The cause of vaginal itching in the elderly should be clearly identified and treated. Chronic simple moss of the vulva should be treated with floride ointment, and atrophic vaginitis should be treated with estriol ointment and tibolone. 1. Vulvar chronic lichen simplex moss: manifested as vulvar itching, can not tolerate and scratching. On physical examination, red or white patches or moss-like can be seen on the labia majora and other places. According to the symptoms and signs can be initially diagnosed, follow the doctor’s instructions to give fluoro easy ointment, tretinoin ointment and other drugs applied locally, if necessary, need physical therapy, or even surgical treatment. 2. Atrophic vaginitis: also cause vulvar itching, vaginal discharge is yellowish, can be combined with age, clinical manifestations to assist in the diagnosis. Follow the doctor’s instructions to give local application of estriol ointment, or oral tibolone and other estrogen therapy, but also local application of vaginal norfloxacin preparations to inhibit bacterial growth. Clinically, when the elderly vagina outside the itch is recommended to go to the hospital in a timely manner, under the guidance of the doctor to identify the causes, and symptomatic treatment.