VAGINAL PROLAPSE

Clinical Manifestations	Stage1: Cervix falls to pubic symphysis Stage2: Can possibly see cervix Stage3: Uterus exits externally
Treatment Principle
Herb Formulas
Points

Clinical Manifestations	First and second stage prolapse Worse with fatigue 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 Tangmodified Gui Pi Tang
Points

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses Vaginal prolapse T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Clinical Manifestations	Second and third stage prolapse Soreness and weakness in the lower back Severe lower abdominal distention Urinary frequency which is worse at night Tinnitus Nocturnal emission Profuse pink menstrual discharge Nocturia Hearing loss Dizziness Forgetfulness Weakness of the lower limbs Lack of spirit T: Pale-red C: Normal P: Deep and frail or Deep and slow
Treatment Principle	Tonify Yin and Blood Benefit Yang and Qi Strengthen Kidney Jing Invigorate the Spleen
Herb Formulas	Da Bu Yuan Jian
Points