Leukorrhea

Leukorrhea

White Flux (old term)

Leukorrhea is a discharge from the vagina. When moderate and without foul smell, it can be normal, some women having more natural discharge than other. Healthy discharge is more clear, not excessive, has no foul smell and tastes sweet and salty. Leukorrhea may occur during Pregnancy and is considered normal, as long as there is no foul smell.
Unhealthy discharge may be white, yellow or greenish, and usually indicates and infection. Yellow or Greenish discharge with a foul smell indicates infection and was classically classed as Bile / Heat or Damp-Heat in TCM.
Infection may originate in the Vagina, Ovaries, Fallopian Tubes, or most commonly, the Cervix. Sexuall Transmitted diseases such as Chlamydia or Gonorrhea also cause Leukorrhea.
Vaginitis, and inflammation of the Vagina may also cause Leukorrhea. This may be due to infection or irritation. Fungal infections are often associated with Vaginits and this is primarily causes by Candida albicans and Trichomonas vaginalis.
White, thick discharge with curd-like particles may indicate Candida.
Symptoms
Symptoms of pathological Leukorrhea may include foul-smelling Whitish, Yellow or Greenish discharge with irritation, itching, inflammation and pain.
Differential Diagnosis
In Traditional Medicine, several pathologies can be recognised:

• Cold-Damp: pale or whitish discharge, no foul smell, pale face and tongue, white or greasy tongue coat, slow oir deep pulse. Severe Cold cases are related to Yang deficiency.
• Heat, Damp-Heat: foul smelling yellowish or greenish discharge, irritation, inflammation, red tongue with a yellowish coating
• Kidney deficiency: Chronic cases with weakness are often associated with Kidney weakness. There is lower back pain, copious pale urine, a feeling of cold, deep and weak pulse.

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Formulas
Cold-Damp
Tincture of Cinnamon
Powder for Leukorrhea
Powder for Hysteria with Agnus Castus
Powder of Cinnamon Compound (Mesue)
Pills of Tribulus and Bdellium (Goksuradi Guggulu)
Heat
Syrup of Comfrey Compound
Syrup of Agnus Castus Compound
Pills for Spermatorrhea
Troches of Agnus Castus
Barberry 8 Powder (Tibetan)
Catechu 23 (Tibetan)
Astringent
Astringent Pills
Electuary of Coral (Diacorallion) (Nicholas)
Triphera Minor (Triphera Phoenonis) (Mesue)
Electuary of Micleta (Nicholas)
Kidney Weakness
Decoction of Comfrey and Solomans Seal
Powder of Nutmeg Compound
Powder for Excessive Menstruation
Powder to Strengthen the Womb
Decoction of Water Lily Compound
Pills for Spermatorrhea
Pills of Tribulus and Bdellium (Goksuradi Guggulu)
Possessor of Ruby Color (Tibetan)

Chinese Classification
Simples

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Formulas
Damp-Heat
Bai Tou Weng Tang
Long Dan Xie Gan Tang
Er Miao San
Yi Huang Tang (See below)
Cold-Damp
Tao Hua Tang
Dang Gui Shao Yao San
Li Zhong Wan
Dang Gui Si Ni Tang
Shen Ling Bai Zhu San
Spleen Deficiency
Bu Zhong Yi Qi Tang
Liver Qi Stagnation with Heat
Dan Zhi Xiao Yai San
Liver Deficiency
Dang Gui Shao Yao San
Kidney Deficiency
Bu Shen Yi Gan Tang
Jin Suo Gu Jing Wsan