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MoonDragon's Womens Health Information
LYMPHOGRANULOMA VENEREUM
(LGV; Lymphogranuloma Inguinale)

Sexually Transmitted Disease (STD)


For Informational Use Only.
For more detailed information, contact your health care provider
about options that may be available for your specific situation.





  • Description
  • Frequent Signs & Symptoms
  • Causes
  • Risk Factors
  • Preventive Measures
  • Prognosis - Expected Outcome
  • Potential Complications
  • Medical Diagnosis
  • Conventional Medical Treatment
  • Medication
  • Activity Recommendations & Restrictions
  • Diet & Nutrition
  • Herbal Recommendations
  • Supplement Recommendations
  • Notify Your Health Care Provider
  • Venereal Disease Supplement Products




  • DESCRIPTION

    Lymphogranuloma Venereum is also known as LGV, Lymphogranuloma Inguinale, lymphopathia venerea, tropical bubo, climatic bubo, strumous bubo, poradenitis inguinales and Durand-Nicolas-Favre disease. LGV is a contagious venereal disease that involves the genitals and lymph glands and is caused by the invasive serovars L1, L2, or L3 of Chlamydia trachomatis. This disease is found mostly in tropical and subtropical areas. It is considered rare in North America.

    LGV was first described by Wallace in 1833 and again by Durand, Nicolas, and Favre in 1913. LGV is primarily an infection of lymphatics and lymph nodes. Chlamydia trachomatis is the bacteria responsible for LGV. It gains entrance through breaks in the skin, or it can cross the epithelial cell layer of mucous membranes. The organism travels from the site of inoculation down the lymphatic channels to multiply within mononuclear phagocytes of the lymph nodes it passes. In the United States, Europe, Australia and most of Asia and South America LGV is generally considered to be a rare disease. However, a recent outbreak in the Netherlands among gay men has led to an increase of LGV in Europe and the United States. A majority of these patients are HIV co-infected. Since the 2004 Dutch outbreak 341 cases have been reported in the UK and 80 cases in the US, but infectious-disease experts fear the actual number is substantially larger because this form of chlamydia is difficult to diagnose and many health care providers are not aware of its existence.

    Soon after the initial Dutch report national and international health authorities launched warning initiatives and multiple LGV cases where identified in several more European countries (Belgium, France, the UK, Germany, Sweden, Italy and Switzerland) and the US and Canada. All cases reported in Amsterdam and France and a considerable part of LGV infections in the UK and Germany are caused by a newly discovered Chlamydia variant L2b, a.k.a the Amsterdam variant. The L2b variant could be traced back and was isolated from anal swabs of MSM who visited the STI city clinic of San Francisco in 1981. This finding suggests that the recent LGV outbreak among MSM in industrialized countries is a slowly evolving epidemic. As of end 2005, new LGV cases are continued to be reported in the Netherlands and other European countries at rates approaching one or two cases per week in each country.

    MoonDragon's Womens Health Information: Chlamydia





    LGV Symptoms


    FREQUENT SIGNS & SYMPTOMS

  • The following begin 1 to 4 weeks after exposure and progress in order:
    • A painless blister on the genitals which ulcerates (becomes an open and runny sore) and then heals quickly.
    • Enlarged lymph glands in the groin that form large, red, tender masses.
    • Multiple areas of deep infection that discharge thick pus and blood-stained material.
  • Other symptoms include:
    • Fever.
    • Muscle aches and pain, including backache.
    • Headaches.
    • Joint pain.
    • Appetite loss.
    • Vomiting.
    LGV


    The clinical manifestation of LGV depends on the site of entry of the infectious organism (the sex contact site) and the stage of disease progression. Inoculation at the mucous lining of external sex organs (penis and vagina) can lead to the inguinal syndrome named after the formation of buboes or abscesses in the groin (inguinal) region where draining lymph nodes are located. The rectal syndrome arises if the infection takes place via the rectal mucosa (through anal sex) and is mainly characterized by proctocolitis symptoms. The pharyngeal syndrome is rare, starts after infection of pharyngeal tissue and bubo's in the neck region can occur.

    PRIMARY STAGE

    LGV may begin as a self-limited painless genital ulcer that occurs at the contact site 3 to 12 days or longer in this primary stage. Rarely do women notice a primary infection, because the initial ulceration where the organism penetrates the mucosal layer are located out of sight in the vaginal wall. Also in men fewer than 1/3 of those infected notice the first signs of LGV. This primary stage heals in a few days. Erythema nodosum occurs in 10 percent of cases.

    LGV Symptoms


    SECONDARY STAGE

    The secondary stage occurs from 10 to 30 days later most often, but has occurred up to 6 months later. The infection is then spread to the lymph nodes through lymphatic drainage pathways. The most frequent presenting clinical manifestation of LGV among males whose primary exposure was genital is unilateral, in 2/3 of cases, lymphadenitis and lymphangitis, often tender inguinal and/or femoral lymphadenopathy because of the drainage pathway for their likely infected areas. Lymphangitis of the dorsal penis may also occur and resembles string or cord. If the route was anal sex the infected person may experience lymphadenitis and lymphangitis noted above or may have proctitis, inflammation limited to the rectum (the distal 10 to 12 cm) that may be associated with anorectal pain, tenesmus, or rectal discharge, or proctocolitis, inflammation of the colonic mucosa extending to 12 cm above the anus and is associated with symptoms of proctitis plus diarrhea or abdominal cramps and or inflammatory involvement of perirectal or perianal lymphatic tissues. In females cervicitis, perimetritis, or salpingitis may occur as well as the lymphangitis and lymphadenitis in deeper nodes. Because of lymphatic drainage pathways, some end up with an abdominal mass which seldom suppurates and only 20 to 30 percent end up with inguinal lymphadenopathy. Systemic signs: fever, decreased appetite, and malaise, may occur as well. Diagnosis is more difficult in women and homosexual men who may not have the inguinal ymptoms.

    Over the course of the disease, lymph nodes enlarge, enlarged nodes are called buboes, and become painful at first (which may occur in any infection of the same areas as well). The next most common thing is inflammation, thinning and fixation of the overlying skin. Lastly in the progression are necrosis, fluctuant and suppurative lymph nodes, abscesses, fistulas, strictures, and sinus tracts all may occur. During the infection and when it subsides and healing takes place, fibrosis may occur. This can result in varying degrees of lymphatic obstruction, chronic edema, and strictures. These late stages characterized by fibrosis and edema are also known as the third stage of LGV and are mainly permanent.





    CAUSES

    LGV is a contagious venereal disease that involves the genitals and lymph glands and is caused by the invasive serovars L1, L2, or L3 of Chlamydia trachomatis. The bacterium Chlamydia, which is transmitted by sexual activity has an incubation period of about 3 to 12 days.




    RISK INCREASES WITH

  • Travel to a country with a tropical or subtropical climate or where an outbreak of LGV is occurring.
  • Anal sexual intercourse.
  • Unprotected sexual activity with new partners.





  • PREVENTIVE MEASURES

  • Use condoms during sexual intercourse with new partners. See Condoms & STDs for more information.
  • Do not engage in sexual activity with an infected person.
  • Limit your number of sex partners.
  • Carefully wash genitals after sexual relations.

  • If you think you are infected or have been exposed to LGV, avoid any sexual contact and visit your health care provider. Notify all sexual contacts immediately so they can obtain examination and treatment.





    PROGNOSIS - EXPECTED OUTCOME

    Outcome is highly variable. Spontaneous remission is common. Usually curable in 6 months if treatment is successful. If not, the disorder is incurable, although it does not reduce life expectancy. Complete cure can be obtained with proper antibiotic treatment. Course is more favorable with early treatment. Bacterial superinfections may complicate course. Death can occur from bowel obstruction or perforation. Follicular conjunctivitis due to autoinoculation of infectious discharge.




    POTENTIAL COMPLICATIONS

  • Chronic infection.

  • Interference with bowel and bladder function.

  • LONG-TERM COMPLICATIONS

  • Genital elephantiasis or esthiomene, which is the dramatic end-result of lymphatic obstruction, which may occur because of the strictures themselves, or fistulas. This is usually seen in females, may ulcerate and often occurs 1 to 20 years after primary infection.

  • Fistulas of, but not limited to, the penis, urethra, vagina, uterus, or rectum.
  • Surrounding edema often occurs.
  • Rectal or other strictures and scarring.
  • Systemic spread may occur, possible results are arthritis, pneumonitis, hepatitis, or perihepatitis.





  • LGV Microscopic View


    MEDICAL DIAGNOSIS

    Diagnostic tests may include laboratory studies, such as a blood test to rule out syphilis; a culture of the discharge from the lesions and antibody tests for the Chlamydia organism.

    The diagnosis usually is made serologically (through complement fixation) and by exclusion of other causes of inguinal lymphadenopathy or genital ulcers. Serologic testing has a sensitivity of 80 percent after 2 weeks. Serologic testing may not be specific for serotype (has some cross reactivity with other chlamydia species) and can suggest LGV from other forms because of their difference in dilution, 1:64 more likely to be LGV and lower than 1:16 is likely to be other chlamydia forms.

    For identification of serotypes, culture is often used. Culture is difficult. Requiring a special media, cycloheximide-treated McCoy or HeLa cells, and yields are still only 30 to 50 percent.

    DFA, or direct fluorescent antibody test, PCR of likely infected areas and pus, are also sometimes used. DFA test for the L-type serovar of C trachomatis is the most sensitive and specific test, but is not readily available. If polymerase chain reaction (PCR) tests on infected material are positive, subsequent restriction endonuclease pattern analysis of the amplified outer membrane protein A gene can be done to determine the genotype. Recently a fast realtime PCR (Taqman analysis) has been developed to diagnose LGV. With this method an accurate diagnosis is feasible within a day. It has been noted that one type of testing may not be thorough enough.

    LGV lesions


    As with all STD's, sex partners of patients who have LGV should be examined and tested for urethral or cervical chlamydial infection. After a positive culture for chlamydia, clinical suspicion should be confirmed with testing to distinguish serotype. Antibiotic treatment should be started if they had sexual contact with the patient during the 30 days preceding onset of symptoms in the patient. Patients with a sexually transmitted disease need to be tested for other STD's. Antibiotics are not without risks and prophylaxtic broad antibiotic coverage is not recommended.





    CONVENTIONAL MEDICAL TREATMENT



  • Treatment involves antibiotics. Common antibiotic treatments include:
    • Tetracycline.
    • Doxycycline (all tetracyclines, including doxycycline, are contraindicated during pregnancy and in children due to effects on bone development and tooth discoloration).
    • Sulfamethoxazole.
    • Erythromycin.
  • Heat applied to affected area may help discomfort.


  • Surgery to drain affected lymph glands (buboes) or remove an abscess (a collection of pus as a result of an infection) by needle aspiration or incision. Further supportive measure may need to be taken: dilatation of the rectal stricture, repair of rectovaginal fistulae, or colostomy for rectal obstruction. Fistulas are an abnormal passage between two organs or from an internal organ to the body surface.

  • Your sexual contacts should be examined also. Treatment will be necessary for all sexual partners that have been infected with LGV.



  • CDC 2002 TREATMENT GUIDELINES
    Lymphogranuloma Venereum


    Lymphogranuloma venereum (LGV) is caused by C. trachomatis serovars L1, L2, or L3. The disease occurs rarely in the United States. The most common clinical manifestation of LGV among heterosexuals is tender inguinal and/or femoral lymphadenopathy that is most commonly unilateral. Women and homosexually active men may have proctocolitis or inflammatory involvement of perirectal or perianal lymphatic tissues resulting in fistulas and strictures. A self-limited genital ulcer sometimes occurs at the site of inoculation. However, by the time patients seek care, the ulcer usually has disappeared. The diagnosis of LGV is usually made serologically and by exclusion of other causes of inguinal lymphadenopathy or genital ulcers. Complement fixation titers =1:64 are consistent with the diagnosis of LGV. The diagnostic utility of serologic methods other than complement fixation is unknown.

    TREATMENT: Treatment cures infection and prevents ongoing tissue damage, although tissue reaction can result in scarring. Buboes may require aspiration through intact skin or incision and drainage to prevent the formation of inguinal/femoral ulcerations. Doxycycline is the preferred treatment.

    RECOMMENDED REGIMEN: Doxycycline 100 mg orally twice a day for 21 days.

    ALTERNATIVE REGIMEN: Erythromycin base 500 mg orally four times a day for 21 days.

    Some STD specialists believe azithromycin 1.0 g orally once weekly for 3 weeks is likely effective, although clinical data are lacking.

    FOLLOW-UP: Patients should be followed clinically until signs and symptoms have resolved.

    MANAGEMENT OF SEX PARTNERS: Persons who have had sexual contact with a patient who has LGV within the 30 days before onset of the patient's symptoms should be examined, tested for urethral or cervical chlamydial infection, and treated.

    SPECIAL CONSIDERATIONS

    Pregnancy: Pregnant and lactating women should be treated with erythromycin. Azithromycin may prove useful for treatment of LGV in pregnancy, but no published data are available regarding its safety and efficacy. Doxycycline is contraindicated in pregnant women.

    HIV Infection: Persons with both LGV and HIV infection should receive the same regimens as those who are HIV-negative. Prolonged therapy may be required, and delay in resolution of symptoms may occur.


    http://www.cdc.gov/std/treatment/2-2002TG.htm#LymphogranulomaVenereum





    MEDICATION

  • Antibiotics to fight infection are taken for 21 days or as prescribed by your health care provider.
  • You may use non-prescription drugs, such as acetaminophen for minor pain.
  • Stronger pain relievers may be prescribed.





  • ACTIVITY RECOMMENDATIONS & RESTRICTIONS

  • After treatment, resume normal activity as soon as symptoms improve.
  • Do not resume sexual relations until completely healed.
  • The use of safe sex practices, such as the use of condoms, will help prevent re-infection.





  • DIET & NUTRITION

    No specific special diet. However, it is important to maintain a health dietary lifestyle to support your immune system and help in the healing process. Nutritional supplements may need to be taken to enhance your daily diet.

    DIETARY SUGGESTIONS & RECOMMENDATIONS

  • Eat a diet consisting mainly of fresh vegetables and fruits, plus brown rice, raw seeds and nuts, turkey, white fish, and whole grains.

  • Avoid highly processed, fried, and junk foods, as well as chicken. Approximately one third of all chickens sold in this country contain pathogenic bacteria such as salmonella. Turkey is acceptable; such bacteria are not found in turkey.

  • Drink only steam-distilled or quality bottled water, sugar-free juices, and herbal teas.

  • Take Acidophilus (or eat fresh homemade yogurt with active cultures) to replenish the "friendly" bacteria destroyed by antibiotics.

  • MoonDragon's Nutrition Information - Recipes: Homemade Yogurt





    HERBAL RECOMMENDATIONS

  • Andiroba (Crabwood) & Copaiba (Copal): Apply oil to irritated area as needed. Relieves vaginal and rectal inflammation.

  • Arjuna: Take 500 mg capsules every 8 hours. Contains luteolin, which kills gonorrhea and chlamydia bacteria.

  • Astragalus: Use herbal extract tincture as directed on label. Helps to protect the immune system. and aids in healing. Astragalus root is used to stimulate the immune system and astragalus root improves adrenal gland function and digestion. Astragalus root is considered to have a normalizing effect on the body's functions. Astragalus is an important herb in Chinese medicine and is commonly included in Chinese cuisine. Early Chinese writings refer to Astragalus as The Superior Tonic. Astragalus contains polysaccharides, flavonoid, saponins, choline, betaine, folic acid, amino acids, vitamins, and 14 minerals: selenium, zinc, iron, etc. As an adaptogen, it helps the body regain balance and is the most popular herb in Chinese medicine for its tonifying, diuretic, cardiotonic, vasodilating and other useful qualities, to help maintain normal functions of the liver, lung, kidney, stomach and heart, to boost energy, defer aging, detoxify, etc., to bolster white blood cells growth, support the immune systems, and to promote the effect of other herbs, and help reduce side effect of chemotherapy and radiation.

  • Barberry, Coptis, Goldenseal or Oregon Grape Root: Take 15 to 30 drops herbal extract tincture in 1/4 cup water 3 times daily. Contains berberine, which kills gonorrhea and chlamydia bacteria. Do not use barberry, coptis, goldenseal or Oregon grape root if you are pregnant or have gallbladder disease. Do not take these herbs with supplemental Vitamin B-6 or with protein supplements containing the amino acid histidine. Do not take goldenseal on a daily basis for more than one week at a time, and avoid use during pregnancy. Use it only under a health care provider's supervision. Do not use goldenseal if you have cardiovascular disease or glaucoma.

  • Horny Goat Weed (Epimedium): Take tablets or extract as directed on the label or by dispensing herbalist. Use after suspected exposure. Antibacterial. Stimulates urination to keep bacteria from attaching to lining of urethra. Do not use epimedium if you have any kind of prostate disorder.

  • Scutellaria (Skullcap): Take 1,000 to 2,000 mg capsules 3 times daily. May act against antibiotic-resistant strains of gonorrhea and chlamydia. Do not use scutellaria if you have diarrhea.

  • Echinacea, Pau d'arco and Red Clover aid in healing. Take in capsule, tincture or extract form or drink as tea. Take as directed on label.

  • TRADITIONAL CHINESE MEDICINE (TCM) FORMULAS

  • Dong Quai, Gentiana Longdancao, and Aloe Pill: A traditional Chinese herbal formula that treats gonorrhea and chlamydia with accompanying herpes infection. Do not use these herbs if you are trying to become pregnant.

  • Eight-Ingredient Pill with Rehmannia (Rehmannia-Eight Combination): A traditional Chinese herbal formula that increases urination, effectively flushing bacteria out of the genitourinary tract before they can cause damage. Use after suspected exposure.

  • Peony and Licorice Decoction: A traditional Chinese herbal formula that treats gonorrhea and chlamydia complicated by cramping and abdominal pain or pain around the anus. Do not use Peony and Licorice Decoction if you have an estrogen-sensitive disease, such as breast cancer, endometriosis, or fibrocystic breasts.



  • RECOMMENDED HERBAL PRODUCTS


  • Andiroba Herbal Products
  • Arjuna Herbal Products
  • Astragalus Herbal Products
  • Barberry Herbal Products
  • Copaiba Herbal Products
  • Coptis Herbal Products
  • Echinacea Herbal Products
  • Garlic Herbal Products
  • Goldenseal Herbal Products
  • Horny Goat Weed Herbal Products
  • Kelp Herbal Products
  • Oregon Grape Herbal Products
  • Pau D'Arco Herbal Products
  • Red Clover Herbal Products
  • Skullcap Herbal Products
  • TCM Herbal Formula Products





  • NUTRITIONAL SUPPLEMENTS

    The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.

    NUTRIENTS
    Supplement
    Suggested Dosage
    Comments
    Very Important
    Acidophilus
    As directed on label. Take on an empty stomach. Restores normal bacterial balance and to replenish "friendly" bacteria in the colon. Use non-dairy formula. Kyo-Dophilus is recommended.

  • Acidophilus Supplement Products
  • Bifidus Supplement Products
  • Kyo-Dophilus Supplement Products
  • Bifa-15 Probiotic
    As directed on label. A natural intestinal bacteria supplement that aids in the production of folic acid, enzymes, and B vitamins.

  • Acidophilus Supplement Products
  • Bifa-15 Probiotic Supplement Products
  • Bifidus & Bifido Factor Supplement Products
  • Kyo-Dophilus Supplement Products
  • Primadophilus Supplement Products
  • Pro-Flora Probiotic Supplement Products
  • Bifidus
    Use as a vaginal douche as directed on label. Replaces normal vaginal and bowel flora. Restores normal vaginal bacterial balance, fights candida infection.

  • Acidophilus Supplement Products
  • Bifa-15 Probiotic Supplement Products
  • Bifidus & Bifido Factor Supplement Products
  • Kyo-Dophilus Supplement Products
  • Primadophilus Supplement Products
  • Pro-Flora Probiotic Supplement Products
  • Pro-Flora Probiotic
    As directed on label. Essential for maintaining the proper pH of the colon flora. Helps prevent constipation and prevents infection.

  • Acidophilus Supplement Products
  • Bifa-15 Probiotic Supplement Products
  • Bifidus & Bifido Factor Supplement Products
  • Kyo-Dophilus Supplement Products
  • Primadophilus Supplement Products
  • Pro-Flora Probiotic Supplement Products
  • Kyo-Dophilus
    As directed on label. Take on an empty stomach. Restores normal vaginal bacterial balance, fights candida infection. Use a non-dairy formula.

  • Kyo-Dophillus Supplement Products
  • Garlic (Kyolic)
    2 capsules 3 times daily, with meals. Use Kyolic vaginal suppositories as directed on label. 2 to 3 cloves fresh garlic 3 times daily can be substituted for Kyolic garlic. Fights and inhibits the infecting organisms. Acts as a natural antibiotic, stimulates the immune system and aids in healing.

  • Garlic & Kyolic Garlic Herbal Products
  • Vitamin B-Complex
    50 to 100 mg 3 times daily, with meals (amounts of individual vitamins in a complex will vary). Needed for proper functioning of the liver and gastrointestinal tract. B vitamins are required for all bodily functions, resistance to infection, and all enzyme systems. Important for brain function.

  • Vitamin B-Complex Supplement Products
  • Vitamin C
    1,500 mg 4 times daily. Immunostimulant that aids healing. Use a buffered form.

  • Vitamin C Supplement Products
  • Vitamin E
    200 to 600 IU daily. Can also be used directly on the inflamed site; cut open a capsule and apply. Needed to protect red blood cells. Immune enhancer. Use d-alpha-tocopherol form.

  • Vitamin E Supplement Products
  • Helpful
    Coenzyme Q-10
    60 mg daily. Aids in healing and is a powerful antioxidant and immune stimulant.

  • Coenzyme Q10 Supplement Products
  • Coenzyme A
    As directed on label. Works with coenzyme Q-10 and aids in detoxification by removing toxins from the body.

  • Coenzyme A Supplement Products
  • Dioxychlor
    Bio-Chlor-Dox
    5 drops in water twice daily. An important antiviral, antibacterial, and antifungal agent. A stabilized oxygen product that destroys microorganizm while preserving the good bacteria. Helps to prevent yeast infections as an antifungal agent that destroys the candida organism. Use this product if infections are recurrent.

  • Dioxychlor/Bio-Chlor-Dox Supplement Products
  • Kelp
    2,000 to 3,000 mg daily. A rich source of minerals.

  • Kelp Herbal Products
  • MultiVitamin & MultiMineral Complex
    As directed on label. All nutrients are needed for healing of all bodily tissues. Use a high potency formula.

  • Alive Multinutrient Supplement Products
  • Multimineral Supplement Products
  • Multivitamin Supplement Products
  • Plus
    Carotene Complex
    With
    Natural Beta-Carotene
    Carotenoid Complex: As directed on label.

    Beta Carotene: 15,000 IU daily.
    Needed for proper immune function and healing of all bodily tissues. Build resistance to infection.

  • Beta Carotene Supplement Products
  • Carotene Complex Supplement Products
  • Zinc
    50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Important for immune function and healing. Use zinc gluconate lozenges or OptiZinc for best absorption.

  • Zinc Supplement Products
  • Plus
    Copper
    3 mg daily. Needed to balance with zinc.

  • Copper Supplement Products





  • NOTIFY YOUR HEALTH CARE PROVIDER

  • If you or a family member has symptoms of lymphogranuloma venereum.
  • If you feel you have been exposed to LGV and need testing to confirm the infection.
  • The following occur during treatment:
    • Temperature rises to 101°F (38°C) or higher.
    • Pain cannot be relieved with simple pain medicine.
  • New, unexplained symptoms develop. Drugs used during treatment may produce side effects.

  • MoonDragon's Womens Health Information: Chlamydia
    MoonDragon's Womens Health Information: Sexually Transmitted Diseases (STDs)





    QUALITY PRODUCTS & SUPPLEMENTS



    GENERAL VENEREAL DISEASE SUPPLEMENTAL PRODUCTS


    Supplements and products should be used in addition to conventional medical treatment to help strengthen the immune system and should not replace conventional medical therapy.

  • Acidophilus Supplement Products
  • AHCC Supplements Products
  • Alive Multinutrient Supplement Products
  • Aloe Vera Herbal Products
  • Andiroba Herbal Products
  • Antibiotic Supplement Products
  • Arjuna Herbal Products
  • Astragalus Herbal Products
  • Barberry Herbal Products
  • Beta Carotene Products
  • Bifa-15 Probiotic Products
  • Bifidus Supplement Products
  • Bioflavonoids Supplement Products
  • Bitter Melon Herbal Products
  • Blackseed Herbal Products
  • Calendula Herbal Products
  • Carotene Complex Products
  • Cat's Claw Herbal Products
  • Coenzyme A Supplement Products
  • Colloidal Silver Supplement Products
  • Copaiba Herbal Products
  • Copper Supplement Products
  • Coptis Herbal Products
  • Coenzyme Q10 Supplement Products
  • Curcumin (Turmeric) Herbal Products
  • Dioxychlor/Bio-Chlor-Dox Products
  • Dong Quai Herbal Products

  • Echinacea Herbal Products
  • Garlic Herbal Products
  • Gentiana Herbal Products
  • Goldenseal Herbal Products
  • Horny Goat Weed Herbal Products
  • Hydrangea Herbal Products
  • Kelp Herbal Products
  • Kyo-Dophilus Supplement Products
  • Licorice Herbal Products
  • Multimineral Supplement Products
  • Multivitamin Supplement Products
  • Myrrh Herbal Products
  • Oregon Grape Herbal Products
  • Pau D'Arco Herbal Products
  • Peony Herbal Products
  • Primadophilus Supplement Products
  • Pro-Flora Probiotic Products
  • Red Clover Herbal Products
  • Rehmannia Herbal Products
  • Silver Biotics Supplement Products
  • Skullcap Herbal Products
  • TCM Formula Supplement Products
  • Vitamin B-Complex Products
  • Vitamin C Supplement Products
  • Vitamin D Supplement Products
  • Vitamin E Supplement Products
  • Zinc Supplement Products



  • TCM FORMULA: DONG QUAI, GENTIAN & ALOE PRODUCTS

  • Dong Quai, Gentiana Long Dan Cao, and Aloe Pill: A traditional Chinese herbal formula that treats gonorrhea and chlamydia with accompanying herpes infection. Do not use these herbs if you are trying to become pregnant. Unable to find specific formula with these ingredients.

  • CHINESE HERBS DIRECT PRODUCTS

    Chinese Herbs Direct: Aloe Vera Resin (Lu Hui) Whole Herb, 500 Grams
    Aloe Vera Leaf drains fire and reduces accumulation, kills parasites and strengthens digestion.

    Chinese Herbs Direct: Advanced Formula Menopause Support, Chinese Herbs Direct, 90 Caps
    Chinese Herbs Direct's Advanced Formula Menopause Support is specially formulated to naturally ease menopausal symptoms without harmful side effects. Our unique menopausal support product contains optimal potencies of key ingredients that have been shown to support normal hormonal levels during menopause. This synergistic blend includes standardized herbal extracts traditionally used in China (such as Dong Quai, Ginger, Licorice and Ginkgo), combined with Native American and other Western nutrients (such as Black Cohosh, Red Clover and Wild Yam) to form a well-balanced and effective product for women.

    Chinese Herbs Direct: Gentiana (Long Dan Cao; Scabra Root) Herbal Powder, 500 Grams
    Chinese Gentian Root eliminates heat and damp from the Liver and Gallbladder channels. Sedates Liver Fire.

    AMAZON PRODUCTS

    Amazon: Dong Quai Tea Products

    Amazon: Gentianai Tea Products

    Amazon: Aloe Tea Products

    TCM FORMULA: PEONY & LICORICE FORMULA PRODUCTS

  • Peony and Licorice Decoction: A traditional Chinese herbal formula that treats gonorrhea and chlamydia complicated by cramping and abdominal pain or pain around the anus. Do not use Peony and Licorice Decoction if you have an estrogen-sensitive disease, such as breast cancer, endometriosis, or fibrocystic breasts.

  • CHINESE HERBS DIRECT PRODUCTS

    Chinese Herbs Direct: Peony & Licorice Teapills (Shao Yao Gan Cao Wan), Plum Flower Herbs, 200 Count
    Ingredients include paeonia lactiflora root, Glycyrrhiza uralensis root-prep, activated carbon, botanical wax, talcum. - Bai shao, Zhi gan cao. Softens the liver, nourishes the sinews, calms spasms. Contraindicated during the early stages of acute illness such as colds and flu, or during an acute infection.

    AMAZON PRODUCTS

    Amazon: Peony Licorice Decoction TCM Products


    Amazon: Peony & Licorice Decoction Extract Powder Tea (Shao Yao Gan Cao Tang), Hanzung Pharmceutical, 180 Grams
    All natural TCM herbal formula in an easy to make herbal tea. Well soluble in hot water. Number one pain control choice by acupuncturists. Relieves backache, back sprain, and tension headaches, muscle spasms, pulled muscles, tight muscles and leg cramps.



    Amazon: Peonia Licorice Abdominal Formula Dietary Supplement (Shao Yao Gan Cao Tang), HerbalDr, 500 mg, 100 Caps
    All natural TCM herbal formula Number one pain control choice by acupuncturists. Relieves backache, back sprain, and tension headaches, muscle spasms, pulled muscles, tight muscles and leg cramps.


    TCM FORMULA: REHMANNIA-EIGHT COMBINATION PRODUCTS

  • Eight-Ingredient Pill with Rehmannia (Rehmannia-Eight Combination): A traditional Chinese herbal formula that increases urination, effectively flushing bacteria out of the genitourinary tract before they can cause damage. Use after suspected exposure.


  • CHINESE HERBS DIRECT PRODUCTS

    Chinese Herbs Direct: Rehmannia Vitalizer, Planetary Herbals, 150 Tabs
    Planetary Herbals Rehmannia Vitalizer is based on the classic Chinese tonifier Rehmannia Eight (Ba Wei Di Huang Wan), one of the most strengthening tonics of Chinese herbalism. Traditionally it was used to build warmth and vitality. Take 2 tablets twice daily between meals. Proprietary Blend: Desert Broomrape Aerial Parts, Rehmannia Root, Psoralea Fruit, Tree Peony Root Bark, Chinese Yam Rhizome, Dong Quai Root, Poria Sclerotium, Schisandra Fruit, Asian Water Plantain Rhizome, Saw Palmetto Berry, Cassia Bark, Morinda Root Extract (10:1), Chinese Dodder Seed Extract (8:1), Asian Ginseng Root Extract (3:1), Epimedium Aerial Parts Extract (10% flavonoids as icariin), Asiatic Dogwood Fruit Extract (5:1) and Lycium Fruit Extract (4:1) - 1.5 g. Calcium - 50 mg. Sodium - 5 mg.

    AMAZON PRODUCTS

    Amazon: Rehmannia Eight Combination TCM Products


    Amazon: Rehmannia Eight (Ba Wei Di Huang Wan), Kan Traditionals, 500 mg, 60 Tabs



    Amazon: Rehmannia Eight Formula (Ba Wei Di Huang Wan), Concentrated Granules, Sun Ten, 100 Grams



    Amazon: Rehmannia Eight Combination (Ba Wei Di Huang Wan), Kan Essentials Herbs, 550 mg, 120 Tabs


    Amazon: Rehmannia Eight Combination (Ba Wei Di Huang Wan), Kan Essentials Herbs, 500 mg, 60 Tabs



    Amazon: Rehmannia Eight Combination Liquid Extract )Ba Wei Di Huang Wan), Kan Essentials Herb, 1 fl. oz. (1)

    Amazon: Rehmannia Eight Combination Liquid Extract )Ba Wei Di Huang Wan), Kan Herbs Traditionals, 1 fl. oz. (2)

    Amazon: Rehmannia Eight Combination Liquid Extract )Ba Wei Di Huang Wan), Kan Herbs Traditionals, 1 fl. oz. (3)


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