　　4, Fish bladder and lean pork soup

　　Jiuyuan 30 grams, washed; lean pork 250 grams, washed and cut into pieces; fish bladder 15 grams, soaked in water, washed and cut into strips. Put all the materials in a pot, add an appropriate amount of water, boil with strong fire, then change to low fire to cook for 2 hours, season and serve. It has the effect of nourishing yin and kidney, astringing essence and stopping leukorrhea, and is mainly used for the syndrome of senile vaginitis due to kidney-yin deficiency of liver and kidney, with symptoms such as sore loins, weak feet, dizziness, tinnitus, incessant leukorrhea, sticky and丝-like, feverish feeling in the five heart regions, hot flashes, night sweats, and is also suitable for postpartum blood deficiency and dizziness.

　　5, Chrysanthemum leaf egg

　　Preparation: Wash and chop 60 grams of chrysanthemum leaves, mix with 2 beaten eggs, and stir-fry in a pot without salt or oil, add half a bowl of water when it is about to be cooked, and boil. Take it all at once. It has the effect of relaxing the liver and alleviating depression, strengthening the body and building the middle, and is mainly used for leukorrhea caused by liver depression and spleen injury.

　　6, Winter melon and white kernel tea

　　Winter melon seeds 30 grams, white kernel of coix 10 pieces, washed, cooked with 1 and a half cups of water in a pot, and eaten after boiling. Drink frequently as tea, but not for a long time. It has the effect of clearing heat, promoting diuresis and stopping leukorrhea, and is suitable for bacterial vaginitis.

　　7. Punicagranatum Tea

　　Punicagranatum pericarpium 30g, decocted. Drink as tea, 2-3 times a day, for a week as a course of treatment. It has the effects of warming the kidney and consolidating pulse, and is suitable for bacterial vaginitis.

　　8. Cistanche Tea

　　Cistanche deserticola 20g, decocted. Drink as tea, once in the morning and once in the evening each day. It has the effects of warming the yang and reinforcing the kidney, and is suitable for bacterial vaginitis.

　　9. Shuangxu Tea

　　Spatholobus suberectus 8g, Os sepium, Fructus Schisandrae chinensis, Cornu cervi, Fructus Rosae laevigatae, Atractylodes macrocephala 10g. Decoct the herbs. Drink as tea, one dose per day. It has the effects of warming the kidney and spleen, consolidating essence and stopping leukorrhea, and is suitable for

　　Bacterial vaginitis. Belongs to kidney deficiency; symptoms include increased leukorrhea, thin and transparent, accompanied by lumbago and knee weakness, dizziness and tinnitus, loose stools, etc.

　　I. Drug Treatment

　　1. Haemophilus vaginalis is sensitive to sulfonamide and tetracycline drugs, and can be treated with conventional oral doses. Metronidazole: 200mg per time, three times a day. Since anaerobic bacteria may be the pathogenic bacteria of vaginitis along with Haemophilus, it can be taken orally, but a large dose of metronidazole may cause nausea and vomiting.

　　(1) Ampicillin: Take 500 milligrams four times a day for 7 days. For systemic infection, intravenous drip of ampicillin or chloramphenicol can be administered. It can produce drug-resistant strains, causing two-thirds of the patients to receive no cure.

　　(2) Vaginal medication: Prepare suppositories with 100mg of tetracycline or 0.5g of sulfathiazole, insert them deeply into the vagina, once a day, for 10 days as a course of treatment. Since anaerobic bacteria may be the pathogenic bacteria of vaginitis along with Haemophilus, metronidazole 250mg can be taken orally three times a day for 7 days, or 2g can be taken orally once, with significant efficacy. However, taking a large dose of metronidazole may cause nausea and vomiting. Abstain from sexual activity during treatment, and both partners should be treated at the same time.

　　2. After treatment, the vagina should be flushed with 1% lactic acid solution and estrogen vaginal suppositories should be inserted to restore the normal vaginal physiological environment.

　　II. Prognosis

　　Vaginosis caused by Haemophilus vaginalis has no significant adverse prognosis after treatment.