How should vulvar vestibulitis be treated and used?

Traditional Chinese medicine remedies for vulvovestibulitis: (The following contents are for reference only, please consult a doctor for details) 1. Flos Lonicerae, Herba Taraxaci, Flos Chrysanthemi Indici, Herba Violae, and Semen Malvae each 65438±05g, Radix Paeoniae Rubra, Cortex Moutan each 65438±02g, and Radix Glycyrrhizae each 65438±00g. 2. Flos Lonicerae, Fructus Forsythiae, Radix Paeoniae Rubra and Cortex Moutan each 65438±05g, Radix Angelicae Sinensis, Fructus Gleditsiae Abnormalis, Olibanum Preparata, Myrrha Preparata, Bulbus Fritillariae Cirrhosae, Radix Angelicae Dahuricae each 65438±00g, and Radix Glycyrrhizae 6g. 3. 65438 00 grams of cornu Cervi Degelatinatum, Radix Rehmanniae Preparata, Semen Sinapis Albae, Cortex Cinnamomi and Rhizoma Pinelliae, 6 grams of Herba Ephedrae, Rhizoma Zingiberis Preparata and Radix Glycyrrhizae. Western medicine treatment of vulvovestibulitis is 1. The drug treatment was local application of 1% hydrocortisone ointment and local application of 2% ~ 5% lidocaine solution to relieve sexual discomfort. When the above treatment is ineffective or the lesion is serious, topical corticosteroids such as 0.025% fluoxetine or 0. 1% triamcinolone acetonide ointment can be used. Other treatments, such as warm bath, vestibular liquid paraffin lubrication before sexual intercourse. In recent years, it has been reported that local or intramuscular injection of interferon α has a certain curative effect, and the effective rate is 50%. Some patients use antihistamines effectively. Tricyclic antidepressants can be used because they have central analgesic effect and are also effective for secondary depression. The efficacy of antibiotics is uncertain, such as oral imidazole antifungal drugs and metronidazole. 2. Surgical treatment There are two surgical methods: vestibuloplasty and vestibulectomy (modified perineum plasty), the latter is effective, and the effective rate is 60% ~ 90%. Vestibuloplasty is to cut the vaginal wall longitudinally, especially the posterior wall mucosa, and then sew the vaginal wall mucosa and vulva skin horizontally, thus expanding the vaginal opening. Vestibulotomy is to remove the mucosa in the vestibular pain area, and then secretly separate part of the vaginal mucosa coverage. Partial vestibular resection and total vestibular resection can be selected according to the condition. It has been reported that laser or surgical resection of vestibular gland distribution area is helpful to improve the symptoms of some patients, but there is a lack of long-term follow-up research data. Information about other related diseases of vulvovestibulitis: 6? 1 What causes vulvovestibulitis? ? 6? 1 what examination should vulvar vestibulitis do? ? 6? 1 What diseases are vulvovestibulitis easily confused with? ? 6? 1 what are the manifestations of vulvovestibulitis and how to diagnose it? ? 6? 1 How should vulvovestibulitis be treated? ? 6? 1 what diseases can vulvovestibulitis complicate? ? 6? 1 how to prevent and care for vulvovestibulitis?