Pudendal itching

This is an intractable itching in the perineal region and vagina, radiated to medial side
of thigh and causing restlessness and profuse discharge of leukorrhea, annoyance,
bitter taste inmouth, and dizziness and vertigo. It is caused by spleen deficiency, and
accumulation of excessive dampness, the stagnation of liver qi producing heat
pathogens, a combination of dampness and heat and downward pouring of damp-heat
pathogens; or it may be caused by poor hygiene of external genitalia, sitting on damp
ground too long, or a parasite infection in perineal region.

Treatment:

Foot massage: The massage is applied to kidney (22), ureter (23), urinary bladder
(24), adrenal gland (21), uterus (50), reproductive gland (36) and vagina (51)
reflecting areas. The foot is held by the physician with one hand and the knuckle of
the first interphalangeal joint of the other flexed index finger is used to apply massage
to the correspondent reflecting areas 3-4 times (Fig. 82).

Foot acupuncture:

Meridianal acupoints: At Zhaohai (KI 6) and Rangu (KI 2) acupoints, a balanced
reinforce-reducing acupuncture technique without moxibustion is applied and the
needles are retained for 15 to 20 minutes.

External application of drugs:

(1) Downward pouring of damp-heat pathogens: The powder of Bianxu (knotweed)
30 gm, Yirenmi (J ob's-tears seed) 20 gm, Niuxi (achyranthes root) 20 gm, Qumai
(pink) 20 gm, Huashi (talc) 15 gm, Tongcao (rice paper) 15 gm and Houpo (magnolia
bark) is wrapped in the sterilized gauze to make small bags in an adequate size for
application on the reflecting areas on foot and changed once every other day. For
severe pain, Zhizi (cape-jasmine fruit) and Longdancao (gentian) are added; for
weakness of limbs, poor appetite and yellow and greasy tongue coating, Cangzhu
(atractylodes rhizome) and Huoxiang (giant-hyssop) may be added; for persistent low
fever with abdominal distension, Xingren (apricot kernel), Kouren (nutmeg),
Danzhuye (lophatherum), Cangzhu (atractylodes rhizome), Huangbai (amur cork-tree)
and Dafupi (areca peel) are added; and for patients with trichomoniasis, Shechuangzi
(cnidium) 30 gm is added.
(2) Infection of parasites: The powder of Xionghuang (realgar) 1 gm, fresh tobacco
leaf 2 gm and small amount of alum is put into the holes of a triangular piece of pig
liver (60 gm) for application on the reflectng areas on foot.

Pudendal i tchi ng
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