Leukorrhoea

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Textbook Prescriptions Gynaecology

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

GB26 Daimai bilateral

Gallbladder point where it crosses the Dai vessel; strengthens the girdle vessel
GB27 Wushu bilateral

Gallbladder point on the Dai vessel; partners GB26
CV6 Qihai midline

Ren point that steadies Chong and Ren qi
- Pregnancy: contraindicated
SP6 Sanyinjiao bilateral

meeting of the three foot yin; drains damp-heat
- Pregnancy: contraindicated

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

Treatment Principle

Regulate qi and blood and clear damp-heat through points of the Dai and Spleen channels.

Indications

persistent mucous vaginal discharge between periodswhite type: thin, whitish or yellowish discharge with an odour, from weak qi and dampyellow type: pinkish or deep yellow discharge with a foul smell, from damp-heat pouring downwardsmay come with low back ache, dizziness and tiredness

Method

For white discharge reinforce and add moxibustion; for yellow discharge reduce.

⚠ Cautions

Abnormal discharge needs examination for sexually transmitted and other infections and, with bleeding or a persistent course, cervical disease. CV6 with moxa or strong stimulation and SP6 are contraindicated in pregnancy, as is the add-on BL32 and strong stimulation at CV3.

About

The book's base prescription for leukorrhoea, with additions that differ for white and for yellow discharge.

Rationale

GB26 and GB27, where the gallbladder channel meets the Dai vessel, firm up the girdle vessel that restrains discharge. CV6 regulates the Chong and Ren, and SP6 links the three foot yin channels to drain damp-heat.

Clinical Notes

For white discharge add BL32 and BL30, near the area, to stem the discharge, and BL23 to strengthen kidney qi. For yellow discharge add CV3, where the Ren meets the liver channel, with LV5, the liver Luo point, to drain liver fire, and SP9 to strengthen the spleen and clear damp-heat. The book links leukorrhoea to vaginitis, cervicitis, endometritis and pelvic infection.

Sources

Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Leukorrhea, p. 378–379.

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