In the acute stage of TCM treatment of condyloma acuminatum, the main treatment is to clear away heat and detoxify, and to remove dampness and warts. For patients with chronic and recurrent attacks, it is advisable to combine attack and supplement, replenish qi and nourish yin, remove dampness and detoxify, and activate blood circulation and disperse nodules. Antiviral Chinese herbal medicines can be appropriately added during treatment, but syndrome differentiation and treatment is still the main treatment method.
(1) Damp-heat descending syndrome: Symptoms include the appearance of wart-like growths on the external genitalia or anus, which are gray, brown or light red in color, with a dirty and moist surface that bleeds easily; often accompanied by bitter and sticky mouth, thirst and dislike of drinking water, sticky and unsmooth stools, yellow urine, red tongue, yellow and greasy fur, and stringy and rapid pulse. This is due to the descending of damp-heat in the liver and gallbladder, which flows through the meridians into the genitals. Treatment should be to clear away damp-heat, detoxify and eliminate warts. The prescription is to use the modified Bishen Huadu Decoction: 10 grams of Bishen, 10 grams of Atractylodes, 10 grams of Phellodendron, 30 grams of Raw Coix Seed, 30 grams of Smilax, 10 grams of Cortex Moutan, 10 grams of Tongcao, 10 grams of Alisma, and 30 grams of Portulaca. If the damp-heat is severe, 10 grams of Gentiana can be added; if the stool is blocked, 10 grams of Aloe can be added.
(2) Qi deficiency and blood stasis syndrome: seen in patients with dark red or dark brown skin lesions that grow slowly, do not disappear over time, or have recurrent attacks. The tongue is dull, the coating is thin and white, and the pulse is thready and astringent. This is because the toxins have accumulated for a long time, the disease has been long-term and the vital energy has been damaged, and the qi is weak and unable to move, resulting in qi and blood stasis. Treatment should be aimed at replenishing qi and activating blood circulation, removing blood stasis and dispersing nodules. The commonly used prescription is Taohong Siwu Decoction with modifications: 30 grams of raw astragalus, 10 grams of peach kernel, 10 grams of safflower, 10 grams of Chuanxiong, and 30 grams of angelica sinensis. For those with hard warts, 30 grams of raw dragon bone and oyster shell can be added to soften and disperse nodules.
