Vaginal Itching

Question 1

What is Vaginal Itching?

Answer 1

-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 2

What is the cause of Vaginal Itching?

Answer 2

Etiology

• Emotional problems,
• Irregular diet,
• Excessive physical work,
• Overwork

Question 3

What is the TCM Pathology related to Vaginal Itching?

Answer 3

Pathology

• Dampness
• Heat
• Wind
• Related to Liver, Spleen and Kidneys

Question 4

What organisms cause Vaginal itching?

Answer 4

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

Question 5

What happens in Genital Eczema

Answer 5

-Red rash, vesicles or papules around the external genitalia that exude a fluid

Question 6

What is the TCM pattern in Eczema?

Answer 6

-Downward infusion of Damp Heat or def. dry Blood

Question 7

What is the most common Fungi of Vaginal Itching?

Answer 7

Candida Albicans is

Most common of fungi causing vulvovaginitis

Question 8

If Discharge resembles cottage cheese?

Answer 8

cause is Candida Albicans?

Question 9

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 9

DAMP HEAT in LIVER CHANNEL

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
Long Dan Xie Gan Tang Gentiana Draining the Liver Decoction

Question 10

Vulvar and vaginal itching, a slight white vaginal discharge; tiredness, loose stools,
T: Pale with sticky white coating
P: Weak and slightly Slippery

Answer 10

DAMPNESS and SPLEEN Qi Def

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 Fen Qing Yin Dioscorea Separating the Clear Decoction
+ Liu Jun Zi Tang Six Gentlemen Decoction

Question 11

Slight itching of the vulva and vagina with a burning sensation, dryness of the vagina, 5 palm heat, dizziness, tinnitus, feeling of heat in the afternoon
T: Red without coating
P: Floating Empty

Answer 11

LIVER and KIDNEY YIN Def.

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
Bai Wei Di Huang Wan Eight Ingredient Rehmannia Pill

Question 12

-Candida Albicans: the most common of the fungi causing vulvovaginitis
-Antibiotics, pregnancy, stress, diabetes, immunodeficiency and immunosuppresive drugs
–Cytotoxic drugs and corticosteroids
–Oral contraceptives increase risk of yeast infection
Clinically: vaginal discharge, itching, dyspareunia and dysuria. White discharge that resembles “cottage cheese.”

Answer 12

Trichomonas & Candida Infections

SP Qi def. leading to Dampness

Zhi Mei Xi Ji Treating Fungus Infection Wash Formula
Yin Care

Question 13

Trichomonas vaginalis: a protozan that causes vulvovaginitis.
Sexually transmitted, sometimes via infested reservoirs such as hot tubs.
Infects: vulva, vagina, Bartholin’s glands, periurethral glands, urethra and bladder
Clinically: vaginal discharge (frothy green or yellow) with odor, itching and occasionally burning. Vulvar edema and erythema.

Answer 13

Trichomonas & Candida Infections

SP Qi def. with Damp Heat

Bi Xie Shen Shi Tang Dioscorea Draining Dampness Decoction

Question 14

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

Answer 14

Genital Eczema: Damp Heat in Liver Channel

TX: Clear the Liver, clear Heat, drain Dampness, expel Wind, stop itching
LU 7 R, KD 6 L, CV 1, SP 9, SP 6, LIV 5, BL 22, LI 11, SP 10
Baichongwo: On SP channel one cun above SP 10, ‘100 insects nest’

Question 15

Genital eczema with thickening of the skin, vaginal dryness, dry-red rash, itching
T: Pale, thin and dry
P: Choppy

Answer 15

Genital Eczema: Blood Deficient & Dry

TX: Nourish and moisten the Blood, stop itching
LU 7, KD 6; CV 4, ST 36, SP 6; SP 10, Baichongwo;
LIV 5
He Xue Zhi Yang Tang Harmonizing Blood & Stopping Itching Decoction
Qing Dai San Indigo Powder (topically)