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Leukorrhea (Abnormal Vaginal Discharge)

How Chinese medicine differentiates abnormal vaginal discharge, the five patterns you'll actually meet in practice, and the points for each. 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, bloody, or persistent discharge needs a gynecological evaluation to rule out infection or other causes before acupuncture is considered.
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. Resolves Dampness. Nourishes Blood and Yin.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
LR-2Drains Liver-Fire. Resolves Damp-Heat in the genitourinary system.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys. Benefits the Bladder.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
KI-3Tonifies the Kidneys (Yin and Yang). Strengthens Essence.
Ren-3Resolves Dampness from the Lower Burner. Regulates the Uterus.
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; a poor appetite with bloating; loose stools; heaviness in the limbs and head.
Tongue: Pale, swollen, teeth marks, white greasy coating. Pulse: Soggy, Slow.
Treatment principle: Strengthen the Spleen and drain Dampness, addressing the source of the copious thin discharge.
Tonify Spleen
Resolve Dampness
Note: moxa applicable on the Tonify-Spleen point. No deck on this site combines Spleen deficiency with Dampness into one named pattern, so no pattern link is given here.

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

Clinical manifestations: Yellow or green, thick, foul-smelling discharge; genital itching or burning; a bitter taste; dark, scanty or painful urination; heaviness in the lower body.
Tongue: Red with a yellow greasy coating, thickest at the root. Pulse: Slippery, Rapid.
Treatment principle: Clear Heat and drain Dampness from the Lower Burner, resolving the foul, colored discharge.
Note: no moxa. Matches Damp-Heat in the Liver — yellow vaginal discharge and genital itching are both explicitly listed there.

3. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Clear, watery, cold discharge; a sore lower back and knees; feeling cold, especially in the lower body; frequent clear urination at night; fatigue with low spirits.
Tongue: Pale, puffy, tender, teeth marks, wet white coating. Pulse: Deep, Slow, weak, especially at the rear position.
Treatment principle: Warm and tonify Kidney-Yang, drying up the cold, watery discharge at its source.
Note: moxa applicable. Direct match with Kidney-Yang deficiency.

4. Toxic-Heat

Clinical manifestations: Yellow-green, pus-like discharge with a foul odor; lower abdominal pain or tenderness; a bitter taste and thirst; fever.
Tongue: Red with a yellow greasy coating, possible prickly thorns. Pulse: Rapid, Slippery.
Treatment principle: Clear Heat, resolve toxicity and drain Dampness, addressing the acute infected quality of this discharge.
Note: no moxa. No deck on this site has a Toxic-Heat/Fire-poison category, so no pattern link is given here.

5. Blood Deficiency and Stagnation

Clinical manifestations: Scanty or absent discharge; vaginal dryness or itching; dark menstrual blood with clots; a dull or stabbing lower abdominal pain; a pale or sallow face with a dusky tinge.
Tongue: Pale-purple, thin coat, possible stasis spots, distended sublingual veins. Pulse: Fine, Choppy, possibly Wiry on the left Guan position.
Treatment principle: Nourish Blood and dispel stasis, addressing both the dryness and the fixed pain together.
Nourish Blood
Dispel Stasis
Note: no moxa on the Dispel-Stasis point. No deck on this site combines Blood deficiency with Blood stagnation into one named pattern, so no pattern link is given here.
Related conditions

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