What kind of proprietary Chinese medicines should be taken for Vulvar White Spotty should be based on the type of symptoms. If it is caused by Yin deficiency of liver and kidney, it can be taken with Angelica sinensis drink plus He Shou Wu and Bone Marrow; if it is caused by dampness and heat from liver meridian and dampness and heat invades into the vulva, it can be taken with Dioscorea villosa plus Bitter Ginseng and White Fresh Peel. Vulvar echidna refers to depigmentation and whitening of vulvar skin, keratinization and atrophy of epithelium or thickening and roughness of epithelium, itching of vulva, or accompanied by cracking pain. It belongs to the category of “Yin itch”, “Yin pain” and “Yin sores”. It is mostly caused by deficiency of yin in liver and kidney and damp-heat in liver meridian. 1. If it is due to deficiency of the liver and kidney, deficiency of essence and blood, blood deficiency, dryness and wind, the symptoms are white, dry and itchy vulvar skin, or accompanied by cracking, astringent pain, and a small amount of discharge. The treatment is to nourish Yin, nourish Blood and moisten dryness, dispel wind and stop itching (stopping itching by removing the wind that invades the surface of the muscle). The formula is Angelica sinensis drink plus He Shou Wu, Bone-setting, Chasteberry, etc. 2. If dampness and heat invade the vulva due to the downward injection of dampness and heat through the liver meridian, the symptoms are severe itching of the vulva, or even itching and pain, with ulcers, profuse and yellowish discharge, bitter taste in the mouth, and dullness of the stomach (lack of appetite and reduced food intake). Treatment is to clear away heat and dampness, dispel wind and stop itching, and activate blood circulation and remove blood stasis at the same time. The formula is Dioscorea villosa with bitter ginseng and white fresh skin. The above should be diagnosed and used under the guidance of a physician.