• 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.
  • A Bartholin's cyst, or Bartholin's duct cyst, occurs when the duct of the Bartholin's gland is blocked, resulting in the development of a fluid-filled cyst. It may sometimes be caused by an infection, but a Bartholin's cyst is not an infection.
    Signs and Symptoms:
    A small, noninfected Bartholin's cyst may not be noticed. If the cyst grows, it might feel a lump or mass near the vaginal opening. Although a cyst is usually painless, it can be tender.
    A full-blown infection of a Bartholin's cyst can occur in a matter of days. If the cyst becomes infected, there may be:
    • A tender, painful lump near the vaginal opening
    • Discomfort while walking or sitting
    • Pain during intercourse
    • Fever
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:
  • 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
Herb Formulas
  • 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.
  • For a vulvar ulcer: Bu Xin Tang
    Topical: Ma Huang Xi
Clinical Manifestations
  • Stubborn ulceration of the external genitalia with frequent recurrence
  • Extensive area with a rough, dark purplish border
  • Sometimes the raw flesh can be seen on the surface covered by a scant, purulent coating
Treatment Principle
  • Warm and unblock the channels
  • Disperse Cold
  • Activate the Luo vessels
  • Invigorate the Blood
  • Break up Stagnation
Herb Formulas
Clinical Manifestations
  • Ulceration on the external genitalia
  • Scorching Heat
  • Redness
  • Swelling
  • Incessant dribbling of a watery discharge
  • Itching and pain that is hard to bear
Treatment Principle
  • Dispel Wind
  • Clear Heat
  • Eliminate Dampness
Herb Formulas
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
    Hot sensation
  • T: Normal
  • C: yellowish and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Relieve toxin
  • Drain Dampness
  • Relieve pain
Herb Formulas
Clinical Manifestations
  • Prolonged festering boils
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Shortness of breath
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonifies Qi
  • Nourishes the Blood
  • Resolves toxins
Herb Formulas
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: Slightly yellow and greasy
  • P: Thready
Treatment Principle
  • Activate the Blood
  • Resolve Stasis
  • Clear Damp-Heat
Herb Formulas
Clinical Manifestations
  • Persistent hard masses
  • Minimal swelling and pain
  • No discoloration of the surrounding skin
  • Prolonged boils, cysts or abscesses may fester and bleed after scratching
  • The wound may last a long time
  • Lassitude
  • Poor appetite
  • Palpitations
  • Restlessness
  • T: Pale
  • C: Slightly yellow and greasy
  • P: Thready, soft and weak
Treatment Principle
  • Warm the Channels
  • Disperse Cold
  • Transform Phlegm
  • Nourish the Blood
Herb Formulas
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