Morbid Leucorrhoea

Morbid leucorrhoea is a disease symptomized by persistent excessive mucous vaginal discharge .

The chief causative factors of leucorrhoea are deficiency of the spleen qi and stagnation of the liver qi , downward infusion of damp heat or kidney qi deficiency , leading to dysfunctions of the Chong , Ren and Dai Meridians , and leucorrhoea . The ancient doctors classified the condition by its color into white , yellow , red , red - white and multicolored leucorrhoea , among which white and yellow leukorrhagia are commonly seen in clinic .

Etiology and Pathogenesis

a ) Deficiency in the spleen : Improper diet and overstrain hinder the spleen qi from transforming and transporting nutrient particles , which accumulate in the lower jiao and turn to damp and finally leucorrhoea appears .

b ) Deficiency in the kidney : Constant deficiency of kidney qi , grand multipara , dysfunctions of the Dai and Ren Meridians lead to leucorrhoea .

c ) Damp heat : The presence of excessive damp due to deficiency in the spleen , changes into heat . Prolonged stagnated liver qi may transform into heat and amalgamate with the damp . The downward infusion of damp heat turns out to be leucorrhoea : .

Differentiation

a ) Deficiency in the spleen :

Main manifestations : Profuse thick , white or light yellow vaginal discharge without smell , pale or sallow complexion , lassitude , poor appetite and loose stools , edema in the lower limbs , pale tongue with white sticky coating , slow weak pulse .

Analysis : On account of deficiency in the spleen , the downward infusion of water and damp form leucorrhoea : . With deficiency in the spleen , the sapped yang qi in the middle jiao gives rise to poor appetite , loose stools and edema in the lower limbs , lusterless and pale or sallow complexion , cold extremities and lassitude . Pale tongue with white sticky coating and slow pulse are signs of deficiency in the spleen .

b ) Deficiency in the kidney : Main manifestations : Profuse and continuous discharge of thin and transparent whites , severe soreness of the low back , cold sensation in the lower abdomen , frequent and excessive urine , loose stools , pale tongue with thin coating , and deep pulse .

Analysis : Deficient kidney yang causes Dai and Ren Meridians to slacken its restriction of essence , resulting in the continuous vaginal discharge . The dimmed fire in the Mingmen is too weak to warm up the bladder and spleen and brings on frequent urine in large volume and loose stools . Sore low back is due to a weakened kidney that is situated here . When the weak kidney yang fails to keep the uterus warm , there appears a cold sensation in the lower abdomen . Pale tongue with thin white coating and deep pulse are signs of deficiency of the kidney yang .

c ) Damp heat : Main manifestations : Sticky , viscous and stinking yellow leucorrhoea : in large quantity , itching in the vulva , dry stool , scanty and yellow urine , soft and rapid pulse , sticky yellow coating , or leucorrhoea : in reddish

yellow color , bitter taste in the mouth , dry throat , irritability with a feverish sensation , palpitation , insomnia , yellow coating , string - taut and rapid pulse .

Analysis : The downgoing damp and heat hurt the Ren and Dai Meridians . This is the cause of leukorrhagia . The pathogenic heat amalgamated with damp gives rise to the yellow color , viscosity and stench of the whites and the itching in the vulva . The internal accumulation of the pathogenic damp is the cause of dry stools and scanty yellow urine . Soft rapid pulse and yellow sticky tongue coating are signs of damp and heat . There appear irritability , bitter taste in the mouth and dry throat , when the pathogenic heat is transformed from the stagnated liver qi . Heat in the blood causes reddish leucorrhoea : . When heat disturbs the mind there present irritability , feverish sensation , palpitation and insomnia . The string - taut rapid pulse and yellow coating imply accumulated heat in the Liver Meridian .

Treatment

a ) Deficiency in the spleen :

Method : Main points are selected from the Ren , Foot - Taiyin and Yangming Meridians . Acupuncture with the reinforcing method and moxibustion is used to build up the spleen and remove damp , regulate Ren Meridian and stabilize Dai Meridian .

Prescription : Dairnai ( B 26 ) , Qihai ( Ren 6 ) , Baihuanshu ( B 30 ) , Yinlingquan ( Sp 9 ) , Zusanii ( S 36 ) .

Explanation : Dairnai ( B 26 ) , an intersecting point of the Dai and Foot - Shaoyang Meridians , stabilizes the Dai Meridian and is a cure for leukorrhagia . Qihai ( Ren 6 ) regulates qi , resolves damp , adjusts the Ren Meridian and stabilizes the Dai Meridian . Baihuanshu ( B 30 ) is selected as an adjacent point to check leukorrhagia . Yinlingquan ( Sp 9 ) and Zusanii ( S 36 ) , major points in this prescription , are paired to build up the spleen and remove damp .

b ) Deficiency in the kidney : Method : Select points mainly from the Ren and Foot - Shaoyin Meridians . Acupuncture with the reinforcing method and moxibustion are used to promote yang qi , tonify the kidney and stablize the Ren and Dai Meridians .

Prescription : Shenshu ( B 23 ) , Guanyuan ( Ren 4 ) , Dahe ( K 12 ) , Dairnai ( B 26 ) , Fuliu ( K7 ) .

Explanation : Shenshu ( B 23 ) , Guanyuan ( Ren 4 ) , Dahe ( K 12 ) and Dairnai ( B 26 ) , a combination of adjacent and distal points , are applied together to promote yang qi and tonify the kidney so as to restore its storing function , and stabilize the Ren and Dai Meridians , and finally check leukorrhagia . Dairnai ( B 26 ) is selected aiming at leukorrhagia .

c ) Damp heat :

Method : Mainly select points from the Ren and Foot - Taiyin Meridians . Acupuncture with the reducing method is employed to clear heat , remove damp , adjust the Ren Meridian and stabilize the Dai Meridian .

Prescription : Zhongji ( Ren 3 ) , Ciliao ( B 32 ) , Sanyinjiao ( Sp 6 ) , Taichong ( Liv 3 ) . Supplementary points : Itching in the vulva : Ligou ( Liv 5 ) . Reddish leucorrhoea : Xuehai ( Sp 10 ) . Excessive heat : Quchi ( LI II ) . Explanation : Zhongji ( Ren 3 ) is the Front - ( Mu ) Point of the bladder . It works to clear damp heat of the lower jiao when it is applied with the reducing method . Ciliao ( B 32 ) clears heat and resolves damp to check leukorrhagia . Sanyinjiao ( Sp 6 ) , an intersecting point of the three yin meridians of foot tonifies the spleen , removes dampand reduces the hver fire . The above points grouped together serve the purpose of clearing heat , resolving damp , adjusting the Ren Meridian and stabilizing the Dai Meridian . Ligou ( Liv 5 ) cures the itching in the vulva by removing damp and heat away from the Liver Meridian . Xuehai ( Sp 10 ) eliminates reddish leucorrhoea : by clearing heat from blood . In case of excessive heat , Quchi ( Li11 ) is used to clear the heat . The right usage of the auxiliary point can enhance the therapeutic results .

Remark

This disease covers infections in the reproductive organs such as vaginitis , cervicitis , endometritis and anexitis , etc .