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Vulvar Eczema

How Chinese medicine differentiates vulvar eczema into the 4 patterns behind it, and the points for each. A deliberate companion to this site's own Scrotal Eczema page — the female-specific presentation carries far more differentiation. Acupuncture only — no herbs.

Vulvar skin changes that do not respond to routine care, or that come with unusual bleeding or a visible lesion, need medical evaluation before any acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for vulvar eczema — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
SP-10Cools Blood. Invigorates Blood and eliminates stasis. Blood SP-10 SP-9 10 Xuehai
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Damp-Heat in the Liver Channel View full pattern →

Clinical manifestations: Intense itching and burning of the vulva; red swollen weeping lesions; foul-smelling yellow vaginal discharge; a bitter taste; dark or painful urination; rib-side pain.
Tongue: Red with redder sides, yellow greasy coating thicker at the centre and root. Pulse: Wiry, slippery, rapid.
Treatment principle: Drain excess Fire from the Liver and Gallbladder, clear Damp-Heat from the lower burner.

2. Spleen Deficiency with Dampness

Clinical manifestations: Dull, thickened skin with mild oozing; chronic lingering itching; poor appetite and bloating; loose stools; heaviness and fatigue.
Tongue: Pale, swollen with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, soft and lacking force.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness.
Note: Confirmed absent again: standalone Spleen-Deficiency-with-Dampness has no matching deck slide on this site.

3. Yin and Blood Deficiency

Clinical manifestations: Dry, scaly, thickened vulvar skin with intense itching worse at night; night sweats; heat in the palms soles and chest; dry mouth and throat; dizziness; scanty or absent periods.
Tongue: Pale to pale-red, thin, dry with cracks, scanty or peeled coating. Pulse: Fine and rapid, weak at the left Guan and both Chi positions.
Treatment principle: Nourish Blood and moisten dryness, dispel Wind and stop the itching.
Note: Confirmed absent again: standalone combined Yin-and-Blood-Deficiency has no matching deck slide on this site.

4. Wind-Heat View full pattern →

Clinical manifestations: An acute onset of red, raised papules; a burning sensation; mild fever or an aversion to wind; sore throat; itching worse with heat.
Tongue: Red tip and edges, thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Dispel Wind, stop the itching, clear Heat, drain Dampness.
Related conditions

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