Leukorrhea

Question 1

What is Leukorrhea?

Answer 1

“Disease below the Girdle vessel.”
…once, referred to all women’s diseases, the equivalent of gynecology…
dai xia yi, ‘gynecologist.’

Pathological ‘Excessive vaginal discharge’
It is a change in amount, color, consistency or smell

Question 2

What is normal for discharge?

Answer 2

Normal or physiological discharge, is a slight discharge that increases in volume and viscosity at mid-cycle; produced, stored and secreted by KID, transformed and distributed by SP, governed by Ren Mai, controlled by Dai Mai.

Question 3

What is the cause of Vaginal Discharge?

Bio-Medicine

Answer 3

Bio-medicine: local pathology of lower genital tract

—vaginitis from Candida or Trichomonas infection, bothersome but generally harmless.

In few cases, excessive discharge is a symptom of uterine carcinoma

ETIOLOGY	

1. Irregular diet, excessive physical work, overwork
2. Emotional strain
3. Invasion of external Dampness

Question 4

What is the TCM Pathology for Leukorrhea?

Answer 4

-Spleen, Liver, and Kidney, the Ren and Dai Mai channels are involved: KD produces, stores and secretes discharge; transformed and distributed by the SP; governed by the Ren Mai; controlled by the Dai Mai

-Discharge
Profuse: Kidney deficiency
Profuse, red discharge, dilute or sticky: Yin def. + Damp heat
Dilute, watery: Cold or Deficiency
Thick, sticky: Heat or Dampness
White sticky: Spleen deficiency

-Color
White: COLD
Yellow, Red, Green: HEAT

Question 5

What does the general odor indicate in Leukorrhea?

Answer 5

Odor

Generally indicates Heat

Question 6

What does a leathery smell indicate?

Answer 6

Leathery smell indicates Heat

Question 7

What does a fishy smell indicate?

Answer 7

Fishy smell may indicate Cold

Question 8

What is a deficient discharge

Answer 8

Light colored, thin,

Question 9

Watery discharge without odor indicates

Answer 9

deficiency or Cold

Question 10

What is an excess discharge?

Answer 10

Dark, thick, dense discharge

Question 11

What does an offensive odor indicate?

Answer 11

indicates excess or Heat

Question 12

What is excessive vaginal discharge in TCM patterns?

Answer 12

• It is a Dampness pattern, called “dai” due to the inability of the Dai Mai to bind.
• The Dai Mai communicates directly with the Ren and Du Mai and if they are diseased, the Dai Mai is also…’ Fu Xing Zhu

Question 13

What is a “Slack Dai Mai”?

Answer 13

• A slack Dai Mai allows Qi to sink,
• Dampness infuses downward…Kidney deficiency allows Dai Mai to become slack, Dampness results from Spleen deficiency.

Point Rx: GB 41 R, TW 5 L, GB 26, GB 27, GB 28

Question 14

What are deficient Leukorrhea patterns?

Answer 14

Deficiency Patterns are:

• Spleen
• Kidney Yin
• Kidney Yang

Question 15

What are the excess Leukorrhea patterns?

Answer 15

Excess Patterns are:

• Damp Heat
• Toxic Heat
• Liver Qi stagnation

Question 16

Excessive vaginal discharge that is white or slightly yellow, sticky, without smell; persistent dull complexion, tiredness, depression, cold limbs, loose stools

T: Pale, sticky white coating
P: Weak and slightly Slippery

Answer 16

SPLEEN DEFICIENCY

TX: Strengthen the Spleen, tonify Qi, raise Yang, resolve Dampness
CV 12, ST 36, SP 3, SP 6, SP 9, BL 22, GV 20, CV 6, CV 3, BL 32, BL 20

Question 17

Profuse, white and dilute vaginal discharge resembling water or egg white, dizziness, tiredness, backache, frequent pale urination, feeling cold
T: Pale and wet
P: Deep, Weak

Answer 17

KIDNEY YANG DEFICIENCY

TX: Tonify and warm the Kidneys, consolidate the Directing vessel, stop discharge
BL 23, CV 4, KD 13, GB 26, ST 36, SP 6, KD 3, GV 20

Question 18

White vaginal discharge, dilute and without odor, dizziness, tinnitus, 5 palm heat, feeling of heat in the evening
T: Red no coat
P: Floating Empty

Answer 18

KIDNEY YIN DEFICIENCY

TX: Nourish Yin, strengthen Kidneys, clear Heat, consolidate the Essence
CV 4, KD 13, LU 7 R, KD 6 L, SP 6, KD 3, GV 20

Question 19

Profuse yellow or brown discharge, sticky, with an odor; loose stools
T: Sticky yellow coat on root with red spots
P: Slippery

Answer 19

DAMP HEAT

TX: Clear Heat, resolve Dampness
GB 41 R, TW 5 L, CV3, CV2, GB 26, SP 9, SP 6, BL 33, BL 22, BL 53, BL 30

Question 20

Profuse yellow, blood stained or five color discharge that is sticky in consistency, odor, feeling of heat, thirst, dark urine
T: Red with sticky yellow or brown coat with red spots
P: Slippery and Rapid

Answer 20

TOXIC HEAT

TX: Clear Heat, resolve poison, resolve Dampness, stop discharge
LI 11, SP 9, SP 6, CV 3, CV 2, SP 10, KD 2, LIV 3,

Question 21

Profuse white or yellow, sticky vaginal discharge without odor, hypochondrial pain, irritability, depression
T: slightly Red
P: Wiry

Answer 21

LIVER Qi STAGNATION

TX: Pacify Liver, move Qi, eliminate stagnation, strengthen Spleen
TW 6 GB 34, LIV 3, LIV 5, SP 6, ST 36, SP 9, BL 20, BL 18, GB 26, GB 41 R, TW 5 L,