49 :Hepatophilic virus disease – TCM classification as “Wetness-heat vaporization form” Common symptoms (10):Wetness-heat of lower-jiao (VII)

•               If the woman is strong and has tense darkish muscles, her wetness-heat is abundant, her leucorrhea is purulent and foul in odor; it is necessary to clear the liver and stop the discharge.
•               If the liver channel fire is flaring up and the spleen cannot perform its transportation and transformation duty, wetness-heat together with turbid blood of the liver channel may pass into the Dai channel and form red leukorrhea. Therefore, in the female vagina, there is a reddish discharge which is something like blood and turbid urine.  This substance passes down continuously and is called red leukorrhea.  If it is a mixture of red and white, it is called red and white leukorrhea.
•               If the leucorrhea exists for a long time, the abdomen and navel is cold and painful, and icy on touch, the vagina cold, sparks flying in front of the eyes, the teeth painful and rejecting heat; this is the syndrome of yin deficiency and fire excess.
•               If there is postpartum blood loss and menstruation is irregular, and leukorrhea appears in large amount, the flow being intermittent and foul smelling, the treatment should aim at blood deficiency.
•               If the leukorrhea does not stop and the loin and knees are cold, the patient may gradually become tired and feel painful in the loin and legs; these symptoms are manifestations of weakness of kidney.
•               If sexual activity is excessive or if the spleen is hurt by contemplation, the lower part of body is doomed to loss of power of control so that there is profuse leukorrheal discharge in the vagina which may be clear like rice water or viscous like mucus.  The patient’s face is yellowish and the body thin.  This condition is called “fulminant leukorrhagia with mucous discharge” (白崩).

In fact, following hepatophilic virus infection, the mucous membrane of the whole body may develop pathologic changes.  Immunologic disorders can also induce invasion of fungus, bacteria, Chlamydia, trichomonad and protozoa in the vagina forming various kinds of vaginitis.  Knowing that the cause of Dai disease is invasion of virus evil to the body with the result of producing lower-jiao wetness-heat, the effective systemic treatment of “chronic hepatitis” with TCM drugs is, therefore, the fundamental treatment of Dai disease.

Case 10

Chan (code number 165) female, age 42 years.  Date of first visit: October 1998.  She complained that during childhood she was frequently attacked by diseases and in the twenties, she often had gastrointestinal discomfort and for some years she suffered from repeated stomache ache.  For many years, she had large amount of vaginal discharge which was greenish yellow.  She had repeatedly monilia albicans, vaginitis which was not completely cured in spite of prolonged treatment.  She was hospitalized last year because of hematuria but no abnormality was found.  She often had vertigo, cardiac discomfort, fatigue, hoarseness of voice and wetness-heat stools.  She also had irregular menstruation, the menstrual cycle short, often predating for 10 days, the amount large and with blood clots, the color brownish.  She experienced vertigo postmenstrually and numbness over the occipital skin and extremities.  The whole body and knee joints were often sore and modern medical and TCM treatment were ineffective.

Physical examination: extremely thin, anemic, body weight 93 lbs, (+) pitting edema of lower limbs, anomaly of hypochondria, hepatomegaly of 4.5 cm, blood pressure 80/60 mmHg.  The diagnosis was hepatophilic virus disease, deficiency of qi and blood, blockage of channels and stasis of blood, wetness-heat vaporization form (associated with lower-jiao wetness-heat : hematostranguria, Dai disease).

After taking two parcels of TCM drugs, the amount of feces was large and the liver was normal.  Sleeping was satisfactory but pain over the body and knee joints was still present; the head was heavy and the eyes were sluggish in opening.  TCM drugs continued for 6 weeks and during the systemic treatment, the clinical symptoms gradually improved and finally disappeared.  Clinical cure was attained and TCM treatment was stopped, at which time pitting edema of the lower extremities was (+).

Chai (code number 457) female, age 35 years.  Her first visit was on February 1983 with the complaint of having chronic hepatitis associated with wetness-heat multiple abscess ten more years ago.  She also had endometritis, her leukorrheal discharge was profuse with foul odor and a yellowish green color.  Repeated modern medical treatment was ineffective and she turned to TCM therapy.  After receiving systemic TCM treatment, clinical cure was obtained and she became pregnant.

During pregnancy, there was a large amount of vaginal discharge; threatened abortion was suspected and she was hospitalized for observation.  In the observation period, she received TCM drugs to steady the fetus and this continued up to three months pregnancy.  She finally gave birth to a healthy male infant.  During the ten more postpartum years, she experienced stomache ache, edema, tinea cruris (股癬), irregular heart beat and alopecia.  Hepatomegaly relapsed for four times.  One episode was after twisted ovarian cyst operation, one after hepatitis B preventive injection, one after receiving griseofulvin for treatment of tinea cruris and another was after taking anti-inflammatory drugs for pyloric bacteria discovered by gastroscopy.  These were treatment by systemic TCM drugs, and all resulted in clinical cure.