Refractory candidal vaginitis is a gynecological inflammation with a high incidence rate. Many people do not understand what refractory vaginitis is. Simply put, refractory vaginitis is a candidal vaginitis with a cause that is prone to recurring and symptoms that become more and more severe. The treatment of refractory vaginitis must be carried out under the guidance of a doctor. It is best to combine topical and oral medications, and you must develop good living habits. Persistent candidal vaginitis is a type of gynecological inflammation that causes great headaches for female friends. The reason for this is mostly related to improper treatment, lack of attention to hygiene, failure to receive treatment at the same time as the male partner, and indiscriminate use of antibiotics. Before treatment, these adverse factors must be eliminated first, and then sufficient drugs must be used for symptomatic treatment. 1. Oral treatment with Western medicine: There are many drugs used in clinical practice to treat candidal vaginitis. For example, nystatin is an oral treatment drug with significant effects and relatively few side effects. Patients can choose an appropriate dose and take it 4 times a day. Secondly, oral drugs include fluconazole. Generally, patients only need to take an appropriate dose once orally. They can also choose oral itraconazole, taking an appropriate dose twice a day, and taking it for 10 consecutive days as a course of treatment. In general, oral medications are the best treatment for female patients who are not yet sexually active. 2. Oral Chinese medicine treatment: Traditional Chinese medicine believes that stubborn candidal vaginitis is mostly caused by accumulation of dampness and heat in the body, as well as the invasion of toxic evils. Therefore, patients can adopt the method of syndrome differentiation and treatment during treatment. (1) Dampness and toxicity accumulation: During treatment, drugs that can clear away heat and dampness, detoxify and relieve itching should be used. Commonly used ingredients include Poria cocos, Polyporus umbellatus, Alisma orientalis, Plantago seed, Capillaris ternata, Dictamni, Folium Artemisia selengensis, Chrysanthemum indica, and Hedyotis diffusa. Patients can boil these medicines in water and take them orally, one dose per day. (2) Liver and kidney yin deficiency: These patients should be treated according to the principles of killing insects and relieving itching as well as nourishing the liver and kidneys. The oral prescription that can be used is Liuwei Dihuang Decoction with modifications. Patients with stubborn candidal vaginitis should use some external washes and vaginal inserts in addition to oral medications. Regardless of whether it is local or systemic medication, the treatment time should be appropriately extended. After the symptoms disappear, continue to use medication for a period of time. After the next treatment, it is best to use medication again for a period of time to better prevent recurrence. |
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