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GENITAL WARTS (HPV)

GENERAL

Clinical Manifestations	Latency period: 2-3 months Affected Areas: Genital warts are commonly found at the boundaries of the skin and mucous membranes where it is damp and moist. Males: Mostly on the penile shaft, the ditch below the head of the penis, the glans penis, at the urethral opening, etc. Females: Mostly on the labia majora and minora, the area where the labia are tied together, the cervix, the vaginal orifice, on the perineum, and surrounding the anus. Age: Males: Older Females: Younger Lesions: Genital warts may occur singly, scattered about, or collected in a cluster. Grayish white or light red in color The tumorous hyperplasia may be papilliform, cauliflower shaped, or coxcomb shaped The main body of the wart may be large but the base may be narrow when seen from the outside Its surface may be damp and moist and is soft and pliable Because genital warts typically are found in secret places where they are constantly soaked, their form and color are filthy and dirty.
Treatment Principle
Herb Formulas	Bei Xie Shen Shi Tang Jia Jian #1 Genital Warts #1 Topical: 1. Pound Fructus Bruceae Ya Dan Zi into a mash and apply this paste to the affected area. Use adhesive tape to keep it firmly in place. Change this herbal medicine once every three days. 2. Use Folium Artemisiae Argyi Ai Ye to burn as moxa directly on the wart. Each day do one time. Stop when the wart sheds or drops off. 3. HPV #1 4: If the external shape of the lesion obviously appears to have a stem, it is possible to tie a fine silk thread or hair around the wart's stem. After some days, the wart may spontaneously fall off or slough. 5. Rub the wart once a day with Ji Nei Jin(chicken gizzard), after it has been soaked in water. 6. Take a little Xiong Huang, blended with white wine, applied to the wart surface for 1 day - 5 days. 5. Zi Cao Gao modified 6. Ma Qing Shui Xi Ji 7. Ya Dan Zi You 8. Qing Re Jie Du Xi Ji 9. Bai Hua She She Cao Xi Ji 10. Decoct 30g Rx Isatidis Ban Lan Gen, 30g Hb. Equisti Mu Zei and 30g Rz. Cyperi Xiang Fuand wash the affected part.
Points

WIND-DAMP AND/OR WIND-HEAT

Clinical Manifestations	Weepy, itchy, red skin lesions Lesions may range over a large portion of the body Thirst Rashes Lesions may be worse in hot weather Severe itching T: Pink C: Yellow or White P: Superficial, forceful and rapid or Soft and rapid
Treatment Principle	Disperse Wind Eliminate Dampness Clear Heat Cool the Blood Nourish the Blood
Herb Formulas	Xiao Feng San
Points

WIND-DAMPNESS WITH PHLEGM

Clinical Manifestations	Mild generalized body aches Slight aversion to Wind Fever that worsens in the afternoon Chronic respiratory complaint Dry skin
Treatment Principle	Release the Exterior Dispel Wind-Dampness Resolve Phlegm
Herb Formulas	Ma Xing Yi Gan Tang
Points

LIVER ATTACKS THE LUNGS WITH SPLEEN DAMPNESS

Clinical Manifestations	Genital warts Numbness and pain of the extremities Joint swelling and pain, especially hands and feet Heaviness of joints Numbness of the joints Stiffness of the joints Fever Heaviness of the body Coldness of the body Dizziness Likes pressure Fatigue Pale complexion Preference for warmth Swelling, pain, numbness and stiffness of the joints Skin cornification T: Pale C: Thick, white or Greasy white P: Thready and slippery
Treatment Principle	Dispel Wind and Dampness Benefit Qi Activate Blood circulation Reduce swelling Moisten dry Blood Tonify Blood Warm the Channels
Herb Formulas	Yi Yi Ren Tang
Points

DAMP-HEAT

Clinical Manifestations	Genital warts Distension and pain before or during menses Burning abdominal pain which precedes or follows the menstrual flow with guarding Soreness and distention of the lower back Pressure makes the pain worse There may be constant lower abdominal pain that worsens with menstruation Hot sensations A feeling of Heat in the abdomen Aversion to Heat Yellow smelly vaginal discharge between periods Dark-red or purple thick Blood with clots Maybe heavy bleeding Maybe dark, scanty, concentrated urine May be a mild fever T: Red C: Yellow and greasy P: Wiry and rapid or slippery and rapid or soft and rapid
Treatment Principle	Clear Damp-Heat Treat sores Relieve Fire toxicity
Herb Formulas	HPV #2
Points

DAMP-HEAT IN THE LARGE INTESTINE

Clinical Manifestations	Genital warts Anal warts Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus D Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonizes the Stomach Descends Rebellious Qi Disperses clumping Eliminates focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tangmodified
Points

DAMP-HEAT WITH BLOOD STAGNATION IN THE LOWER JIAO

Clinical Manifestations	Abdominal distention Dry, scaly skin Tightness A mass-like appearance Softness on palpation Absence of thirst Maybe an aversion to drinks Tenderness and soreness of the lower abdomen No fever Condition fails to improve A right-sided abdominal swelling that is soft when touched and not very painful Cold extremities A gray or pale complexion T: Pale C: Thin and white P: Rapid or Rapid, empty and weak
Treatment Principle	Reduces swelling Warms Yang Disperses Phlegm
Herb Formulas	Yi Yi Fu Zi Bai Jiang San With constipation: Teng Long Tang
Points

BLOOD DEFICIENCY WITH HEAT

Clinical Manifestations	Chronic, continuous uterine bleeding A pale complexion Stabbing pain in the abdomen Alternating chills and fever Irregular menstruation with profuse bleeding Abdominal pain Fever Thirst Itchy skin Heat in the upper body with Cold in the lower body Irritability and restlessness despite fatigue and exhaustion Mood swings A sallow complexion Emaciation T: Dry with a red tip C: Thin white P: Deep and rapid
Treatment Principle	Drain Fire Resolve toxicity Tonify the Blood Stop Bleeding Warm the menses Cool the Blood
Herb Formulas	Wen Qing Yin Topical: Zi Cao Gao
Points

BLOOD STAGNATION

Clinical Manifestations	Genital warts Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Invigorate the Blood Eliminate Stasis Clear Heat Cool and harmonize the Blood
Herb Formulas	HPV #3 HPV #5
Points

TOXIC DAMP-HEAT WITH BLOOD STAGNATION

Clinical Manifestations	Abdominal distention Dry, scaly skin Tightness A mass-like appearance Softness on palpation Absence of thirst Maybe an aversion to drinks Tenderness and soreness of the lower abdomen Local inflammation with pus Deep-rooted, hard and painful boils Erythema Swelling Heat Carbuncles Furuncles Fever and chills Pain Condition fails to improve Cold extremities A gray or pale complexion T: Red C: Yellow and greasy P: Rapid
Treatment Principle	Clear Heat Relieve Toxins Relieve Dampness Invigorate the Blood Break up Stagnation
Herb Formulas	HPV #4
Points