When vaginal itching and leucorrhoea occur, it is usually due to gynecological inflammation, which can be determined based on the analysis of vaginal secretion components and physical signs, etc., and actively treated after determining the cause. 1, bacterial vaginitis: a mixed infection caused by disturbance of the normal vaginal flora, which can cause vulvar itching, increased leucorrhoea, fishy smell, leucorrhoea is mostly off-white, treatment needs to inhibit bacterial growth, restore the normal vaginal flora, drugs choice, such as such as metronidazole, clotrimazole ointment, etc., lactobacillus vaginal capsule, etc.; 2, mycosis fungoides: often caused by pseudomycetes infection, manifested as vulvar itching, burning pain, pain during sexual contact, etc., leucorrhea color white, thick, curd or beanbag-like, sexual partners should be examined and treated at the same time, need local and systemic medication antifungal, such as topical miconazole suppositories, clotrimazole suppositories, oral fluconazole, etc. In addition, microwave therapy can be performed to improve local blood circulation and promote tissue regeneration and repair; 3. Trichomonas vaginitis: caused by trichomonas parasitic infection, thin, purulent, foul-smelling leukorrhea, which can be yellowish-green and foamy, accompanied by vulvar itching, which needs to be treated by both partners, through local topical and oral medications, such as metronidazole vaginal suppositories, tinidazole vaginal suppositories, oral metronidazole tinidazole, topical medications to quickly relieve The treatment principle is to supplement estrogen, increase vaginal resistance and inhibit bacterial growth, such as local application of estriol cream, metronidazole suppositories, etc. Oral tibolone can also be used to supplement estrogen, and if combined with endometritis and adnexitis, oral The woman suffering from inflammation of the reproductive system should strictly avoid sexual intercourse during treatment, regular and full medication, no suppositories when menstruating, but oral antibiotics still need to be taken on time.