It is believed that the pathogenesis of white lesions on the vulva lies in liver and kidney dysharmony， and the principle of regulating liver and kidney is recommended， with a combination of internal and external treatment， and using multiple methods. Clinically， it is differentiated into deficiency and excess. For deficient patients， liver-kidney yin deficiency is most common， for which self-prepared

Zidi Yanghu Decoction

（紫地养户汤）is used for internal treatment to nourish the kidney and liver， invigorate blood and dispel wind； self-made

Shougui Xiyang Formula

（首归息痒方） for fumigation， washing and sitz bath is used as external treatment to supplement and invigorate blood， dispel wind and relieve itching. Damp-heat in the liver channel is the most common excess syndrome， for which the internal treatment is self-made

Xiaoyao Xiegan Decoction

（逍遥泻肝汤） to clear the liver and drain dampness， unblock collaterals and relive itching， and the external treatment is self-made

Kubai Zhiyang Formula

（苦柏止痒方） for fumigation， washing and sitz bath in order to clear heat， drain dampness and relieve itching. If there is accompanied local hypopigmentation， obvious itching， painful ulcers， or scratching due to itching， self-made

Zima Yukui Oil

（紫麻愈溃油） is often applied topically to eliminate macules and engender fl

esh.