Vaginal Pain

Diagnosis of Vaginal Pain:

Pain in vaginal area possibly radiating upwards towards uterus, abdomen, or even to the breasts.

Etiology (causes) of Vaginal Pain:

1. LR KI - can’t nourish Jing Luo, leads to Fire which injures Jing Luo

2. LR Fire – long term Liver Qi stagnation Fire w/ pain swallowing the Jing to the genitals, can also go to breasts.

3. Damp/Heat in low Jiao – Liver Spleen dysfunction, Kidney , Damp/Heat go to low Jiao

4. SP Qi sink – can’t control local tendons flaccidity and/or heavy pulling pain.

5. Wind/Cold stagnation – after delivery Wind/Cold invades blocks Liver Jing and produces pain.

Chinese Medicine Differentiation and Treatment of Vaginal Pain:

LR KI older women, dryness with burning pain, local area may be shrunken or shriveled. Plus – Liver Kidney symptoms (see Appendix 1)

Principle of Treatment: – nourish Liver Kidney , clear Heat

Herbal Medicine Formula: Zhi Bai Di Huang Wan

LR Fire vaginal pain radiate to abdomen and possibly nipple Plus – Liver Fire symptoms (see Appendix 1)

Principle of Treatment: – soothe LR, purge Fire

Herbal Medicine Formula: Dan Zhi Xiao Yao San

SP Qi sinking local heavy pulling downward pain, thin clear vaginal discharge Plus – Spleen Qi symptoms (see Appendix 1)

Principle of Treatment: – nourish mid Jiao Qi

Herbal Medicine Formula: Bu Zhong Yi Qi Tang or Ju Yuan Jian

Damp/Heat swollen pain, yellow thick smelly leukorrhea, local ulcerations or inflammation Plus – Damp/Heat symptoms (see Appendix 1)

Principle of Treatment: – clear Heat, induce diuresis

Herbal Medicine Formula: Long Dan Xie Gan Tang or Yi Huang Tang

Wind/Cold stagnation postpartum, can be very severe swollen pain, no inflammation or redness and burning Plus – Wind/Cold symptoms (see Appendix 1)

Principle of Treatment: – expel Wind/Cold to harmonize Luo and relieve pain

 
Herbal Medicine Formula: Qu Feng Ding Tong Tang