Syndrome differentiation and treatment
Syndrome differentiation of leukorrhagia concentrates on the analysis of the quantity, color, texture and odor of leukorrhea. Profuse leukorrhea without odor is usually due to damp encumbrance caused by hypofunction of the spleen or unconsolidation resulting from kidney deficiency; yellowish or whitish and turbid leukorrhea is often caused by downward migration of damp-heat, and more damp-heat, the stronger odor; bloody leukorrhea is frequently caused by fire transformed from damp-heat or damage of collaterals by asthenia-fire; frequent occurrence of bloody leukorrhea in middle-aged or old women may suggest cancer of uterus or uterine cervix.Leukorrhagia is usually marked by mixture of asthenia and sthenia, simple asthenia syndrome is seldom seen. The treatment focuses on elimination of dampness. Exogenous dampness is treated mainly by clearing and draining therapy, while endogenous dampness is dealt with mainly by regulating the kidney, liver, spleen and stomach by means of elevaring yang, drying dampness, astringing therapy and clearing-draining method. If it is accompanied by genital pruritus, it can be treated with the combination of external therapy for clearing away heat, eliminating dampness and removing toxin.

(1) Syndrome of spleen asthenia and dampness encumbrance
Main symptoms: Whitish or light yellow, profuse,odorless and incessant leukorrhea, nausea and anorexia,spiritual lassitude, light-colored and bulgy tongue with white and greasy fur as well as slow and weak pulse.
Therapeutic methods: Strengthening the spleen and nourishing qi, elevating yang and eliminating dampness.

(2) Syndrome of kidney yin asthenia
Main symptoms: Yellowish or yellowish and reddish leukorrhea with sticky texture and without odor, burning sensation in the vagina, feverish sensation over the palms, soles and chest, aching in the loins and tinnitus, dizziness and palpitation, red tongue with scanty fur, thin and rapid pulse.
Therapeutic methods: Nourishing the kidney yin,clearing away heat and eliminating dampness.

(3) Syndrome of kidney yang asthenia
Main symptoms: Profuse. thin, or transparent and incessant leukorrhea, aching sensation in the loins, cold sensation in the abdomen, clear and profuse urine, especially in the night, light-colored tongue with thin and white fur, deep and slow pulse.
Therapeutic methods: Warming the kidney and assisting yang, astringing essence and stopping leukorrhea.

(4) Syndrome of downward migration of dampheat
Main symptoms: Profuse, or yellow, or yellowish and reddish leukorrhea like bean dregs or frothy leukorrhea with foul odor, burning sensation and pruritus in the vagina, scanty and brown urine, or accompanied by spasmodic pain in the abdomen, red tongue with yellow and greasy fur, soft and rapid pulse.
Therapeutic methods: Clearing away heat, draining dampness and stopping leukorrhea.