Pruritus Vulvae is a feeling of an itching in the area of the external genital or the vagina that is difficult to bear. In addition to the itching pain or excessive leucorrhea might also appear.
The itching symptom is mostly connected with vaginal discharge therefore the treatment should not only based on internal intake but also on external washing,
Hygiene and preserving a good constitution can be a good way to avoid this situation.
For a quick vaginal itching relive steep 2 teaspoons of Trifolium (Red clover flowers) with 1/2 cup of boiling water for 15 minutes. Drink 3-4 times daily between meals.
Chinese medicine key symptoms for diagnosing Vaginal itching:
- Usually damp will cause itching and secretion of excessive liquids.
- Heat will cause itching and ulceration.
- Parasite will cause itching and excessive leucorrhea with change of color and density.
- Wind will cause itching and a change of the skin color that turns into white.
- Jing –blood deficiency causing itching and dryness heat. We ca see a thick changing of the skin, or shrinking. Lichen sclerosis is frequently regarded as yin and blood deficiency with dryness.
Chinese medicine pathology of vaginal itching:
The most involved organs in Chinese medicine are Liver, Kidney, and spleen that their normal function is disturbed.
Liver is flowing in the genital region, absorbing blood, liver meridian can be attacked by external damp heat or when it stagnates it disturbs spleen’s T&T causing deficiency that turns into heat and damp heat that obstructs in the genital region. Another way is an attack of infectious disease – parasites directly to the vagina causing itching.
Kidney is responsible of Jing, kidney- liver deficiency, Jing blood deficiency, can attribute to cause wind, the skin of vagina isn’t nourished therefore itchy.
Spleen is responsible for T&T and water damp movement.
The most seen imbalances for vaginal itching are liver damp heat and kidney-liver yin deficiency.
1. Liver damp heat:
Low hygiene, long staying in damp area, causing invasion of external parasite into the vagina, causing itching.
Upset feelings that stagnate qi movement, liver invading sp, liver stagnating turns into fire, spleen xu causing damp, damp heat obstructing in genital region creating parasites, and itching.Symptoms: external vagina itching, sometimes even painful, uncomfortable feeling when sitting, excessive leucorrhea – yellow or thick ,or, foam like appearance, bad smell, irritability, bitter taste sticky of the mouth, chest obstruction, digestive problems. Tongue- sticky yellow coating, Pulse- wiry fast.
Strategy: 清热利湿,杀虫止痒. Clear heat expel damp, kill parasite stop itching.
Formula: Bei xie shen shi tang + cang zhu, ku shen, bai xian pi.
Bei xie shen shi tang: bi xie, mi ren, huang bai, chi fu ling, dan pi, ze xie, tong cao, hua shi, he shi.
We can also think of long dan xie gan tang.
2. Liver kidney yin xu:
A constitution of yin xu, weakness over the years, trauma harming jing-blood. Or, long disease damaging yin blood, creating wind, and itching of external vagina.
Symptoms: dryness of vagina, heat and itching, or, small amount of yellowish leucorrhea, sometimes even red color, 5 palm heat, dizziness, night sweating, dry mouth with undesired feeling of thirst, tinnitus, lumbago. Tongue- red little coating, Pulse- thready, fast, weak
Strategy: 滋肾降火,调补肝肾. Enrich kd, clear fire, harmonize tonify Liv- Kd.
Formula: Zhi bai di huang tang + dang gui, bai xian pi, he shou wu.