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Abnormal Vaginal Discharge

How Chinese medicine differentiates abnormal vaginal discharge into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Vaginitis and Vaginal Itching pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Foul-smelling, pus-like, or blood-tinged discharge with fever or pelvic pain needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for abnormal vaginal discharge — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Regulates the uterus.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
LR-2Drains Liver-Fire and subdues Liver-Yang. Resolves Damp-Heat in the genitourinary system.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
REN-3Resolves Dampness from the Lower Burner. Benefits the Uterus and regulates menstruation.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency With Dampness

Clinical manifestations: Copious, white or pale-yellow, thin, odorless discharge, fatigue and heaviness after eating, poor appetite with bloating, loose or unformed stools, heaviness in the limbs.
Tongue: Pale, swollen body with teeth marks, white greasy coating. Pulse: Soggy and slow.
Treatment principle: Strengthens the Spleen, drains Dampness, soothes the Liver and regulates Qi.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

2. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Yellow or green, thick, foul-smelling discharge, genital itching or burning, bitter taste in the mouth, heaviness in the lower body, dark, scanty, or painful urination.
Tongue: Red body with yellow, greasy coating, thickest at the root. Pulse: Slippery and rapid, more pronounced at the rear (Chi) position.
Treatment principle: Clears Damp-Heat from the Liver and Gallbladder channels, targeting genital symptoms.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Liver slide, which this session confirmed is genital-specific in its own text — a direct match here, and reinforced by the source's own treatment principle naming the Liver and Gallbladder channels.

3. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Clear, watery, cold discharge, sore aching lower back and knees, feeling cold especially in the lower body, frequent clear urination especially at night, fatigue and low spirits.
Tongue: Pale, puffy, tender body with teeth marks, wet white coating. Pulse: Deep, slow, weak, especially at the Chi position.
Treatment principle: Warms and tonifies Kidney-Yang to stop the watery discharge.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

4. Toxic-Heat

Clinical manifestations: Yellow-green, pus-like discharge, foul offensive odor, lower abdominal pain or tenderness, bitter taste with thirst, fever or heat sensation.
Tongue: Red body with yellow, greasy coating, prickly thorns may appear. Pulse: Rapid and slippery.
Treatment principle: Clears Heat and resolves toxicity, cools the Blood, disperses swelling and dissipates nodules.
Note: no moxa; fever with foul pus-like discharge needs prompt medical evaluation regardless. This site has no standalone Toxic-Heat slide on any deck — no pattern link is given here; points still link fine individually.

5. Blood Deficiency and Stagnation View full pattern →

Clinical manifestations: Scanty or absent vaginal discharge, vaginal dryness or itching, dark menstrual blood with clots, dull or stabbing lower abdominal pain, pale or sallow face with dusky tinge.
Tongue: Pale-purple body, thin with possible stasis spots, distended sublingual veins, thin white coat. Pulse: Fine and choppy, possibly wiry on the left Guan position.
Treatment principle: Nourishes Blood and dispels stasis, addressing both the deficiency and the sluggish circulation.
Note: moxa applicable on ST-36. Linked to this site's own Liver-Blood-stasis slide via the discoloration-marker rule (dusky tinge, stasis spots), with the Blood-deficiency component flagged as a gap that slide alone does not cover.
Related conditions

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