Key points for Diagnosis:
(1) At the acute stage, one side of the pudendum is swelling and painful, making it difficult to walk. Suppuration leads to aggravation of local pain accompanied by general symptoms such as fever. Under interior pressure, abscess may rupture automatically, resulting in abatement of inflammation. If the rupture is not big enough to drain pus, the inflammation will linger for a period of time and relapse may be caused accordingly. At the chronic stage, there are no subjective symptoms except slight discomfort in the external genitals.

(2) In acute bartholinitis, one side of the lip of the pudendum becomes reddish, tumescent, feverish with obvious tenderness. When abscess is developed, local fluid wave can be felt. If it becomes putrid, pus may come out from the rupture. At the chronic stage with the formation of cyst, local round cystic mass-like substance can be detected. Routine smear examination should be done with the suppurating secreta.

(3) Detailed inquiry of the medical history and smear examination of the secreta are helpful for excluding bacterial inflammation of the greater vestibular gland.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.