Vulvar lichenoid diseases include vulva pruritus and vulva erosion in traditional Chinese medicine(TCM)

and they are mainly manifested as chronic vulva pruritus or even pain. The patient’s physical symptoms are often accompanied by abnormal psychological states

such as anxiety and depression. There is a vicious cycle between pruritus

scratching

and pressure

and it is a typical physical and mental disease with internal and external comorbidities. In terms of treatment

only by breaking this cycle can there be a better clinical effect. The theory of unity of physique and spirit was first seen in the

Huangdi Neijing

which is of great significance in the treatment. "physique" is the body

while "spirit" is the mind. During the occurrence and development of this disease

"physique damage" refers to physical symptoms such as itching

and "spirit injury" refers to an abnormal mental state

such as anxiety and depression. Because of mutual cause and effect

physique damage and spirit injury become aggravated in the cycle stage. Therefore

for the treatment of physique and spirit disease

we should focus on the harmony of physique and spirit. This disease is internally caused by the dysfunction of zangfu organs and externally by local skin lesions

and therefore

there should be a combination of internal and external treatments. External washing with TCM medicinals relieves local itching symptoms to cure the physique

combined with oral treatment with a syndrome differentiation of TCM to regulate the spirit

which treats both the symptoms and the root cause of the disease. This is supplemented by traditional Chinese emotional therapy and life conditioning. Only by adjusting the physique to nourish the spirit and adjusting the spirit to guard the physique are the symptoms of the disease effectively alleviated. Finally

the state of maintaining the spirit and physique in full condition is achieved

which provides a new clinical approach for the diagnosis and treatment of vulvar lichenoid diseases.