Leukorrhea and Itching

Question 1

dai xia

Answer 1

leukorrhea

Question 2

Leukorrhea defintion

Answer 2

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

Question 3

TCM Leukorrhea is:

1. Produced by what organ?
2. Stored and secreted by what organ?
3. Transformed by what organ?
4. Governed by what?
5. Controlled by what?

Answer 3

Normal or physiological, is a slight discharge that increases in volume and viscosity at mid-cycle.

1. produced by Kidney
2. stored and secreted by Kidney
3. transformed and distributed by Spleen
4. governed by Ren Mai
5. controlled by Dai Mai.

Question 4

Western definition of leukorrhea

Answer 4

A 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

Question 5

Cause (etiology)

Answer 5

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

Question 6

Profuse discharge indicates which organ pathology?

Answer 6

Kidney

Question 7

Profuse, red discharge, dilute or sticky indicates which organ and pathology?

Answer 7

Kidney Yin def. + Damp heat

Question 8

Describe discharge for:

1. Cold or Deficiency
2. Heat or Dampness
3. Spleen Deficiency

Answer 8

1. Dilute, watery: Cold or Deficiency
2. Thick, sticky: Heat or Dampness
3. White sticky: Spleen deficiency

Question 9

Describe the color of discharge for

1. Cold
2. Heat

Answer 9

Color

1. White = COLD
2. Yellow, Red, Green = HEAT

Question 10

Fishy smell indicates cold or heat?

Answer 10

Heat

Question 11

What happens to Qi when the Dai is slack?

Answer 11

It sinks.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 12

What are three excess patterns for Leukorrhea?

Answer 12

1. Damp heat
2. Toxic heat
3. Liver Qi Stagnation

Question 13

What are three deficiency patterns for Leukorrhea?

Answer 13

1. Spleen
2. Kidney Yin
3. Kidney Yang

Question 14

How would you treat Leukorrhea caused by Spleen Qi def.?

Answer 14

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 15

How would you treat Leukorrhea caused by Kidney Yang Deficiency?
T: Pale and wet
P: Deep, Weak

Answer 15

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 16

How would you treat Leukorrhea caused by Kidney Yin Deficiency?

Answer 16

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 17

How would you treat Leukorrhea caused by DAMP HEAT?

Answer 17

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 18

How would you treat Leukorrhea caused by TOXIC HEAT?
T: Red with sticky yellow or brown coat with red spots
P: Slippery and Rapid

Answer 18

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 19

How would you treat Leukorrhea caused by LIVER Qi STAGNATION?
T: slightly Red
P: Wiry

Answer 19

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,

Question 20

What is the definition of Vaginal Itching?

Answer 20

Persistent itching of the vulva and/or vagina which may be accompanied by an excessive vaginal discharge or, may also occur on its own.

Question 21

Name the four pathologies of VI?

Answer 21

1. Dampness
2. Heat
3. Wind
4. Related to Liver, Spleen and Kidneys

Question 22

Vaginal discharge often with odor, frothy green or yellow; itching, sometimes burning?

Answer 22

Trichomonas vaginalis
Protozoan that causes vulvovaginitis, usually sexually transmitted, infested reservoirs and hot tubs. Organism also infects Bartholin’s glands, the periurethrtal glands, urethra and bladder

Question 23

Red rash, vesicles or papules around the external genitalia that exude a fluid. Downward infusion of Damp Heat or def. dry Blood?

Answer 23

Genital eczema

Question 24

Most common of fungi causing vulvovaginitis?

Answer 24

Candida albicans: Antibiotics, pregnancy, stress, diabetes, immuno-cytotoxic drugs and corticosteroids, oral contraceptive.

Question 25

Cause of vaginal discharge, itching, dyspareunia and dysuria; if discharge, resembles cottage cheese?

Answer 25

Candida albicans | SP Qi def. leading to Dampness

Question 26

Tx of VI due to Candida albicans (SP Qi def. leading to Dampness)?

Answer 26

TX: Resolve Dampness, kill parasites, tonify the Spleen SP 9, SP 6, CV 12, CV 9, ST 36, BL 20, BL 22, BL 32, BL 33, CV 4, CV 2 Ba Xie

Question 27

Tx of V.I. due to LIVER and KIDNEY YIN Deficiency?

Answer 27

TX: Nourish Liver and Kidney Yin, clear Empty Heat | CV 4, LIV 8, SP 6, KD 3, LU 7 R, KD 6 L, LIV 5, CV 3

Question 28

Intense vulvar or vaginal itching, yellow vaginal discharge, occasionally pain on intercourse, mental restlessness, irritability, insomnia, dark urine T: Red, redder sides, yellow sticky coat on root with red spots P: Slippery or Wiry

Answer 28

DAMP HEAT in LIVER CHANNEL | Genital Eczema

Question 29

Tx of V.I. due to DAMP HEAT in LIVER CHANNEL?

Answer 29

TX: Clear Liver, drain Damp, clear Heat, kill parasites/fungal infection, stop itching CV 3, CV 2, LIV 5, LIV 4, SPS 9, SP 6, BL 33

Question 30

Vaginal discharge (frothy green or yellow) with odor, itching and occasionally burning. Vulvar edema and erythema. (SP Qi def. with Damp Heat)

Answer 30

Trichomonas vaginalis: | Infects: vulva, vagina, Bartholin’s glands, periurethral glands, urethra and bladder

Question 31

V.I. papules which ooze a fluid, genital area red and moist, itching. T: yellow sticky coating P: Slippery, Wiry on left middle position

Answer 31

DAMP HEAT in LIVER CHANNEL | (Genital Eczema) Baichongwo: On SP channel one cun above SP 10, ‘100 insects nest’

Question 32

V.I. with thickening of the skin, vaginal dryness, dry-red rash, itching? T: Pale, thin and dry P: Choppy

Answer 32

Blood Deficient and Dry (Genital Eczema) | TX: Nourish and moisten the Blood, stop itching, LU 7, KD 6; CV 4, ST 36, SP 6; SP 10, Baichongwo; LIV 5