Vulvar itching refers to itching of the clitoris, labia minora, labia majora, perineum, and perianal area. The itching is unbearable, paroxysmal or persistent, and light day and heavy night. It seriously affects the patient’s daily life and study, and is a common vulvar disease in women. The disease can be seen in women of any age, and the common causes are as follows: 1. Local causes (1) Specific infections: mycotic vaginitis and trichomonas vaginitis are the most common. Pruritus can occur with pubic lice and scabies. (2) white vulvar lesions: also known as chronic vulvar dystrophy, with white patches on the vulva and strange itching as the main symptoms; (3) drug allergies and chemical stimulation: soap, Neosporin, contraceptive devices, sanitary napkins, nylon pants and other chemical fabrics can cause contact dermatitis and itching; (4) irritating Vaginal discharge stimulates vulvar pain and itching: such as senile vaginitis, cervical erosion, cervical polyps, serving fluid stimulation, diabetes, cystitis, amine urine of kidney Meng nephritis, urinary incontinence, urinary disease, etc.; (5) skin diseases of vulva: flat moss, chronic eczema, seborrheic dermatitis, psoriasis, abrasion, ringworm, etc.; (6) poor hygiene habits: such as not paying attention to vulvar cleanliness and hygiene, so that vaginal secretions, menstruation, urine, sweat stains (6) poor hygiene habits: such as not paying attention to vulvar hygiene, so that vaginal secretions, menstruation, urine, sweat and other dirt accumulation, causing local itching. (1) Diabetes mellitus, jaundice, vitamin A and B deficiency, anemia, leukemia, etc. may cause vulvar itching; (2) Local congestion of vulva during pregnancy and premenstrual period may cause vulvar itching; (3) Unexplained vulvar pain and itching. At present, it is thought that it may be related to psychosomatic factors. For diagnosis, take a detailed medical history and treatment, conduct careful systemic and local examinations, and perform culture of vaginal secretions, drug sensitivity test or local pathological examination if necessary. If vulvovaginal itching occurs, do not be nervous and anxious, and pay attention to the following matters to help reduce the symptoms: 1, first of all, pay attention to the cleanliness of the vulva, keep the vulva clean and dry, and wash the vulva without soap and other irritants; 2, try to restrain scratching and rubbing the affected area; 3, dress loosely and breathable, avoid spicy and stimulating food, prohibit alcohol and seafood; 4, pay attention to avoid emotional depression and tension. 4. Avoid emotional depression and tension. Appropriate application of sedatives, antihistamines to adjust emotions, reduce anxiety and tension, reduce itching, but should be done under the guidance of a doctor; 5, if found pubic lice, need to pick clean pubic hair, underwear should be boiled by boiling water to kill insects, vulva rubbing insecticide anti-itch type of Chinese medicine. If the symptoms are still not relieved, a hospital visit should be made to find out the cause of the itching and treat the cause. The treatment should remove the chronic lesions, so we should take a detailed medical history, actively search for the cause and make the corresponding external treatment to achieve twice the result with half the effort. If the vulvar pruritus due to diabetes, active control of diabetes, itching can often be relieved. Female patients with trichomonas and mycobacteria should also be treated promptly.