BARTHOLINTIS

Etiology
  • Bartholinitis is inflammation of bartholin gland on both sides of the lower 1/3 of the labia majora. Its diameter is about 0.5-1.Ocm. The duct length is 1.5-2.Ocm. The gland's opening near the hymen is located inside the labia minora. During sexual stimulation, they secrete mucus for lubrication. due to the location of the gland pathogens causing bartholinitis can easily penetrate.
  • These pathogens can invade during sexual intercourse and childbirth, etc.
  • Bartholin gland infections often involve the duct first with congestion and edema due to inflammation and obstruction. of secretions and exudate. Efflux can be difficult may form a Bartholin's abscess.
  • The disease is often a combination of infection due to endogenous pathogens and sexually transmitted disease, mostly domestic staphylococcus, streptococcus, E coli, neisseria and gonorrhea, but also by anaerobic bacteria including Bacteroides.

Clinical Manifestations
  • Swelling and pain in the vagina or
  • Suppuration and rupture
  • Chills and fever
  • Burning sensations
  • Tenderness
  • Painful urination
  • Difficulty walking
  • Sometimes difficult urination
  • May be unilateral or bilateral
  • After thinning of the skin tumor surface, there may be:
    Edema surrounding the area
    A sense of volatility
    Development of an abscess mostly the size of an egg
  • Often accompanied by inguinal lymph node swelling
  • Severe cases:
    Fever
    Headache
  • If not treated, abscesses may rupture on their own.
  • After pus is expelled, there is local pain relief
  • After congestion and edema are reduced , symptoms can disappear
  • When the abscess pressure increases, the surface of the skin thins and the abscess ruptures on its own
  • If a large hole develops and drainage occurs, inflammation rapidly subsides and recovery occurs.
  • If the hole is small and pus cannot drain, the lesion can be exacerbated
Treatment Principle
  • Topical:
    BE Lotion
    With abscess: 60g of Hb. Taraxaci Pu Gong Ying is washed, pounded and mixed with a little honey. The mixture is applied to the affected part once a day.
Herb Formulas
Points
Clinical Manifestations
  • Adhesion and obstruction of greater vestibular gland
  • Without infection: may lead to retention cyst of the greater vestibular gland like a cocoon
  • Infection:
    Local redness
    Swelling
    Hot sensation
    Pain
    Pruritis
    Suppuration
  • T: Normal
  • C: yellowish and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Relieve toxin
  • Drain Dampness
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Thickening and roughness of the local skin
  • Cyanotic color,
  • Pudendal Pruritis or
  • Accompanied by cocoon-like mass in the pudendum
  • T: Purplish
  • C: Slight yellow and greasy
  • P: Thready
Treatment Principle
  • Activate the Blood
  • Resolve Stasis
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Local inflammation with pus
  • Deep-rooted, hard and painful boils
  • Erythema
  • Swelling
  • Heat
  • Carbuncles
  • Furuncles
  • Fever and chills
  • Pain
  • T: Red
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
  • Reduce swelling
  • Reduce external carbuncles and furuncles
Herb Formulas
Points