The first thing you need to do is to get rid of the warts, and then you have to go back and do it all over again.

Oral lips and pharynx: Condyloma acuminatum can occasionally occur in the mucosal epithelium of the oral cavity and pharynx, manifesting itself as small, flushed, soft, papillomatous surface warts, most of which occur in oral sex.

Treatment: Although there are many treatments for warts, so far they are still limited to removing warts visible to the naked eye, and it is difficult to eradicate the papilloma virus, so warts often recur after treatment. A large number of studies have shown that the effective rate of various current treatments is between 20% and 94%. However, the recurrence rate is high, usually the lowest recurrence rate is 25% within 3 months. The success rate of treatment is high for warts with a duration of less than one year and small lesions. It is important to draw up a treatment plan as many patients require a course of treatment rather than a single session. Treatment side effects should not be greater than the disease itself, and should be based on patient choice, available resources, and clinician experience. Western medical treatments 1. Physical therapy, which often includes CO2 laser, electrocautery, cryotherapy, and microwave therapy. 2. Topical medications (1) 0.5% tincture of podophyllotoxin. 2. (2) 10%~25% pediculin ester. (3) 3% phthalbutamide. (4) 5% 5-fluorouracil. (5) 30%~50% trichloroacetic acid. (6) Acyclovir cream. (7) Scrimshaw. (8) 5% miquimod cream. (9) Tiotropium. (10) Colchicine. (11) Interferon. 3. Systemic medication, which is ineffective when used alone, can be used as an adjunct to other means of treatment. (1) Interferon: 1 million units to 3 million units of subcutaneous or intramuscular injection, every other day or twice a week injection has a certain effect, but the efficacy of each report varies greatly. Interferon is expensive and generally not necessary, for immunocompromised patients with acromegaly, it can be used. This method can make some intractable warts subside, and is suitable for people with recurring warts. The preparations used are α, β, γ interferon, and currently there are recombinant interferon, according to the need to choose. (2) Levamisole: It has an immunomodulatory effect and can enhance the function of lymphocytes. In view of the low cellular immune function of some patients with acromegaly, this drug is used. Oral 50mg each time, 3 times a day, take 3 days, stop 11 days for a course of treatment, can be taken for several courses of treatment. Levamisole does not play a direct therapeutic role, for recurrent attacks, immunocompromised people may consider the application. (3) Transfer factor: 2ml or 1~2U each time, subcutaneous injection, twice a week, 6 times for a course of treatment. (4) Thymosin: 10-20mg, intramuscular injection, every other day, 4 weeks for a course of treatment. (5) Dinitrochlorobenzene immunotherapy: it has been proved that the cellular immunity of patients suffering from warts for a long period of time (more than 1 year) has been reduced, and often recurring episodes. The application of immunotherapy can sometimes get satisfactory results. Dinitrochlorobenzene may promote the production of specific anti-wart immunity, so that the reduced cellular immunity function back to normal. Generally first 2% dinitrochloropropiophenone solution in the forearm normal skin or warts on the sensitization, so that it produces contact dermatitis, 1 ~ 2 weeks and then 0.1% dinitrochloropropiophenone solution or ointment coated with bandages to stimulate the treatment until the skin inflammation, the treatment of warts subside time 1 ~ 6 months. (6) autologous wart tissue vaccine: 1 time per week, for 10 weeks, the efficiency is about 75%. (7) Urethrinus: Urethrinus 1.72μg intramuscular injection, once a week for 10 times, after the injection of Urethrinus T cells and NK cells are elevated, the recurrence rate of warts decreased significantly. (8) psychological intervention: appropriate psychological intervention on the prevention of recurrence of acromegaly and immune function regulation exists a positive role. Specific measures include: individual or collective conversation between the doctor and the patient, comfort, guidance, doubt, encouragement, sympathy, and sexually transmitted disease health education and other psychological counseling. Generally 1 time a week for 3 months, monthly summary, timely adjustment of the patient's state of mind. Appropriate psychological intervention can not only timely adjust the patient's bad state of mind, but also play a positive role in regulating the patient's immune system, indicating that for patients with multiple recurrences of condyloma acuminatum, simple physical or drug therapy is not enough.4. Surgical treatment (1) wart scraping method: routine disinfection, with 1% lidocaine for warts anesthesia of the base of the warts, and then use a blunt spoon to scrape the wart tissue from the bottom. (2) Surgical excision method: for larger warts, the main body of the wart is removed by surgical method, and local medication or freezing is used after the wound has healed. Some patients have a long foreskin and have multiple acromegaly damages on the foreskin, circumcision is recommended. (3) Ligation: it is suitable for small lesions that are solitary with tips. (c) Chinese medicine treatment methods, Chinese medicine diagnosis and treatment to the advancement of the course of the disease is divided into the following types: (1) liver damp-heat type: the affected area of the warts, similar to the nipple cauliflower, the surface of the bumpy, friction is moist impregnation, foul smell, accompanied by a lack of taste, abdominal distension, irregular bowel movements, the pulse is slippery, the tongue is red, the moss is yellow and greasy. The treatment is to clear away heat and eliminate dampness, with the help of detoxification. Formula with gentian diarrhea liver soup plus reduction: gentian 12g, chaihu, scutellaria, gardenia, psyllium (package), zejia, cypress, atractylodes macrocephala, raw licorice each 10g, moutong 6g, in Chen, coix seed, root of bluebells, green leaf each 30g, red bean 15g. Chinese patent medicine can be used gentian diarrhea liver pill, 6g each time, 3 times a day. (2) Dampness and toxicity agglomeration type: the evidence can be seen in the long course of the disease or healing and recurrence, warts in a larger range, the shape of the cocklebur flower, broken after the odor of the juice rot, or even bleeding, the stench can not be close to the nearby swelling nucleus enlarged, dry mouth, bitter, dry and knotty stools or sparse and not refreshing. The pulse is stringy, the tongue is red, and the moss is yellow and slightly greasy. The treatment is to promote dampness and clear heat, detoxification and dissipation of nodules. It can be used to clear heat, detoxify and dissipate dampness, such as the addition of Dioscorea villosa. The selected drugs are castor seed 30g, coix seed 30g, cypress 10g, red poria 10g, mudanpi 10g, zedoary 10g, talc 30g, licorice 6g, atractylodes macrocephala 15g, big green leaf 30g, root of bluebells 30g, amaranthus 30g, comfrey 15g, snake's tongue grass 30g, yuan ginseng 15g, trinitrotoluene 15g, zeleny 15g, curcuminoids 15g.The proprietary Chinese medicines can be chosen as root of bluebells powder, 1 packet each time, 3 times a day. Chinese patent medicine can be chosen as Banlangen Punch, 1 packet each time, 3 times daily. (3) stagnant stagnation type: warts are hard and enlarged, not healed for a long time, the skin color is dark red or purple-black, cauliflower or corns, with foul-smelling secretion, and the conscious symptoms are light or not, the tongue is light purple, and the pulse is astringent. The treatment is to activate blood circulation and eliminate blood stasis, soften and disperse the knot. Add subtraction with Tao Hong Si Wu Tang. Kernel, safflower, Angelica Sinensis 10g each, Radix Paeoniae Alba 20g, Radix Rehmanniae Praeparata 15g, Rhizoma Ligustici Chuanxiong 10g, Radix Panax Quinquefolii, Radix et Rhizoma Glycyrrhizae, Radix et Rhizoma Zizoma Glycyrrhizae, Radix et Rhizoma Glycyrrhizae, Radix et Rhizoma Glycyrrhizae, Radix et Rhizoma Poriae Pill. (4) Spleen deficiency and toxicity: the evidence shows that warts are recurring, with repeated attacks, fatigue, 晄white color, low energy and dullness, loose stools, long and clear urine, pale tongue, and thin pulse. The treatment is to strengthen the spleen and remove dampness, detoxify and dissipate the toxins. Add subtractions with Dampness Removing Stomach Ling Tang. The selected medicine is 40g of Astragalus, 30g of Codonopsis, 15g of Atractylodes macrocephala, 30g of Job's tears, 20g of Poria, 12g of Rhizoma Atractylodis Macrocephalae, 15g of Forsythiae, 20g of Liu Shunu, 30g of Amaranthus, Snake Tongue Herb, 30g of Panax Quinquefolium and 10g of Glycyrrhiza Uralensis. Proprietary Chinese medicines can be selected from Ginseng Ling Bai Zhu San and Ban Lan Gen Punch. External Chinese medicine treatment (1) external washing formula No. 1: 5g each of root, cypress, comfrey, raw Job's tears, wood sorrel, peach kernel, safflower, Rhizoma Ligustici, oyster, alum, decoction of about 300~400ml of water, fumigation once a day for 15 days as a course of treatment. (2) External cleansing formula No. 2: 30g of each of wood sorrel, balsam fern, root of bluebell, root of camellia, alum, Baibai, bitter ginseng, and snakesnake bedstraw, decocted with water and washed the affected area. (3) Formula No. 3 for external cleansing: 30g of each of wood squid, balsam root, umeboshi, safflower, dazhongye, chirimangguang, cypress, 1 dose per day, decoction and external cleansing of the affected area. (4) External washing formula No. 4: mugwort leaf, rhubarb, bitter ginseng, snakebeds, atractylodes macrocephala, root of bluebells, cypress, Xu Changqing, amaranth, 20g each, alum 15g. 1 dose of decoction per day, first hot smoked the affected area, to be cooled with a clean gauze dipped in the medicinal water to scrub the warts, 2 times a day. (5) external wash No. 5 formula: Park nitrogen 12g, borax, alum 9g, boiling water, while hot wet compress or external wash the affected area. Acupuncture and moxibustion treatment (1) millineed needle method: take A Yes point. After disinfection, the 2-inch silver needle from the highest point of the wart body vertical stabbing, Shi diarrhea, do not leave the needle, blood 2 to 3 drops; then in the base of the wart is 15 degrees, oblique stab 4 needles, stay 15 minutes, every 2 days 1 time, for warts more concentrated warts. (2) Moxibustion: Take the A Yes point. After the local anesthesia will be placed on the warts, ignited to let it burn out, and finally coated with 2% gentian violet solution, covered with disinfectant gauze, usually 1 time can be cured; left very few residual warts, the interval of 10 days, and then according to the above method of moxibustion. The actual warts can be found in a number of different ways. (3) auricular acupuncture: take the lungs, cheeks, external genitalia, sympathetic, each time 1 ~ 2 points, once a day, stay in the needle half an hour. (4) Acupuncture point injection method: take Changqiang point. Routine disinfection, the use of Banlangen injection 2 ml, acupuncture to get gas slowly push injection, 3 days once, for lesions in the perianal area. (1) stubborn warts must be effective formula: scutellaria baicalensis, yellow dock, cypress, gardenia 10g each, silver flower, dicotyledonous, Gongying 15g each, blue root, red striped comfrey, forsythia 18g each, stiff silkworms, mouton, psyllium, licorice 12g each, 1 dose of internal use per day, 22 doses for a course of treatment. (2) warts formula: spirit magnetite (first), raw oyster (first), wood sorrel, lily each 30g, gentian grass, Lupinus, curcuma, sepsis each 10g, amaranthus 60g, comfrey 15g. 1 dose daily intranasal. (3) clear warts decoction: root, cypress, comfrey, coix seed, curcuma, alum, peach kernel, safflower, adderall each 30g, the above medicine with 1500ml of water, decocted for 30 minutes after the dregs of the juice, the first local fumigation while hot for 5 minutes, to be reduced to the degree of temperature of the skin and mucous membranes to tolerate the degree of heat, while hot pots or soak the affected area for 20 minutes, while a clean handkerchief or gauze dipped in the liquid gently scrubbing the affected area. One pair of medicines per day, morning and evening each decoction fumigation once, 20 days for a course of treatment. (4) Internal Chinese medicine with acupoint injection: postoperative internal Chinese medicine takes 30g each of Astragalus, Coix lacryma, Panax quinquefolius, Fritillariae, Poria, Paeonia lactiflora, Honeysuckle, 10g each of Angelica sinensis, 15g each of Atractylodes macrocephala, Atractylodes lanceolatus, Curcuma longa and 20g each of Salvia miltiorrhiza as a dose per day. Acupuncture point injection: adopt placenta tissue liquid 2ml bilateral foot Sanli acupoints alternately injection, once a day. Chinese medicine internal consumption with acupoint injection 30 days for a course of treatment. The recurrence rate of warts is only 17.5%.