Dietary therapy for gonorrhea and its differentiation and treatment from genital warts

**III. Dietary Therapy for Gonorrhea**

**Winter Malva Seed Porridge**

[Ingredients]60g of winter melon seeds, 60g of japonica rice, 3 sections of scallion whites.

[Preparation] Wash the winter melon seeds and japonica rice together and put them in a pot with an appropriate amount of water to cook porridge. When it is almost cooked, add the white part of the scallion and cook for a short while. Eat it warm with meals every day.

[Efficacy] Promotes diuresis and relieves strangury. Can be used for gonorrhea.

**Pork Neck Soup**

[Ingredients] 30g plantain seeds, 10g rush pith, 30g smilax glabra, 10g corn silk, 1 pig bladder.

[Administration] Wash and chop the pig bladder. Put the plantain seeds, rush pith, smilax glabra, and corn silk into a pot with plenty of water, boil to extract the juice, remove the dregs, then add the pig bladder and cook until done. Add appropriate seasonings. Take once daily for several days.

[Efficacy] It is used to treat gonorrhea.

**Gentle warts and chancroid**

**I. Genital Warts**

Genital warts, also known as condyloma acuminata or venereal warts, are benign growths on the skin and mucous membranes caused by the human papillomavirus (HPV). They are primarily transmitted through sexual contact, but in rare cases, can be spread through everyday items such as underwear, towels, and bathtubs. It is one of the most common sexually transmitted diseases in my country and is closely related to the development of genital cancer, thus attracting considerable public attention.

(I) Differentiation between condyloma acuminata and other diseases

1. Genital squamous cell carcinoma is more common in people over 40 years of age, with no history of unprotected sex. The lesions are significantly invasive, hard, and prone to bleeding, often forming ulcers. Histopathological examination can confirm the diagnosis.

2. Condyloma latum is a secondary syphilitic rash, which is a thickened plaque that occurs in the genital area. The surface is flat and eroded, and there may be dense granules that are papillary or cauliflower-like. The base is broad, and Treponema pallidum can be found on dark-field examination. The syphilis serological reaction is strongly positive.

3. Genital Bowenoid papulosis presents as multiple small, reddish-brown papules, 2–10 mm in diameter, which may coalesce into plaques. Lesions are located on the glans penis and shaft in men, and the perianal area and labia in women, and are most common in sexually active individuals under 40 years of age. Clinically, it resembles condyloma acuminata, while histologically it is similar to Bowen's disease. The lesions may resolve spontaneously.

4. Pseudocondyloma mainly occurs on the labia minora of women, especially the inner side of the labia minora and the vaginal vestibule. It presents as symmetrically and densely distributed white or pale red papules, 1-2 mm in diameter, with a smooth surface resembling fish roe; some may also appear as polyps. There are no obvious subjective symptoms, but occasional itching may occur. Histopathological examination reveals mild focal parakeratosis of the epidermal stratum corneum, irregular thickening of the stratum spinosum, abundant epidermal cytoplasm with pale staining and no vacuolization, and dilated and congested capillaries in the superficial dermis with sparse inflammatory cells around them.

5. Penile pearly papules are small, pearly papules that surround the coronal sulcus of the penis. They are conical, spherical, or irregular in shape, about 1-2 mm in diameter, arranged in one or several rows along the coronal sulcus, without merging together, and without any subjective symptoms.

(II) Treatment of Genital Warts

1. Local treatment

(1) Apply 10%–25% podophyllin tincture or 0.5% podophyllotoxin topically twice daily. The latter has a lower concentration, less local irritation, and a very low risk of poisoning after absorption.

(2) 5% 5-fluorouracil cream or 5-fluorouracil injection (250mg/10ml) for external use, once or twice a day, with good efficacy.

(3) 3% Peptide Butylamine Cream for external use, twice a day. This medicine has low irritation and good efficacy.

(4) Apply 80% to 90% trichloroacetic acid solution only to the warts. After application, remove any unreacted acid solution with talcum powder.

2. Physiotherapy

(1) CO₂ laser treatment, usually cured in one session under local anesthesia, with a cure rate of over 90%.

(2) High-frequency electrocautery treatment, performed under local anesthesia, has the same efficacy as laser treatment.

(3) Liquid nitrogen cryotherapy.

3. Drug therapy may include intramuscular injection of interferon and oral administration of acyclovir, etc.

(III) Dietary therapy for genital warts

**Job's Tears Porridge**

[Ingredients]50g Job's tears, 30g purslane.

[Directions] Wash and chop the purslane, then cook it together with Job's tears in a pot with an appropriate amount of water to make porridge. Take once a day for several days.

[Efficacy] Suitable for genital warts.

**Purple Root and Job's Tears Porridge**

[Ingredients] 30g of purple gromwell root, 50g of Job's tears, and 30g of soybean sprouts.

[Administration] Decoction of Lithospermum erythrorhizon in water to extract the juice, then add Job's tears and soybean sprouts, cook until done and it is ready to eat. Take twice a day for several days.

[Efficacy]Clears heat, cools blood, and detoxifies; used for condyloma acuminata.