VAGINAL ITCH, PRURITIS VULVA

Clinical Manifestations
  • Persistent itching of the vulva and / or vagina
  • May be excessive vaginal discharge
Treatment Principle
Herb Formulas
  • For vulvar itch with ulceration: Vulvar Itch #1
  • Topical:
    1. She Chuang Zi San
    2. Grind 3g Pulvis Concha Meretricis/Cyclinae Ge Qiao into a fine powder. Apply to the external genitalia. Use 1-2 times per day for 10 days.
    3. Decoct 1 bulb of garlic and use as a fumigant and wash for 10 days.
    For pruritis vulva due to trichomonas vaginitis: Decoct 10g Sm. Cnidii She Chuang Zi, 10 grams Cx. Phellodendri Huang Bai and 6g Alumen Ming Fan and use as a wash.
    For pruritis vulva due to haemophilus vaginitis: Decoct 15g Cx. Pseudolaricis Tu Jing Pi, 15g Rx. Sophorae Flavescentis Ku Shen and 2g Borneolum Bing Pian and use as a wash
Points
Clinical Manifestations
  • Itching can be severe.
  • Sparsely or densely distribute papules on flushed skin
  • Desquamation after scratching
  • Mild erosion
  • Flushed skin
  • Papules
  • Blisters
  • Erosion
  • Effusion
  • Thick yellow crusts
Treatment Principle
  • Eliminate Wind
  • Clear Heat
  • Dispel Damp
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • Vaginal itching
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Itching of the external genitalia
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five Sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T: Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness
  • Kill parasites
Herb Formulas
Points
Clinical Manifestations
  • Persistent hot itching of the vulva and / or vagina
  • Profuse yellow, thick and smelly discharge
  • Red vulva with fluid covering
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Short menstrual cycle with reddish-purple blood
  • Ear discharge
  • Yellow urine
  • Chest pain
  • Constipation
  • Turbid urine
  • Dry throat
  • Hematuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Red or Red edges
  • C: Yellow or Yellow and greasy
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear Damp-Heat from the Liver channel
Herb Formulas
Points
Clinical Manifestations
  • Persistent itching of the vulva and / or vagina
  • May be excessive vaginal discharge
  • Neurosis
  • Worse at night
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Irritability
  • Feeling of Heat and disturbance in HT
  • Insomnia
  • Flushed face
  • Bitter taste in mouth
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip, ulcers especially on tip or Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Excess and rapid
Treatment Principle
  • Clear Heart
  • Clear Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Persistent itching of the vulva and / or vagina
  • Worse at night
  • Night sweats
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Irritability
  • Dry skin
  • Deafness
  • Spontaneous and nocturnal emissions
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Swollen gums, painful and light red in color
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Urinary incontinence
  • Pain at midline and in lower back
  • Sore throat
  • T: Red
  • C: Little or None or or Yellow
  • P: Thready and rapid (large at the Kidney positions)
Treatment Principle
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Persistent itching of the vulva and / or vagina
  • Worse at night
  • Weakness
  • Blurred vision
  • Dizziness
  • Pale face
  • Insomnia
  • Anxiety
  • Forgetfulness
  • T: Pale
  • C: White
  • P: Thready and deep
Treatment Principle
  • Tonify Blood
Herb Formulas
Points
Clinical Manifestations
  • Itching and pain of both the inside and outside of the vagina which is difficult to bear
  • Abdominal pain due to Blood Stasis
  • Vaginal discharge which is foul-smelling and purulent
  • Uterine bleeding
  • Bleeding hemorrhoids (slight)
  • Fever
  • Thirst
  • A preference for cold drinks
  • Five-Sole-Heat
  • A dry throat
  • A stuffy oppressed chest
  • A red face
  • Heart vexation
  • Periumbilical pain
  • Vaginal bleeding with dark Blood and clots
  • Prolapsed rectum
  • Anal ache
  • Yellow, watery exudate
  • Swelling
  • Dry stools
  • Constipation
  • Severe local pain
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Drain Stagnation
  • Cool the Blood
  • Resolve toxicity
  • Remove Damp-Heat in the lower abdomen
Herb Formulas
Points
Clinical Manifestations
  • Pain and itch both inside and outside the vagina which is difficult to bear
  • Watery, yellow exudate
  • Possible bloody Fluid exudate
  • Heart vexation
  • Thirst with a preference for cold drinks
  • Dry mouth
  • Possible alternating Heat and Cold
  • Constipation
  • Feces possibly gluey and sticky
  • Muddy, turbid urination
  • Internal vagina swollen and distended
  • Red face
  • T: Red
  • C: Yellow and greasy
  • P: Wiry and slow or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Resolve toxicity
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Thick yellow or green vaginal discharge
  • Discharge may be mixed with Blood
  • May have a fishy stench
  • Vaginal ulceration
  • Itch
  • Short, red urine
  • Bitter taste in the mouth
  • Dry throat
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Toxins
  • Resolve Dampness
  • Stop discharge
  • Stop itch
Herb Formulas
Points
Clinical Manifestations
  • Persistent itching of the vulva and / or vagina
  • Yellow pus or discharge
Treatment Principle
  • Kill parasites
Herb Formulas
Points