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GONORRHEA

GENERAL

Clinical Manifestations	Gonorrhea is a sexually transmitted disease that can infect both men and women. It can cause infections in the genitals, rectum, and throat. It is a very common infection, especially among young people ages 15-24 years.
Treatment Principle
Herb Formulas
Points	Acute: LI-4, LIV-2, LIV-8, REN-6, SP-6, UB-27 Chronic: REN-2, REN-3, SP-6, UB-27, UB-33

DAMP-HEAT OBSTRUCTING THE SHAO YANG

Clinical Manifestations	Gonorrhea Alternating chills and fever Thirst A bitter taste in the mouth Anorexia Edema Vomiting and diarrhea with water intake Dysuria Fullness and oppression in the chest and hypochondrium Diarrhea T: Pink C: White P: Superficial and wiry
Treatment Principle	Harmonize the Exterior and the Interior Relieve the Shao Yang Dispel Water Accumulation Resolve Phlegm Accumulation
Herb Formulas	Chai Ling Tang
Points

CENTRAL QI SINKING (CHRONIC)

Clinical Manifestations	Gonorrhea 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	Bu Zhong Yi Qi Tang
Points

HEART FIRE

Clinical Manifestations	Gonorrhea Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Bitter taste in the mouth T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi San Xiao Ji Yin Zi
Points	HT-7, HT-8, PC-7, PC-8, UB-15

HEART BLOOD AND SPLEEN QI DEFICIENCY (CHRONIC)

Clinical Manifestations	Chronic gonorrhea Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

DAMP-HEAT IN THE LIVER AND GALLBLADDER

Clinical Manifestations	Gonorrhea 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 Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles 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	Long Dan Xie Gan Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

KIDNEY YANG DEFICIENCY (CHRONIC)

Clinical Manifestations	Chronic gonorrhea Aversion to Cold Watery stools with undigested food Lower back pain Weakness of the lower extremities A cold sensation in the lower half of the body Tenseness in the lower abdomen Pain and cramps in the lower abdomen Panting and irritability to the point of having difficulty lying down Will breathe most comfortably while leaning against something Nocturia May be numbness in the lower abdomen Urinary difficulty with edema or Spasmodic pain in the lower abdomen Excessive urination If severe, may be incontinence of urine May have persistent diarrhea Dizziness Vertigo Dysuria May have flushed face (Yang floating upward) Thirst with frequent, copious urination (Xiao Ke) Fatigue (severe) May have severe perspiration (Yang floating upward) Constipation Lassitude Pale face Edema of the face and feet Severe edema of the legs (may prevent walking) Maybe cough Maybe asthma T: Pale, may be swollen C: Thin, white and moist P: Deep, Deep and thready and/or Weak and slow
Treatment Principle	Warm and Tonify Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan
Points

MILKY LIN DUE TO KIDNEY YANG DEFICIENCY

Clinical Manifestations	Gonorrhea Frequent cloudy, milky urination Maybe greasy urine Thick, white vaginal discharge T: Pale C: White P: Sinking, slow and weak
Treatment Principle	Warm the Kidneys Drain Dampness Separate the turbid from the clear
Herb Formulas	Bei Xie Fen Qing Yin
Points

BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Gonorrhea 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	Da Huang Mu Dan Tang
Points

BLOOD STAGNATION WITH STAGNATION OF COLD

Clinical Manifestations	Gonorrhea Thin and profuse leukorrhea Sallow complexion or Dark and gloomy complexion Pain of lower limbs Lassitude Lack of vitality Weakness Irregular circulation of channels Failure to conceive for a long time Intolerance of Cold Cold limbs Soreness of waist Pain in the lower back Long-term or heavy menstrual bleeding Painful menstruation which gets increasing worse Pelvic pain during intercourse Fullness and stuffiness in the hypochondriac region Dizziness Tinnitus Shortness of breath Difficult speech Delayed menstrual cycle Abdominal pain during menstruation Abdominal Cold pain which can be relieved by warmth Scanty menstruation Dark in color Blood masses or Amenorrhea Distending pain in the lower abdomen prior to or during menstruation which can be relieved by warmth T: Pale C: White or White and greasy fur P: Weak or Deep and tense pulse or Thready and weak or Deep and slow
Treatment Principle	Reinforce the Kidney and Liver Support Yang Eliminate Cold Warm the uterus Regulate menstruation Nourish the Blood Invigorate the Blood
Herb Formulas	Fu Ke Zhong Zi Wan
Points

LOWER JIAO BLOOD STAGATION WITH HEAT

Clinical Manifestations	Gonorrhea Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Afternoon fever Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang
Points

DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Dark, turbid, scanty, difficult urination or Frequent, urgent and painful Urination may be red Maybe fever Sores in mouth, on tongue or throat Dry mouth and throat Maybe urinary retention (severe) Maybe lower abdominal distention and pain (severe) Thirst Maybe total obstruction Parched throat Severe sore throat Maybe anuria (severe) Dribbling urination May be profuse whitish, yellow vaginal discharge Maybe be urinary calculi Constipation Eye redness and pain Epistaxis Distending lower back pain Irritability Scorched lips T: Red C: Thick, yellow and greasy P: Slippery and rapid or Smooth and rapid
Treatment Principle	Clear Heat Purge Fire Promote urination Unblock painful urinary dysfunction
Herb Formulas	Dang Gui Nian Tong Tang Ba Zheng San Zhu Ling Tang Qing Xin Lian Zi Yin Wu Lin San Er Miao San Bei Xie Shen Shi Tang Zhi Zhuo Gu Ben Wan With severe systemic Heat: Huang Lian Jie Du Tang Wu Wei Xiao Du Yin
Points

DAMP-HEAT WITH A FEELING OF UNDERLYING COLD DUE TO BLOOD DEFICIENCY

Clinical Manifestations	Gonorrhea Profuse , red, yellow or white vaginal discharge Itching sores Abdomen is soft to the touch Constipation Pale complexion Low back pain Abdominal pain Slight anemia
Treatment Principle	Clear Heat Resolve toxicity Dispel Dampness Stop vaginal discharge
Herb Formulas	Ba Wei Dai Xia Fang
Points

DAMP-HEAT WITH BLOOD STAGNATION IN THE LOWER JIAO

Clinical Manifestations	Syphilitic sores Chancre Inguinal bubo Syphilitic eruptions
Treatment Principle	Clear Heat Relieve toxicity Eliminate Dampness Invigorate the Blood Dispel Blood Stasis
Herb Formulas	Xiang Chuan Jie Du Ji
Points