TCM syndrome differentiation and treatment of condyloma acuminata

　　Genital warts are a sexually transmitted disease caused by human papillomavirus (HPV) infection disease . The main types are HPV types 1, 2, 6, 11, 16, 18, 31, 33 and 35, among which long-term infection with HPV types 16 and 18 may be related to female cervical cancer related to the occurrence.

　　Traditional Chinese Medicine Treatment of Genital Warts

　　Due to the convenient materials and thorough treatment of TCM, many patients with genital warts still receive TCM treatment. Traditional Chinese medicine usually divides the treatment into three types based on the patient's constitution and the size of the wart, combined with systemic symptoms. They are damp-heat syndrome, external poison syndrome and qi-blood stagnation syndrome. Damp-heat syndrome often occurs in patients who are obese and have damp vaginas; external poisoning syndrome often occurs in patients who have had unclean sexual intercourse; and Qi and blood stasis syndrome is mainly seen in patients with long-standing condyloma and dark warts.

　　1. Damp and hot betting certificate

　　Damp-heat syndrome may include moist and red perianal skin lesions, excessive foreskin, excessive leucorrhea or other symptoms. skin disease . It is often accompanied by bitter mouth, sticky mouth, thirst and disinclination to drink water, sticky stool and yellow urine. Red tongue with yellow and greasy coating, stringy and rapid pulse. This is caused by the damp-heat in the liver and gallbladder flowing down the meridians into the vagina. Treatment should be to clear away dampness and heat, detoxify and eliminate warts. The prescriptions are as follows:

　　Atractylodes 10g, Phellodendron 10g, raw Yiren 30g, Smilax 30g, paeonol 10g, Tongcao 10g, Alisma 10g, Purslane 30g. In the prescription, Atractylodes and Cortex Phellodendron clear away dampness and heat in the lower Jiao; Raw Yiren strengthens the spleen and removes dampness and has anti-viral function; it is combined with Smilax, Paewan, Tongcao, Alisma and Purslane to detoxify and remove dampness, activate blood circulation and remove blood stasis. For those with severe dampness and heat, 10g of gentian can be added; for those with constipation, 10g of aloe vera can be added.

　　2. External poison syndrome

　　Common warts enlarge rapidly and there is a clear history of unclean sexual intercourse. The subjective symptoms are often mild or absent, and the tongue and pulse may be normal. This is due to external contamination and stagnant poisonous energy, so the warts grow rapidly. Treatment should be to clear away heat and detoxify, and the commonly used prescription is the No. 3 prescription for removing warts plus or minus:

　　60g of purslane, 15g of purslane, 15g of comfrey, 15g of big green leaves, 15g of horsetail. The main ingredient in the prescription is purslane, which clears away heat and detoxifies; it is combined with soybean grass, lithospermum, Daqingye, and horsetail to strengthen the effects of clearing away heat, detoxifying, activating blood circulation, and dispersing stagnation. If the skin lesions are dark or the disease lasts for a long time, it may be appropriate to add products such as honeycomb, salvia, safflower, etc. to promote blood circulation and remove blood stasis.

　　3. Blood stasis syndrome

　　It is seen in patients with dark red or dark brown skin lesions that grow slowly, persist for a long time, or have pain. The tongue is dark, the fur is thin and white, and the pulse is thin and astringent. This is due to the accumulation of poisonous evils for a long time, blocking the Qi movement and causing Qi and blood stasis. Treatment should regulate qi, activate blood circulation, remove blood stasis and dissipate stagnation. The commonly used prescription is Taohong Siwu Decoction:

　　10g peach kernel, 10g safflower, 10g chuanxiong, 10g angelica, 10g white peony root, 10g salvia miltiorrhiza, 10g honeycomb, 10g bupleurum, 30g prunella vulgaris. The prescription contains peach kernel, safflower, Ligusticum chuanxiong, angelica root, salvia miltiorrhiza, and honeycomb to promote blood circulation and remove blood stasis; Bupleurum soothes the liver and regulates qi, and introduces the medicine directly to the hospital; Prunella vulgaris clears away heat and detoxifies, softens hardness and disperses stagnation. If the patient has qi deficiency, 30g of raw astragalus can be added to replenish qi, detoxify, and improve the body's immunity; if the warts are hard, 30g of raw astragalus can be added to soften the hard knots.

　　Pangolin, Coptis chinensis, Sichuan sorrel, red peony root, iron gall powder, Hainan shen, astragalus, isatis root, wild chrysanthemum, rehmannia root, capsicum. Take it decoction in water or crush it in No. 0 capsules, three times a day.

　　Grind 30g of western pepper, 5g of peppermint water, and 20g of gallnut, and pass through a 100-mesh sieve for later use. Apply a small amount of powder to the affected area and rub it with your hands for a while. The local area may feel numb and stinging, and the degree varies from person to person. It usually lasts for 15 to 60 minutes and should be used several times a day. The recurrence rate of these traditional Chinese medicines is very high.