Using foot massage to treat Leukorrhagia

This condition involves the disturbed discharge of leukorrhea in abnormal amounts, color, odor and nature. In traditional Chinese medicine it includes white, blue, and yellow leukorrhea.
   
Differential diagnosis: Patients with spleen deficiency may suffer from lingering discharge of white or light yellow sticky leukorrhea without foul odor, cold limbs, pale tongue with white and greasy coating, and moderate to weak pulse. Patients with kidney Yang deficiency may suffer from continuous discharge of white, profuse, thin and cold leukorrhea, severe waist pain, coldness in lower abdomen, pale tongue with thin and white coating, and deep and slow pulse. Patients with kidney Yin deficiency may suffer from discharge of red or white sticky leukorrhea without foul odor, annoyance, hotness in heart, palms and soles, red tongue with scanty coating, and thready to rapid pulse. Patients with damp-heat pathogens may suffer from discharge of profuse, yellow or yellowish white and sticky leukorrhea with foul odor, reduced discharge of dark urine, yellow and greasy tongue coating, and soft and rapid pulse. And patients with toxic heat pathogens may suffer from discharge of profuse, sticky and foul leukorrhea with a mixed color of red, white or other colors, annoyance and hotness in body, dryness in mouth, passage of dry stool, discharge of short streams of dark urine, red tongue with yellow coating, and rapid pulse.
   
Treatment:
Foot massage: The massage is applied to uterus (50), vagina (51) and kidney (22) 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 sole from toes to heel 4-6 times (Fig. 79).

Foot acupuncture:
1) Meridianal acupoints: A reducing technique without moxibustion is applied at Yinbai (SP 1) and Xingjian (LR2) to patients with dampheat pathogens and the needles are retained for 20 minutes. A balanced reinforce-reducing technique with moxibustion is applied at Yinbai to patients with cold and damp pathogens and the moxa cone is changed 3-5 times.

2) Extra acupoints: At Yingchi (EX-F 4) and Yinyang (EX-F 5) acupoints, a reducing technique without moxibustion is applied to patients with damp-heat pathogens and the needles are retained for 20 minutes. A balanced reinforce-reducing technique with moxibustion is applied to patients with cold and damp pathogens and the moxa cone is changed 3-5 times.

3) Foot acupoints: At Uterus (FA-P 16) and Dysmenorrhea 1 and 2 (FA-M 2 and 3) acupoints, a reducing technique without moxibustion is applied to patients with damp-heat pathogens, and a balanced reinforce-reducing technique with moxibustion is applied to patients with cold and damp pathogens. The needles are retained for 20 minutes and the moxa cone is changed 3-5 times.
  
External application of drugs:
1) Recipe A: Liuhuang (sulphur) 18 gm, Mudingxiang (clove fruit) 15 gin, Shexiang (musk) 3 grn, Zhusha (cinnabar) 3 gm and 2 bulbs of single bulb garlic (peeled); and Recipe B: Chuanjiao (prickly-ash peel) 50 gin, Jiucaizi (Chinese leek seed) 20 grn, Chenpi (tangerine peel) 20 gin, Rougui (cinnamon bark) 20 gin, Shechuangzi (cnidium fruit) 20 gm, single bulb garlic 300 gin, sesame oil 500 ml and Guangdan 250 gin.
The powder of herbs in Recipe A is pounded with garlic to prepare a paste. The herbs in Recipe B are fried in sesame oil until they are charred and removed, and then Guangdan is slowly added to the boiling oil until the oil is concentrated to produce a paste. The pastes are applied over the uterus (50) and vagina (51) reflecting areas on foot for the patients with cold and damp pathogens.

2) The powder of Baijiguanhua (white cockscomb, fried with vinegar), Flos Carthami (Honghua), Rhizoma Atractylodis Macrocephalae (Baizhu), Heyehui (ash of lotus leaf), Poria (Fuling), Semen Plantaginis (Cheqianzi) in same proportion is mixed with yellow wine to prepare a paste for application over kidney (22), uterus (50) and vagina (51) reflecting areas on foot and wrapped with gauze and adhesive plaster for patients with damp-heat pathogens. The powder is changed every other day.