Itching in the vulva area is a common unspeakable problem for women. I often hear some women say, “I have repeated itching in my vulva, and every once in a while I have to go to the hospital to check my white belt, but the results are completely normal? I still feel itchy after using the medicine prescribed by the doctor, what is going on?” Some patients often complain that this itching is especially strong at night, at first it may only be one part, slowly the scope becomes larger and larger, until the entire vulva and even the perianal area feel as if there are bugs crawling, so you have to scratch with your hands, but the more you scratch the more itchy, and finally fell into the vicious circle of “itching – scratching – more itching The vicious circle of “itching – scratching – more itching”. This not only affects the rest at night, but also, in broad daylight when there are many people itching can be really embarrassing, seriously affecting life and work. In addition, some people have also led to discord in their married life due to a particularly dry vulva. So what is this unexplained itching all about? Ms. Wang is 40 years old and has been suffering from recurrent vulvar itching for 3 years, which is progressively aggravated. She went to almost all the gynecological clinics of major hospitals in Guangzhou and repeatedly had normal leucorrhea tests. She was diagnosed with “vulvar dystrophy” or “white vulvar lesion”, also called “vulvar leukoplakia” in the past. After Ms. Wang did a course of high energy focused ultrasound treatment with Chinese herbal medicine in the outpatient clinic, her vulvar itching was significantly reduced. The white vulvar lesion is manifested as persistent vulvar itching, which is easily ignored or even misdiagnosed, and outpatient doctors often treat it as vaginal inflammation, which often leads to delays. In terms of treatment, vulvar high-energy focused ultrasound therapy is currently an effective treatment modality, which mainly uses the penetrating nature of high-energy ultrasound to deposit energy into the dermis of the lesion, promote local microvascular formation, improve microvascular and nerve endings nutrition, and promote tissue repair and regeneration. One treatment time is usually half an hour, three times for a course of treatment, the efficiency can reach about 95%. If combined with Chinese herbal medicine with the function of activating blood stasis, nourishing blood and dispelling wind and relieving itch, then it can achieve better results, and the efficiency can even reach 100%. In addition, daily prevention is also very important. In daily life, women should reduce vulvar stimulation, avoid scratching, pay attention to vulvar hygiene and wear loose and breathable cotton underwear to prevent the onset of vaginitis. Individuals with severe itching can use steroid hormone ointment to stop itching under the guidance of a doctor, but not too often. Also avoid spicy and stimulating foods. Finally, it is worth mentioning that although most of these diseases are benign, if the type of vulvar biopsy pathology is sclerosing lichen planus combined with squamous epithelial cell atypical hyperplasia, it is necessary to closely follow the patient to be alert to the possibility of cancer.