Sexually Transmitted Disease
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TCM Diagnosis for Sexually Transmitted Disease

TCM diagnosis Based on Syndrome Differentiation:
Spleen Deficiency With Damp Accumulation
Symptoms: Chronic, white tubid discharge, painful urnary tract, fatigue, poor appetite, irregular stools, nausea.
Herbal Formula: Wu Ling San + Yi Yi Ren, Shi Chang Po, Yi Zhi Ren

Qi and Blood Stasis
Symptoms: Chronic - lower jiao spasming pain, irritability, sadness, depression
Herbal Formula: Chai Hu Shi Gan San + Xue Fu Zhu Yu Tang

Essence Deficiency
Symptoms: chronic, reproductive disorders, lower back ache, knee weakness, dizziness, tinnitus,, poor memory, fatigue.
Herbal Formula: Zhi Bai Di Huang Wan + Niu Xi, Chi Qian Zi

Toxic Damp Heat Invasion
Symptoms: In The Lower Jiao Pusy green thick discharge with swollen, painful, red local area and spasms in the lower jiao.
Herbal Formula: Long Dan Xie Gan Tang + Ba Zheng San + Bei Xie Feng Qi Yin

Excessive Heart Fire
Symptoms: Urinary symptoms and palpitations, insomnia, dry mouth, dry throat and ulceration in the oral cavity, yellow dry coat of the tongue
Herbal Formula: Dao Chi San + Huang Lian, Huang Bai, Lian Xi Xin

Diagnosis in Western Medicine:
Genital Warts/Human Papillomavirus (HPV)
Physical examination, including pelvic exam in young women, and thorough medical history, plus a Pap smear. If the Pap smear is abnormal, colposcopy and cervical biopsy may be done.

Genital Herpes
Physical examination, including pelvic exam in young women, and thorough medical history, herpes virus blood test and culture.

Syphilis
Physical examination, including pelvic exam, and thorough medical history, plus one or more of the following blood tests: VDRL (Venereal Disease Research Laboratory) blood test or RPR (Rapid Plasma Reagin) blood test, (FTA-ABS) Fluorescent Treponemal Antibody-Absorption antibody blood test or (TPHA) T. pallidum hemagglutination assay, to confirm a positive finding on the VDRL or RPR test.

HIV/AIDS
Physical examination, and thorough medical history, plus one or more of the following blood tests in individuals 18 months of age or greater: Rapid HIV test completed on blood or saliva, ELISA (Enzyme-Linked Immunosorbent Assay) antibody blood test. If the sample tests positive for HIV, the more-accurate Western blot antibody blood test or an HIV nucleic acid test (viral load or HIV DNA PCR) is performed to confirm a diagnosis. 

Chlamydia
Physical examination, including pelvic exam in young women, and thorough medical history, plus laboratory analysis of cervical secretions or urine, to detect presence of C. trachomatis.

Gonorrhea
Physical examination, including pelvic exam in young women, and thorough medical history, plus laboratory testing of cervical, vaginal or penile secretions.

Pelvic Inflammatory Disease (PID)
Physical examination, including pelvic exam in young women, and thorough medical history, plus one or more laboratory tests of cervical or vaginal secretions, ultrasound imaging exam. Severely ill patients may be hospitalized and given antibiotics intravenously.


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