VAGINITIS

Clinical Manifestations
  • Vaginitis is an inflammation of the vagina that can result in discharge, itching and pain. The cause is usually a change in the normal balance of vaginal bacteria or an infection. Reduced estrogen levels after menopause and some skin disorders can also cause vaginitis.
  • Symptoms:
    Change in color, odor or amount of discharge from your vagina
    Vaginal itching or irritation
    Pain during intercourse
    Painful urination
    Light vaginal bleeding or spotting
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • White vaginal discharge
  • Vulvar itching
  • Maybe an odor
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis
  • Severe sore and swollen throat
  • High fever with convulsions in infants
  • Difficulty swallowing
  • Carbuncles
  • Acute localized infection
  • Lymphangitis
  • Furuncles
  • Boils
  • Abscesses
  • T: Red
  • C: Greasy and yellow
  • P: Rapid
Treatment Principle
  • Relieve Toxic Heat
  • Reduce swelling
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbance:
    Mentally unclear
    Delirious speech
  • T: Red and dry, or black and moist
  • C: Thick yellow or dry yellow
  • P: Deep, strong and forceful
Treatment Principle
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Vaginal swelling
  • A dragging sensation in the lower abdomen
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Profuse vaginal discharge that is white or pale-yellow
  • The discharge is thin in consistency, not foul smelling and usually continuous
  • Fatigue
  • Lethargy
  • A shiny, pale complexion
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: White
  • P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle
  • Tonify the Spleen
  • Disperse Liver Qi Stagnation
  • Transform Dampness
  • Stop vaginal discharge
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Strengthen the Spleen and Kidneys
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Excessive, pale colored menstruation
  • Excessive white, watery vaginal discharge
  • Low back ache
  • Fatigue
  • Weakness
  • Aversion to cold
  • Cold hands and feet
  • Dizziness
  • Vertigo
  • Excessive nocturia
  • T: Pale
  • C: White
  • P: Thready and soft
Treatment Principle
  • Warm and supplement the Spleen and Kidneys
  • Warm Cold
  • Transform Dampness
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Irritability
  • Thirst
  • Nocturnal emission
  • Insomnia
  • Dream disturbed sleep
  • Lack of spirit
  • Fatigue
  • Low back pain
  • Tinnitus
  • Dysuria
  • Depression
  • Turbid urine
  • Abnormal uterine bleeding
  • Polyuria
  • Enuresis
  • Seminal emission
  • Leukorrhea
  • Blood tinged leukorrhea
  • Anorexia
  • Dry mouth
  • Dry Tongue
  • Five Sole Heat
  • Fever
  • Physical and mental overexertion
  • T: Red
  • C: Little or None
  • P: Deep and rapid
Treatment Principle
  • Clear Heart Fire
  • Disperse Damp-Heat
  • Benefit Qi and Yin
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Anxiety
  • Spontaneous sweating or night sweats with fever
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • 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
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • A swollen vagina
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis
  • Yellow vaginal discharge with foul smell
  • Pruritis vulvae
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • The skin of the upper vagina becomes brittle and flimsy
  • A burning, scorching sensation in the vagina
  • Itching of the genitalia
  • Excessive yellow, pussy vaginal discharge
  • Vaginal discharge may also be red and white
  • A sticky, gluey, moist, red vagina
  • Maybe breakthrough bleeding or
  • Spotting or bleeding on intercourse
  • Dizziness
  • Vertigo
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Blurred vision
    Irritability
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis
  • Lower abdominal pain
  • Thick, yellow, malodorous vaginal discharge
  • Constipation
  • Fullness and distention of the abdomen that is worse with pressure
  • Fever
  • In acute cases, maybe chills or shivering
  • Dry mouth
  • Thirst
  • Restlessness
  • Irritability
  • Sweating
  • Concentrated urine
  • T: Red or Red spots
  • C: Greasy or Brown and dry or Yellow
  • P:Strong, bounding, slippery and rapid or Deep and strong
Treatment Principle
  • Clear Heat by purging
  • Dry dampness
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • A burning feeling in the vagina
  • Achy pain in the lower abdomen
  • Occasional pricking pain on urination, extending from the outer genitalia into the vagina
  • Copious vaginal discharge
  • Occasional gluey, sticky Blood
  • T: Red
  • C: Thin and yellow
  • P: Deep, small and rapid
Treatment Principle
  • Enrich the Kidneys
  • Nourish Yin
  • Clear Heat
  • Purge Fire
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Dry lips
  • Dry mouth
  • Spermatorrhea
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five Sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Purple with petechiae
  • P: Thready and choppy
Treatment Principle
  • Warm the menses
  • Regulate menstruation
  • Dispel Cold
  • Warm the channels
  • Nourish the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Trichomonas Vaginitis:
    Yellow vaginal discharge
    Discharge is spongy and frothy
    Discharge may cloudy or turbid
    Discharge may be accompanied by a foul smell
    Intense vaginal itching which is difficult to bear
    Short, reddish urination
    T: Reddish
    C: Yellow
    P: Slippery
  • Hemophilus Vaginalis Vaginitis (Monilia Albicans infection):
    Frequently occurs in pregnant women, diabetics, those who wear the same undergarments for a long time and those who habitually use antibiotics
    The vaginal discharge is milky white
    The discharge is lumpy like tofu dregs or curdy
    Itching and burning Heat from the vagina to the outer genitals
    Itchy which does not diminish with pressure
    Yellowish urination
    T: Reddish
    C: Yellow
    P: Slippery
Treatment Principle
  • Trichomonas Vaginitis:
    Clear Heat
    Eliminate Dampness
    Kill parasites
    Stop vaginal discharge
  • Hemophilus Vaginalis Vaginitis (Monilia Albicans infection):
    Clear Heat
    Resolve toxins
    Eliminate Dampness
    Stop vaginal discharge
Herb Formulas
Points
Clinical Manifestations
  • An acute invasion of Heat or cold that transforms into Heat
  • Acute lower abdominal or suprapubic pain
  • The area of pain feels hot to the touch and is worse with pressure
  • High fever
  • Chills or shivering
  • Thirst
  • Copious malodorous vaginal discharge with Blood and/or pus
  • Constipation
  • Concentrated urine
  • T: Normal
  • C: Thick, greasy and yellow
  • P: Slippery or Wiry and rapid
Treatment Principle
  • Clear Toxic Heat
  • Invigorate the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
  • Stop bleeding
  • Purge Damp-Heat
  • Purge the Gallbladder
Herb Formulas
Points
Clinical Manifestations
  • Local redness
  • Swelling and pain
  • Maybe fever and chills
  • T: Normal
  • C: Thin white or yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Eliminate toxins
  • Reduce swelling
  • Soften hardness
  • Invigorate Blood circulation
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Vaginitis (vaginal itch)
  • Altered bowel habits
  • Loose, watery stools or
  • Constipation
  • Rectal itching and burning especially at night
  • Excessive appetite
  • Food allergies
  • Symptoms improve after eating
  • Epigastric pain
  • Heartburn
  • Swelling around the umbilicus
  • Respiratory symptoms with hepatomegaly
  • Hepatobiliary symptoms
  • Depression
  • Foul intestinal gas
  • Weight loss
  • Breast swelling and tenderness unrelated to menstruation
Treatment Principle
Herb Formulas
Points