Vulvar leukoplakia is usually related to local neurovascular nutrition. It is similar to yin itching and yin pain in TCM. Chinese medicine believes that it is related to damp-heat injection, so theoretically it can be treated with fire acupuncture. The basic operation of fire acupuncture is similar, but there are differences in operation due to different views of individual doctors, different diseases, different stages of treatment of the same disease, etc. Speed is generally a high requirement for needle entry. The faster the needle is inserted, the less painful it is. But sometimes it is possible to keep the needle. The needle can be left in for the first treatment. This can be effective in 1-2 sessions. But it is more painful, and sometimes there will be a slight burn. Just be careful to avoid infection. However, if you feel more pain, or if it lasts longer than you would like, you can leave the needles in for the next treatment. You can also supplement with floating needles and ear acupuncture if necessary.