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VAGINAL PAIN

GENERAL

Clinical Manifestations	Pain in vaginal area possibly radiating upwards towards uterus, abdomen, or even to the breasts
Treatment Principle
Herb Formulas
Points

WIND-COLD

Clinical Manifestations	Postpartum vaginal pain It can be very severe Swollen pain No inflammation or redness or burning Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Expel Wind and Cold to harmonize Luo Relieve pain
Herb Formulas	Qu Feng Ding Tong Tang
Points	LI-4, LIV-3, SP-8, KI-10, REN-2, REN-3, UB-18, ST-29 For lower abdominal pain: + moxa REN-8, ST-25

SPLEEN QI SINKING

Clinical Manifestations	local heavy pain pulling downward thin clear vaginal discharge 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 Reinforce the Center, Invigorate Yang Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang Ju Yuan Jian
Points	DU-20, LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

LIVER FIRE

Clinical Manifestations	Vaginal pain that radiates to the abdomen and possibly nipple Severe, splitting headaches with dizziness Sudden tinnitus or 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 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	Jia Wei Xiao Yao San
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Older women Dryness with burning pain Local area may be shrunken or shriveled 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 P: Thready and rapid (large at the Kidney positions)
Treatment Principle	Enrich Yin Nourish the Essence of the Liver and Kidneys Reduce Deficiency Fire
Herb Formulas	Zhi Bai Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

DAMP-HEAT

Clinical Manifestations	Swollen pain Yellow thick smelly leukorrhea Local ulcerations or inflammation 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 Heat Resolve Dampness
Herb Formulas	Long Dan Xie Gan Tang Yi Huang Tang Xiao Yao San modified
Points	REN-3, SP-6, SP-10, UB-17, UB-28, HT-8 UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. REN-4, REN-6, SP-6, LIV-4