岭南罗氏妇科论治复发性外阴阴道假丝酵母菌病发微

Experience of treating recurrent vulvovaginal candidiasis by the School of Lingnan Luo’s gynecology

岭南罗氏妇科擅长运用中医药治疗带下病。复发性外阴阴道假丝酵母菌病(RVVC)属于带下病范畴,RVVC反复发作,多虚实夹杂,正虚湿伏为RVVC的主要病机,治疗上注重祛湿,还主张在RVVC缓解期根据患者素体情况调理肝脾肾,适当选用活血化瘀药。治疗上强调从虚实着眼,把辨证落实到具体的脏腑,用药方面强调三因治宜、药食结合、注重调护等理念,以期达到脾健、肝疏、肾藏、任通、带固,有针对性地用于RVVC的巩固治疗,调和阴阳,使之阴平阳秘、预防复发。

The School of Luo’s gynecology is good at using traditional Chinese medicine to treat vaginal discharge.Recurrent vulvovaginal candidiasis(RVVC)belongs to the category of morbid vaginal discharge.As the disease recurrently attacks,it is believed that the disease of RVVC is characterized by intermingled deficiency and excess.Lingering dampness due to deficient vital qi is the main pathogenesis of RVVC.In addition to paying attention to dispelling dampness,it also advocates regulating liver,spleen and kidney according to the quality of patients in the remission period of RVVC,and select proper drugs of activating blood circulation to remove stasis.We should focus on deficiency and excess,implement syndrome differentiation into specific viscera and organs,emphasize the concepts of three factors,combination of medicine and food,and attention to nursing in the treatment of RVVC,so as to achieve spleen-strengthening,liver-dredging,kidney-storing,Rentong and banding,and to consolidate the treatment of RVVC,harmonize yin and yang and prevent recurrence.