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Vaginal Green Discharge in Traditional Chinese Medicine (TCM)

A greenish vaginal discharge in TCM is a sign of an internal disharmony, usually related to Damp-Heat accumulation, Liver Qi stagnation, or Toxic Heat invasion. Understanding the underlying pattern is crucial for proper treatment. Below is a detailed analysis of the possible TCM syndromes, causes, symptoms, and treatments.

1. Damp-Heat in the Lower Jiao (Lower Body)

Pattern Explanation:

• The lower jiao (pelvic region) is prone to dampness due to its location and function.
• When dampness combines with heat, it creates a thick, sticky, and often foul-smelling discharge, which can turn green.
• Commonly associated with infections like bacterial vaginosis (BV) or sexually transmitted infections (STIs) in Western medicine.

Symptoms:

• Green, yellow, or thick vaginal discharge with a foul odor.
• Vaginal itching or burning sensation.
• Feeling of heaviness in the lower abdomen.
• Increased discharge, especially before menstruation.
• Possible fever if the infection is severe.
• Dark, scanty urine, possibly with burning sensation.

Causes (TCM Perspective):

• Consuming too much spicy, greasy, sweet, or dairy-heavy foods.
• Wearing damp clothing or living in a humid environment.
• Poor digestion leading to excess dampness accumulation.
• Unprotected sexual contact with an infected partner.

Treatment Approach:

Herbs to Clear Damp-Heat:

• Huang Bai (Phellodendron Bark) – Clears damp-heat, especially in the lower body.
• Long Dan Cao (Gentiana Root) – Strongly clears liver and gallbladder damp-heat.
• Ku Shen (Sophora Root) – Kills parasites and relieves itching.
• Yi Yi Ren (Coix Seed) – Drains dampness and strengthens the spleen.

Acupressure & Acupuncture:

• SP6 (Sanyinjiao) – Regulates spleen, kidney, and liver, helping clear dampness.
• CV3 (Zhongji) – Strengthens the urinary and reproductive system.
• LV5 (Ligou) – Clears damp-heat from the liver and genital area.

2. Liver Qi Stagnation Turning into Heat

Pattern Explanation:

• Emotional stress (anger, frustration, anxiety) affects the liver, causing Qi stagnation.
• When Qi stagnates for too long, it transforms into heat, which can mix with dampness and lead to greenish vaginal discharge.

Symptoms:

• Greenish or yellow vaginal discharge (may not be foul-smelling).
• Emotional symptoms like irritability, mood swings, or depression.
• Irregular menstruation or PMS symptoms.
• Tender breasts or hypochondriac pain.
• Bitter taste in the mouth, dry throat.
• Red eyes, headaches, dizziness.

Causes (TCM Perspective):

• Emotional stress or repressed emotions leading to Liver Qi stagnation.
• Excess alcohol, spicy foods, fried foods aggravating the liver.
• Irregular sleep patterns or overworking causing Qi stagnation.

Treatment Approach:

Herbs to Soothe the Liver and Clear Heat:

• Chai Hu (Bupleurum) – Moves liver Qi and prevents heat accumulation.
• Bai Shao (White Peony Root) – Nourishes liver blood and relieves stagnation.
• Dan Shen (Salvia Root) – Activates blood circulation and relieves stress.
• Zhi Zi (Gardenia Fruit) – Clears liver heat and reduces irritability.

Acupressure & Acupuncture:

• LV3 (Taichong) – The main liver Qi moving point, excellent for stress.
• GB34 (Yanglingquan) – Soothes liver Qi and removes damp-heat.
• PC6 (Neiguan) – Calms the mind and regulates emotions.

3. Toxic Heat (Reproductive Tract Infections)

Pattern Explanation:

• When damp-heat is severe and combines with external pathogens, it becomes toxic heat.
• This can correspond to infections such as pelvic inflammatory disease (PID), chlamydia, gonorrhea, or severe bacterial infections.

Symptoms:

• Thick, green, or yellow vaginal discharge with a strong foul odor.
• Severe vaginal itching, burning, and discomfort.
• Lower abdominal pain or pain during urination/sex.
• Possible fever, chills, and body aches.
• Swollen lymph nodes (in severe cases).

Causes (TCM Perspective):

• Unprotected sexual intercourse with an infected person.
• Severe damp-heat exposure, poor hygiene, or weakened immunity.
• Combination of diet, stress, and external pathogens.

Treatment Approach:

Herbs to Clear Toxic Heat:

• Pu Gong Ying (Dandelion Root) – Powerful antimicrobial and detoxifying herb.
• Jin Yin Hua (Honeysuckle Flower) – Clears heat and toxins.
• Ban Lan Gen (Isatis Root) – Strong antiviral and antibacterial herb.
• Bai Jiang Cao (Patrinia) – Excellent for clearing pus, infections, and pelvic inflammation.

Acupressure & Acupuncture:

• LI11 (Quchi) – Clears heat and infections.
• SP9 (Yinlingquan) – Removes dampness from the lower jiao.
• CV6 (Qihai) – Strengthens the body's resistance to infections.

Dietary and Lifestyle Recommendations:

• Avoid foods that create dampness: Dairy, sweets, fried foods, and excess alcohol.
• Eat cooling, detoxifying foods: Green tea, mung beans, bitter melon, celery, and radish.
• Stay hydrated to flush out toxins.
• Practice stress reduction techniques like meditation, yoga, and deep breathing.

When to Seek Medical Help

While TCM can help restore balance, green vaginal discharge may indicate an infection that requires immediate attention, especially if you experience:

• Strong odor, pain, fever, or swelling.
• Burning sensation during urination.
• Persistent or worsening symptoms despite treatment.

In TCM, green vaginal discharge indicates Damp-Heat, Liver Qi Stagnation, or Toxic Heat, requiring herbal treatment, acupuncture, and lifestyle adjustments to restore balance and eliminate pathogenic factors.

This information is only educational and should not be construed as medical advice. 

Everything must be balanced, and the suggestions may not apply to you.

A specialist doctor should be consulted for any medical advice or diagnosis.

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Dr. Phumlarp Caulo LA,c, MAc. OM, DAHM

Doctor of Acupuncture/Chinese Medicine 

Caulo Care Acupuncture 

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