Question

A patient has white-colored vaginal discharge that is clear and thin, drips without ceasing, associated with no itching of the yin area, and dull abdominal pain and soreness of the lower back. The diagnosis is?

1) Spleen and Lung vacuity
2) Liver heat
3) Spleen and Kidney vacuity
4) Damp-heat

Answer 1

The most likely diagnosis given the symptoms described, which include continuous, clear, and thin vaginal discharge, absence of itching, and lower back soreness, is Spleen and Kidney vacuity.

Step-by-step explanation:

Based on the symptoms described in the student's question, which include white-colored vaginal discharge that is clear and thin, drips without ceasing, absence of itching, and accompanied by dull abdominal pain and soreness of the lower back, the best diagnosis from the provided options is likely Spleen and Kidney vacuity. The absence of symptoms such as itching, burning, and a high pH often associated with infections suggest a less likely diagnosis of an infection such as vaginitis or a sexually transmitted infection (STI). Spleen and Kidney vacuity, a concept from traditional Chinese medicine, aligns with the symptoms of continuous leakage of vaginal discharge, lack of significant localized irritation, and systemic signs such as lower back soreness.