Vulvitis

How Chinese medicine differentiates vulvitis into the three 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. Spreading redness, ulceration, or fever alongside vulvar irritation needs prompt medical evaluation before assuming a simple pattern.

General Acupuncture Points

Acupuncture points traditionally used for vulvitis — 8 key points, used across the patterns below rather than tied to just one.

Point	Key action
LR-5	Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in the genitourinary system.
LR-3	Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
SP-6	Strengthens the Spleen. Nourishes Blood and Yin.
REN-3	Resolves Dampness from the Lower Burner. Benefits the Uterus and regulates menstruation.
BL-32	Benefits urination and defecation. Regulates menstruation and resolves Dampness.
ST-28	Moves Qi in the Lower Burner. Opens the Water passages and benefits urination.
KI-3	Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
BL-23	Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.

The Three Patterns

↑ reinforcing ↓ reducing ⊥ even method.

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

Clinical manifestations: Genital burning and itching, foul-smelling yellow sticky vaginal discharge, bitter taste in the mouth, irritability and frustration, rib-side fullness or discomfort.

Tongue: Red body with redder sides, thick yellow greasy coating especially at center and root. Pulse: Wiry, slippery, and rapid, most prominent at the left middle position.

Treatment principle: Drain Damp-Heat from the Liver and Gallbladder, clear Heat from the Liver channel, stop genital itching and discharge.

LR-5 ↓ LR-3 ↓ SP-6 ⊥ REN-3 ↓

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.

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

Clinical manifestations: Crawling sensation as if insects are moving, frothy or curd-like yellow discharge, foul-smelling discharge, heavy sensation in the lower body or legs, burning or painful urination, lower abdominal fullness.

Tongue: Red body with thick yellow greasy coating, especially at the root. Pulse: Slippery and rapid, more pronounced at the rear (Chi) position.

Treatment principle: Clear Heat and drain Dampness, separate clear from turbid, cool Blood and dispel stasis.

LR-5 ⊥ LR-3 ⊥ BL-32 ↓ ST-28 ↓

Note: no moxa. Linked to this site's own Damp-Heat-in-the-Bladder slide via the established Lower-Burner organ-system convention.

3. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Severe dry itching, vaginal dryness and pale thin skin, worse at night, night sweats, heat in the palms and soles, dizziness and tinnitus, little to no discharge.

Tongue: Red, thin body with cracks, little or no coating, dry. Pulse: Fine, rapid, and wiry.

Treatment principle: Nourish Yin, clear deficiency Heat, rebuild moisture in the tissues, address wind-like itch.

KI-3 ↑ LR-3 ⊥ SP-6 ⊥ BL-23 ↑

Note: no moxa. Direct exact-name match with this site's own Kidney-and-Liver-Yin-deficiency slide.

Related conditions

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