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White vaginal discharge

白带 〔白帶〕bái dài

A discharge from the vagina of sticky white matter. White vaginal discharge is normal in some womenand may naturally increase before and after menstruation or during pregnancy. Only copious flow, especially when associated with abdominal pain or lumbar pain is viewed as pathological. White vaginal discharge is attributed to the girdling vessel failing to ensure retention, and insecurity of the controlling vessel resulting from spleen vacuity, liver depression and spleen vacuity, or damp-heat pouring downward.

Patterns

Spleen vacuity (脾虚 pí xū) When due to spleen vacuity, white vaginal discharge is copious and associated with lassitude of spirit, yellow complexion, cold limbs, and sloppy stool.

Medicinal therapy: Fortify the spleen and eliminate dampness. Use Discharge-Ceasing Decoction (完带汤 wán dài tāng).

Acumoxatherapy: Base treatment mainly on CV, GIV, SP, and ST. Select GB-26 (Girdling Vessel, 带脉 dài mài), BL-30 (White Ring Transport, 白环俞 bái huán shù), BL-20 (Spleen Transport, 脾俞 pí shù), CV-6 (Sea of Qì, 气海 qì hǎi), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán); needle with supplementation and add moxa.

Liver depression and spleen vacuity (肝郁脾虚 gān yù pí xū): White vaginal discharge in patients with liver depression is sometimes copious and sometimes scant. Other signs include mental problems, dizzy head, oppression in the chest, distension of the breasts.

Medicinal therapy: Course the liver and resolve depression. Use Free Wanderer Variant Powder (加减逍遥散 jiā jiǎn xiāo yáo sǎn).

Acumoxatherapy: Base treatment mainly on CV, GIV, SP, ST, and LR. Needle with supplementation at GB-26 (Girdling Vessel, 带脉 dài mài), BL-30 (White Ring Transport, 白环俞 bái huán shù), CV-6 (Sea of Qì, 气海 qì hǎi), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and BL-20 (Spleen Transport, 脾俞 pí shù), and drainage at BL-18 (Liver Transport, 肝俞 gān shù), LR-3 (Supreme Surge, 太冲 tài chōng), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán); and LI-11 (Pool at the Bend, 曲池 qū chí).

Damp-heat pouring downward (湿热下注 gān yù pí xū): White vaginal discharge due to damp-heat pouring downward has a fishy malodor. Other signs include pudendal itch, dizzy head, and fatigue.

Medicinal therapy: Clear heat and disinhibit dampness. Use Gentian Liver-Draining Decoction (龙胆泻肝汤 lóng dǎn xiè gān tāng).

Acumoxatherapy: Base treatment mainly on CV, GIV, SP, and LR. Select GB-26 (Girdling Vessel, 带脉 dài mài), BL-30 (White Ring Transport, 白环俞 bái huán shù), CV-6 (Sea of Qì, 气海 qì hǎi), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), LI-11 (Pool at the Bend, 曲池 qū chí), and LR-2 (Moving Between, 行间 xíng jiān); needle with drainage. See spleen vacuity vaginal discharge; kidney vacuity vaginal discharge.

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