Vaginitis/Vaginal
Discharge
(Leucorrhea - Dai Xia)

Written by Chris Eddy

What does Vaginitis/Discharge/Lin Disorder in Chinese medicine translate to in Western Med?

Candida, Trichomoniasis, Clamydia, Haemophilus, Vulvodynia, Cervical Dysplasia, Chronic PID.

How to treat vaginal discharge using herbal medicine?

It’s definitely not the easiest condition to treat, at least for me, so how can we arrange the formulas on the page or in our mind to make things easier?

Questions we want to ask are:

  • Colour: Clear, White, Yellow, Red
  • Amount
  • Thickness
  • Smell

By finding out this information in addition to our regular investigation, we can ascertain the most important answer to the question: Is the discharge an accumulation of pathological fluid (ie, damp from poor processing or environmental influence) or is it physiological fluid (ie, fluids that should be held in but aren’t such as in kidney qi deficiency)?

We will arrange our formulas here from dampness/cold to deficiency to heat, which gives a good visual arrangement.

A quick note on important herbs* PID- “Er Teng Tang” Hong Teng and Ren Dong Teng to clear heat and resolve toxins in the pelvis while gently moving blood. Stop Itch: Fang feng, jing jie, di fu zi, she chuang zi, bai xian pi, ku shen.

Dampness is primarily a dysfunction of one or more of four of the six confirmations:

  1. Yang Ming (small intestine is tai yang but as a YM digestive function or large intestine): Heat can accumulate in the small intestine, transferring to Bladder, large intestine is not open and heat gets blocked and accumulated.
  2. Shao Yang: Pivot is not turning from lower to upper jiao so there is stagnation.
  3. Tai Yin: Lung and Spleen function not working to transform and percolate dampness.
  4. Shao Yin: Kidney too weak to consolidate, yang to transform and qi to astringe.


Qi Deficiency

Sheng Ling Bai Zhu San

  • Bai Zhu 10*
  • Fu Ling 10*
  • Ren Shen 10*
  • Zhi Gan Cao 10* (*si jun zi tang)
  • Shan Yao 10
  • Bai Bian Dou 10
  • Lian Zi 5
  • Yi Yi Ren 5
  • Jie Geng 5
  • Sha Ren 3

Bai Zhu, Shan Yao and Bai Bian Dou are a key trio in astringing the discharge.

Key: Middle warmer qi deficiency with dampness, diarrhoea, water swelling, white discharge with no odour.

Wan Dai Tang (Fu Qing Zhu)

  • Cao Bai Zhu 30
  • Cao Shan Yao 30
  • Ren Shen 6
  • Gan Cao 3
  • Cang Zhu 9
  • Chen Pi 3
  • Jiu Chao Che Qian Zi 9
  • Chai Hu 3
  • Jing Jie Tan 3

Key: Liver Qi stasis with kidney deficiency, white or slightly yellow discharge which is odourless.

Dang Gui Shao Yao San

  • Dang Gui 9
  • Bai Shao 12-48
  • Chuan Xiong 12-24
  • Bai Zhu 12
  • Fu Ling 12
  • Ze Xie 12-24

Here you’ll see blood and fluid separating. Blood can’t mix with fluid properly so there is water swelling before and during the period in the waist and legs.

Key: Abdominal cramps, blood stasis signs, water swelling signs, very watery discharge-no odour.

Kidney Yang Deficiency

Bu Shen Gu Dai Tang

  • Qian Shi 15
  • Sang Piao Shao 12
  • Zhi Bai Ji Guan Hua 12
  • Dang Shen 15
  • Fu Zi 3
  • Duan Mu Li 30
  • Duan Long Gu 12
  • Chi Shi Zhi 12
  • Gan Cao 3

Key: Weak kidney qi, kidney deficiency signs without many heat signs.

Heat Patterns

Yi Huang Tang (Fu Qing Zhu)

  • Chao Shan Yao 30
  • Chao Qian Shi 30
  • Huang Bai 6
  • Che Qian Zi 3
  • Bai Guo 10

Very mild heat pattern with dampness seen by pale yellow discharge.

Chi Xiao Dou Dang Gui San

  • Chi Xiao Dou 30
  • Dang Gui 9

Mild heat. Damp-heat penetrating blood level and brewing into pus. Intestinal abscess, weeping skin.

Dang Gui Bei Mu Ku Shen Wan

  • Dang Gui 12
  • Bei Mu 12
  • Ku Shen

Mild heat. Lack of lung openness leading to bladder inhibition. Difficult urination, especially pregnant women.

Dan Zhi Xiao Yao Tang

  • Chai Hu 9
  • Dang Gui 9
  • Bai Shao 9
  • Bai Zhu 9
  • Fu Ling 9
  • Zhi Gan Cao 6
  • Mu Dan Pi 9
  • Zhi Zi 9

Mild heat. Liver and spleen disharmony with depressed liver heat.

Bi Xie Sheng Shi Wan

  • Yi Yi Ren 30
  • Fu Ling 12
  • Bi Xie 9-20
  • Bai Xian Pi 15
  • Tong Cao 6
  • Huang Bai 10
  • Ze Xie 10
  • Mu Dan pi 10
  • Zhi Zi 10

Heat with dampness predominant. Key is cloudy urination.

Long Dan Xie Gan Tang

  • Long Dan Cao 3-9
  • Huang Qin 12
  • Zhi Zi 12
  • Mu Tong 6
  • Che Qian Zi 12
  • Ze Xie 12
  • Chai Hu 9
  • Sheng Di 15
  • Dang Gui 12
  • Gan Cao 6

Full heat. Yellow vaginal discharge with irritability.

Er Teng Tang (Dr Qiu)

  • Ren Dong Teng 30
  • Shu Hong Teng 30
  • Da Huang 9
  • Da Qing Ye 9
  • Zi Cao Gen 9
  • Mu Dan Pi 9
  • Chi Shao 9
  • Chuan Lian Zi 9
  • Yan Hu Suo 9
  • Sheng Gan Cao 3

Toxic Heat, pelvic infection, endometritis and adnexitis.

Yu Dai Wan

  • Chu Gen Pi 15
  • Huang Bai 12
  • Gao Lian Jiang 6
  • Shu Di 12
  • Bai Shao 12
  • Chuan Xiong 9
  • Dang Gui 12

Acute and chronic damp heat in uterus, vaginal pruritis, malodorous white or yellow discharge, pain during intercourse. Chun gen pi and huang bai are the key herbs here to clear heat and toxin, while drying damp and reducing infection. Gao lian jiang counterbalances the cold nature of these herbs. The last 4 herbs are ‘si wu tang’ to tone the blood and return circulation and flow.

About the Author

If you would like to book in to see us, please click HERE for the Melbourne CBD practice, or HERE, for the Northcote practice.

Chris Eddy has over 17 years clinical experience and 7 years lecturing experience at RMIT university.

Chris Eddy

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