Outline of Treatment

---- Gynecology in
Chinese Medicine
Section 1

INTERNAL TREATMENT

congenital basis of life ？

1. Nourishing and Warming the Kidney 集
与分析

For optimal health it is necessary to

maintain an abundant supply of kidney
qi and to keep a balance of kidney yin
and kidney yang .
A deficiency of kidney yang , the essence
, and the blood , will cause the disorders
of the reproduction - stimulating essence
( tian gui ), the chong and ren mai .
3
1. Nourishing and Warming the Kidney 集
与分析
1.1 Warming and Supplementing
Kidney Yang
1.2 Warming and Consolidating
Kidney Qi
1.3 Warming the Kidney to Arrest
Vaginal Discharge
1.4 Warming Yang and Promoting
Urination

4
1. Nourishing and Warming the Kidney 集
与分析
1.5 Warming the Kidney to Improve
Qi Reception
1.6 nourishing kidney yin
1.7 Nourishing the Kidney and Liver
1.8 Nourishing the Kidney and
Clearing Heart Heat
5
1. Nourishing and Warming the Kidney 集
与分析
1.1 Warming and Supplementing
Kidney Yang
commonly Rhizoma
used Curculiginis,
medicines Herba Epimedii

representati Right - Restoring

ve formulas Pill ,
Kidney Qi Pill

6
1. Nourishing and Warming the Kidney 集
与分析
1.2 Warming and Consolidating
Kidney Qi
commonly Semen Cuscutae,
used Cortex
medicines Eucommiae

representati
Fetal Longevity Pill
ve formulas

7
1. Nourishing and Warming the Kidney 集
与分析
1.3 Warming the Kidney to Arrest
Vaginal Discharge
commonly Cornu Cervi
Degelatinatum,
used
Cornu Cervi
medicines Pantotrichum
representati
Deerhorn and
ve formulas Cuscuta Pill （ lu
jiao tu si wan ）

8
1. Nourishing and Warming the Kidney 集
与分析
1.4 Warming Yang and Promoting
Urination
commonly
Ramulus
used Cinnamomi
medicines
representati True Warrior
ve formulas Decoction

9
1. Nourishing and Warming the Kidney 集
与分析
1.5 Warming the Kidney to Improve
Qi Reception

commonly
Gecko, Placenta
used Hominis
medicines
representati
Galenite Elixir （ Hei
ve formulas xi dan ）

10
1. Nourishing and Warming the Kidney 集
与分析
1.6 nourishing kidney yin

commonly Radix Rehmanniae,

used Radix Rehmanniae
medicines Praeparata

representati
Left - Restoring Pills
ve formulas

11
1. Nourishing and Warming the Kidney 集
与分析
1.7 Nourishing the Kidney and Liver

commonly Fructus Corni, Fructus

used Lycii
medicines
representati Effective Integration
ve formulas Decoction

12
1. Nourishing and Warming the Kidney 集
与分析
1.8 Nourishing the Kidney and
Clearing Heart Heat
commonly Rhizoma
used Anemarrhenae
medicines
representati Coptis and Donkey –
ve formulas Hide Gelatin Decoction

13
2. Soothing and Nourishing the Liver 集与
分析

Blood is essential for women ; and the

liver is the blood organ , which related
to chong mai and ren mai and the sea of
blood .
If there is disharmony of qi and blood in
the liver channel , the chong and ren mai
will be affected.

15
2. Soothing and Nourishing the Liver 集与
分析

Blood is essential for women ; and the

liver is the blood organ , which related
to chong mai and ren mai and the sea of
blood .
If there is disharmony of qi and blood in
the liver channel , the chong and ren mai
will be affected.

16
2. Soothing and Nourishing the Liver 集与
分析

2.1 Soothing the Liver and Resolving

constraint
2.2 Soothing Liver and Clearing Heat
2.3 Clearing Liver and Draining Heat
2.4 Nourishing Blood and Softening the
Liver

17
2. Soothing and Nourishing the Liver 集与
分析
2.5 Regulating the Liver and Fortifying
the Spleen
2.6 Inhibiting the Liver and Harmonizing
the Stomach
2.7 Calming the Liver and Subduing
Yang
2.8 Tranquilizing the Liver and
Extinguishing Wind

18
2. Soothing and Nourishing the Liver 集与
分析
2.1 Soothing the Liver and Resolving
constraint
commonly Radix Bupleuri ,
used Fructus Toosendan
medicines
representati Free Wanderer
Powder , Bupleurum
ve formulas Liver - Soothing
Powder
19
2. Soothing and Nourishing the Liver 集与
分析
2.2 Soothing Liver and Clearing Heat

commonly Fructus Gardeniae

used Nigrum
medicines
representati Moutan and Gardenia
Free Wanderer Powder
ve formulas

20
2. Soothing and Nourishing the Liver 集与
分析
2.3 Clearing Liver and Draining Heat

commonly Radix et Rhizoma

used Gentianae, Radix
medicines Scutellariae

representati Gentian Liver -

Draining Decoction
ve formulas

21
2. Soothing and Nourishing the Liver 集与
分析
2.4 Nourishing Blood and Softening
the Liver
commonly
used Radix Paeoniae Alba
medicines
representati Effective Integration
Decoction
ve formulas

22
2. Soothing and Nourishing the Liver 集与
分析
2.5 Regulating the Liver and
Fortifying the Spleen
commonly
used ? Radix Codonopsis
medicines
representati Pain and Diarrhea
Formula （ tong xie
ve formulas yao fang ）

23
2. Soothing and Nourishing the Liver 集与
分析
2.6 Inhibiting the Liver and
Harmonizing the Stomach
commonly
used Pericaipium Citri
Reticulatae
medicines
representati Perilla Leaf and Coptis
Decoction （ su ye
ve formulas
huang lian tang ）

24
2. Soothing and Nourishing the Liver 集与
分析
2.7 Calming the Liver and Subduing
Yang
commonly Cornu Saigae Tataricae,
used Ramulus Uncariae Cum
Uncis
medicines
representati Antelope Horn and
Uncaria Decoction
ve formulas

25
2. Soothing and Nourishing the Liver 集与
分析
2.8 Tranquilizing the Liver and
Extinguishing Wind
commonly raw Concha Ostreae, raw
used Os Draconis
medicines
representati Liver-Calming Wind-
Extinguishing
ve formulas Decoction

26
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析

The spleen and stomach are the

acquired basis of life , the source of
production of qi, blood , and body fluid ;
and they have the function of
commanding the blood .

28
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.1 Fortifying the Spleen and Boosting
Qi
3.2 Fortifying the Spleen and Nourishing
Blood
3.3 Spplementing the Spleen to Control
Blood
3.4 Fortifying the Spleen to Eliminate
Dampness
3.5 Supplementing the Spleen to Lift
Sunken qi 29
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.6 Warming and Supplementing Spleen
Yang
3.7 Harmonizing the Stomach and
Directing Counterflow Downward
3.8 Nourishing Yin and Harmonizing the
Stomach
3.9 Clearing Heat to Harmonize the
Stomach
3.10 Warming the Center and
Harmonizing the Stomach 30
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.1 Fortifying the Spleen and Boosting Qi

commonly
used Dang shen, huang qi
medicines
representati si jun zi tang, liu jun zi
tang
ve formulas

31
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.2 Fortifying the Spleen and Nourishing Blood

commonly
used Dang gui, bai shao
medicines
representati
Gui shao liu jun zi tang
ve formulas

32
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.3 Spplementing the Spleen to Control Blood

commonly
used pao jiang
medicines
Gu ben zhi beng
representati tang(Root - Securing
ve formulas Flood - Stanching
Decoction)

33
Gu Ben Zhi Beng Tang
from Fu Qing - zhu ' s Treatise on
Gynecology ( Fu Qing Zhu NuKe ，傅
青主女科）

[ Ingredients ]
Shú di huáng, bái zhú, hu áng qí, däng,
gui ,hei jiäng ,rén shên
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.4 Fortifying the Spleen to Eliminate
Dampness
commonly
used Fu ling, cang zhu, bai zhu
medicines
Wan dai
representati tang(Discharge-Ceasing
ve formulas Decoction)

35
Wan dai tang
from Fu Qing - zhu ' s Treatise on
Gynecology ( Fu Qing Zhu NuKe ，傅
青主女科）

[ Ingredients ]
Bai zhu, shan yao, ren shen, bai shao,
cang zhu, che qian zi, gan cao, chen pi,
chai hu, jing jie sui.
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.5 Supplementing the Spleen to Lift Sunken qi

commonly
used Huang qi, sheng ma
medicines
representati bu zhong yi qi tang
ve formulas

37
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.6 Warming and Supplementing Spleen Yang

commonly
used Gan jiang, b ì b á( Fryctus
Piperia Longgi )
medicines
representati Li Zhong tang
ve formulas

38
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.7 Harmonizing the Stomach and Directing
Counterflow Downward
commonly
used Ban xia, chen pi
medicines
representati Xiang sha liu jun zi
ve formulas tang

39
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.8 Nourishing Yin and Harmonizing the
Stomach
commonly
used Shi hu, yu zhu
medicines
representati Y ù N ü Ji ä n
ve formulas

40
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.9 Clearing Heat to Harmonize the Stomach

commonly
used Zhu ru, huang lian
medicines
representati Bai hu tang
ve formulas

41
3. Fortifying the spleen and Harmonizing
the Stomach 集与分析
3.10 Warming the Center and Harmonizing the
Stomach
commonly
used Ding xiang, wu zhu yu
medicines
representati Li zhong tang
ve formulas

42
4. Supplementing Qi and Nourishing Blood
集与分析
4.1 Supplementing and Rectifying Qi

4.2 Supplementing Blood and

Nourishing Blood

4.3 supplementing qi and blood

4.4 Supplementing Qi and Yin

44
4. Supplementing Qi and Nourishing Blood
集与分析
4.1 Supplementing and Rectifying Qi

commonly
used Ren shen, dang shen
medicines
representati bu zhong yi qi tang
ve formulas

45
4. Supplementing Qi and Nourishing Blood
集与分析
4.2 Supplementing Blood and Nourishing
Blood
commonly
Dang gui, ji xue teng, e
used jiao
medicines
representati
Dang gui bu xue tang
ve formulas

46
4. Supplementing Qi and Nourishing Blood
集与分析
4.3 supplementing qi and blood

commonly
?
used
medicines
representati Ba zhen tang
ve formulas (ingredients?)

47
4. Supplementing Qi and Nourishing Blood
集与分析
4.4 Supplementing Qi and Yin

commonly
Sha shen
used
medicines
representati Sheng mai san
ve formulas (ingredients?)

48
5. Promoting Blood Circulation and
Removing Blood Stasis 集与分析

commonly Tao ren, hong hua, wu

ling zhi, pu huang, san
used leng, e zhu, dan shen, chi
medicines shao, chuan xiong

representati Shi xiao san, tao hong

si wu
ve formulas
tang(ingredients?), xue
fu zhu yu tang
49
6. Rectifying qi and removing stagnation 集
与分析

commonly
used Xiang fu, yu jin, ju he
medicines

representati Yue ju wan

(ingredients?), jin ling
ve formulas zi san

50
7. Softening Hardness and Dissipating Mass
集与分析
commonly
used Mu li, zao jiao ci, ju he
medicines
Atractylodes and
Cyperus Phlegm –
representati Abducting pill(Cang Fu
ve formulas Dao Tan wan)
(ingredients?)

51
Cang Fu Dao Tan wan
from Ye Tian - shi ' s Secret Formulas
for Gynecology

[ Ingredients ]
Fu ling, ban xia, chen pi, gan cao, cang
zhu, xiang fu, dan nan xing, zhi qiao,
sheng jiang, shen qu, chuan xiong
8. Clearing Heat and Cooling Blood 集与分
析
commonly
used Sheng di huang, dan pi,
medicines chi shao

Menstruation - Clearing
representati Powder(Qing jing san)
ve formulas (ingredients?)

53
Qing jing san
from Fu Qing - zhu ' s Treatise on
Gynecology ( Fu Qing Zhu NuKe ，傅
青主女科）

[ Ingredients ]
Mu dan pi, di gu pi, bai shao, shu di
huang, qing hao, fu ling, huang bai.
9. Warming the channels and dissipating
cold 集与分析

commonly
Ai ye, wu zhu yu, gan
used jiang
medicines

representati Channel –warming

decoction(Jin gui wen
ve formulas jing tang)
(ingredients?)
55
Jin gui wen jing tang
from Essentials from the Golden
Cabinet (Jin Gui yao lue) 金匮要略

[ Ingredients ]
Gui zhi, wu zhu yu, dang gui, shao yao,
chuan Xiong, ren shen, sheng jiang, mai
dong, ban xia, mu dan pi, e jiao, gan
cao.
10. Dispelling phlegm and removing
dampness 集与分析

Dampness is a yin pathogen which is

heavy , turbid and sticky .
When dampness accumulates , it
hinders yang qi and affects the
movement of the qi of the whole body.

57
10. Dispelling phlegm and removing
dampness 集与分析

commonly
used Cang zhu, bai zhu
medicines

representati jian gu tang(Fortifying

and Securing
ve formulas Decoction)

58
10. Dispelling phlegm and removing
dampness 集与分析
If dampness lingers a long time , it may transform into
damp - heat , causing pathological vaginal discharge
and pruritus vulvae.

commonly
used Bai jiang cao, yin chen
medicines

representati zhi dai tang(Leukorrhea -

ve formulas Stopping Decoction)

59
10. Dispelling phlegm and removing
dampness 集与分析
If the spleen fails to transform and transport , fluid accumulates and
forms phlegm, which pours down and obstructs the uterine vessels ,
leading to leukorrhea , amenorrhea, infertility and so on.

commonly
used Dan nan xing, ban xia
medicines
cang fu dao tan tang
representati (Atractylodes and
Cyperus Phlegm -
ve formulas Abducting Pill)
60
10. Dispelling phlegm and removing
dampness 集与分析
Declining kidney yang , unable to warm fluids and
clear phlegm , leads to phlegm stagnation and vaginal
discharge.

commonly
used Yin yang huo
medicines

representati zhen wu tang(true

ve formulas warrior decoction)
61
11. Resolving Toxins and Killing Worms 集
与分析
If damp - heat in the vagina is untreated , it may lead to dampness toxins
over time . When the pathogenic heat is combined with blood , it results
in toxin . If the dampness toxin persists , worms may appear in the
vagina.

commonly
used Pu gong ying, ban zhi lian
medicines

wu wei xiao du yin

representati (Five Ingredients Toxin
ve formulas - Removing Beverage)
62
12. Regulating Chong and Ren Mai 集与分
析
Chong , ren and du mai all have their
origin in the uterus and and their end
in the vagina . They are three branches
of one source , and are all controlled
by the du mai .
The chong mai is the sea of blood and
the ren mai governs the uterus .

63
12. Regulating Chong and Ren Mai 集与分
析
12.1 Nourishing Chong and Ren Mai
12.2 Fortifying and Securing the
Chong and Ren Mai
12.3 Regulating Chong and Ren Mai
12.4 Warming and Nourishing Chong
and Ren Mai
12.5 Clearing and Nourishing Chong
and Ren Mai

64
12. Regulating Chong and Ren Mai 集与分
析
12.1 Nourishing Chong and Ren Mai

commonly
used Gou ji, bu gu zhi
medicines

shou tai wan (Fetal

representati Longevity Pill)
ve formulas
65
12. Regulating Chong and Ren Mai 集与分
析
12.2 Fortifying and Securing the
Chong and Ren Mai

commonly
used Shan zhu yu, fu pen zi
medicines
bu shen gu chong wan
representati (Kidney -
Supplementing Chong
ve formulas Mai - Securing Pill )
66
12. Regulating Chong and Ren Mai 集与分
析
12.3 Regulating Chong and Ren Mai

commonly
used Xiang fu, chuan xiong
medicines
jia wei wu yao tang
representati (Supplemented Lindera
Decoction)
ve formulas
67
12. Regulating Chong and Ren Mai 集与分
析
12.4 Warming and Nourishing Chong
and Ren Mai

commonly
used Ai ye, xiao hui xiang, wu
zhu yu
medicines
ai fu nuan gong wan
representati (Mugwort and Cyperu
Palace Warming Pill)
ve formulas (ingredients?)
68
 ai fu nuan gong wan
from Shen’s Books on Respecting Life
(Shen Shi Zun Sheng Shu) 沈氏尊生书

[ Ingredients ]
Dang gui, sheng di, bai shao, chuan
Xiong, huang qi, rou gui, ai ye, wu zhu
yu, xiang fu, xu duan
12. Regulating Chong and Ren Mai 集与分
析
12.5 Clearing and Nourishing Chong
and Ren Mai

commonly
used Sheng di, Dan pi, di gu pi
medicines

Qing jing san

representati (Menstruation -
ve formulas Clearing Powder)
70
Section 2

EXTERNAL TREATMENT

Gynecological external
treatments are most commonly
used for conditions of external
genitalia
external treatment should be combined with
internal treatment to get optimal therapeutic
effect.
Special attention should be paid to the
medicinals which are to be applied directly to
the affected part .
They should be properly prepared and
sterilized before use and used only in
accordance with instructions .
External treatments should be used with
caution during menstrual periods , pregnancy
and the puerperium.
The bladder should be emptied and the
affected area cleaned and disinfected before
treatment.
 Sex and tub bathing are forbidden during
treatment , and also several days before and
after the treatment.
The main external treatment methods used in
gynecology are described below :

Fumigation and Washes

 Irrigation or Douche
 Vaginal Suppository
Intra - Uterine Injection
Enema
Hot Medicated Compress
Application Therapy
Fumigation and Washes

Fumigating - washing is a method of

dealing with the affected area to clear
heat , reduce swelling , relieve pain and
kill parasites to relieve itching . It is
indicated for itching , eczema , swelling
and sores of the pudendum.
Fumigation and Washes

[ Directions ]
Boil the medicinal herbs while wrapped
for 20-30 minutes , place the from the
decoction , then sit and soak in the
decoction to wash the external genitals
for 5-10 minutes ;
this is done twice daily , once in the
early morning , once in the evening ,
seven days being a course of treatment.
If there is ulceration , the genitals
should not be soaked in the decoction .
Irrigation or Douche

Douching is a method used to wash out the

vagina and pudendum with a medicated fluid .
It is mainly used for itching of pudendum and
abnormal vaginal discharge .
However women with an inflamed or swollen
vagina should use this method carefully .
Women who have a fever and stomachache
or vulval sores should not use irrigation .
Irrigation or Douche

[Directions]
Boil the wrapped herbs for 20-30 minutes and
transfer the decoction to an appropriate
irrigating instrument such as a douche when
the decoction is body temperature .
Wash out the vagina using one pack of herbs
a day and two irrigations daily , one in the
early morning , one in the evening , seven
days being a course of treatment .
 Vaginal Suppository

This refers to methods of putting medicine

deep into the vagina to achieve the functions
of clearing heat , relieving toxicity , killing
parasites to relieve itching , eliminating
dampness to stop leucorrhea and promoting
tissue regeneration.
It is indicated for pruritus vulvae , cervical
erosion , cervical hyperplasia and cervical
cancer .
Contraindications are the same as those for
vaginal irrigation.
 Vaginal Suppository

[Directions] Make the required amount of

medicine into suppositories , ointment , or
powder and sterilize it for external use . Put it
into the vagina after the vulva and vagina
have been cleaned .
This method can be conducted by the patient
herself .
Ointment can be put on disinfected gauze and
powder onto a cotton ball ; both should be
applied to the affected area by professionals.
Application is once a day or once every other
day ,7-10 days being a course of treatment .
 Intra - Uterine Injection

Intra - uterine injection is a method of

introducing a certain medicine into the uterus
with a specific instrument.
It is commonly indicated for adhesions or
infection causing infertility and ulceration
within the uterus .
 Intra - Uterine Injection

Directions : Inject the liquid medicine into the

uterine with a catheter according proper
procedures .
The patient should lie in bed half an hour to
one hour after the injection application is once
every 2 to 3 days ,10 times being a course of
treatment .
 Hot Medicated Compress

Hot medicated compress is a method of

ironing the affected area with hot medicated
bags to invigorate the blood and dispel
stasis , reduce swelling and relieve pain , or
warm the channels and quicken the collaterals
.
 Hot Medicated Compress

First moisten the herbs with warm water and

place in a cloth bag . Heat the bag up and
stroke the affected part with it .
Wax , mud , salt ( stir- fried hot ), sand ( stir -
fried hot ), water bags or electrical equipments
can also be used as a hot compress .
This method is indicated for pain caused by qi
stagnation due to congealing cold in
gynecology .
 Hot Medicated Compress

[Directions] : Stroke the affected area while

the medicinal pack is hot , but be careful not
to burn the skin .