Right inner thigh pain

Pain in the inner side of the right thigh root is very common in daily life. It not only causes great harm to the patient's physical health, but also seriously affects their normal life and work. Therefore, it is particularly important to understand its cause and find scientific and effective treatment methods. This situation is most likely femoral pain, and special attention should be paid. Friends in need can learn more about the relevant knowledge.

1. Pain on the inner side of the right thigh root may be femoral pain

Vulvar pain refers to the symptom of pain in the inner thigh, which can be unilateral or bilateral. Due to the connection of the meridians, it can often affect the vulva.

Pupil numbness is different from pupil pain. In the former, the skin does not feel pain or itching, while in the latter, the skin feels normal. But sometimes the pain in the groin is accompanied by numbness, and the skin does not feel the pain or itching. In severe cases, the numbness may feel like pain, and it is difficult to distinguish between the two. However, if you can determine which comes first, numbness or pain, and which one is more dominant, you can treat them differently.

2. Common symptoms

Pain in the genitals caused by damp-heat: Symptoms include cutting-like and burning pain in the genitals, which often extends to the vulva, accompanied by body heat without rising, heaviness in the limbs, and puffy face. Women may have reddish-yellow vaginal discharge, and there may also be redness and swelling in the painful area or yellow fluid oozing from the vulva, often accompanied by numbness of the skin. If it is bilateral, it will form a saddle-shaped pain and numbness area, the tongue is red and enlarged, the tongue coating is yellow and greasy, the pulse is slippery and rapid, and with time, the lower limbs may become flaccid, and urination may be painful or dribbling.

Pain in the pubic region due to cold and dampness: cramping, stiffness, cold pain in the pubic region, with symptoms such as a feeling of being wrapped in the head, heavy limbs, dull complexion, puffy face, pale and cold hands and feet. Women may still have clear and thin vaginal discharge, accompanied by skin numbness. A small number of patients may develop pubic carbuncle on the inner side of the thigh, and may also affect both sides of the pubic region, with numbness and pain. Over time, swollen soles of the feet, weakness in both lower limbs, enlarged, pale or dull tongue, thick and greasy white tongue coating, and a deep, slippery and slow pulse.

Pain in the groin due to Qi deficiency and blood stasis: Usually, the patient has Qi deficiency, pale complexion, pale lips and nails, pale tongue, fear of wind and spontaneous sweating, shortness of breath and laziness to speak, mental fatigue, tingling pain in the groin, or numbness, pale skin, hair loss, or dark red and rough skin, thin and wiry pulse, and may be accompanied by urinary incontinence.

Pain in the groin due to deficiency of kidney yang: Patients often suffer from long-term pain in the groin, sore waist, weakness in feet and knees, cramping and cold pain in the groin, which may often extend to the scrotum, and sometimes enuresis or rectal prolapse. In severe cases, the lower limbs may be weak or the muscles may be emaciated, there may be tinnitus and deafness, and a weak radial pulse.

3. Identification Analysis

Pain in the groin due to damp-heat infiltration and cold-damp infiltration: the former is mostly caused by exogenous damp-heat pathogenic factors, with damp-heat accumulating in the three yin meridians of the foot, causing blockage of meridians and pain; the latter is caused by exogenous cold-damp pathogenic factors, or long-term illness leading to the decline of yang energy, and cold-dampness stagnating meridians, causing pain due to blockage. Numbness can be caused by damp heat or cold dampness blocking the meridians. Those with damp-heat infiltration will have cutting-like pain in the femoral and genital areas, which will be relieved slightly by cooling down, and women may have reddish or yellowish vaginal discharge. Those with cold-damp infiltration will have cramping-like stiffness and cold pain in the femoral and genital areas, which will be relieved by warmth, and women will have clear and thin vaginal discharge. For those with damp-heat, they have fever, red tongue, yellow and greasy coating, and slippery and rapid pulse. For those with cold-dampness, they have aversion to cold, pale and puffy tongue, thick and greasy white coating, and deep pulse. For those with damp-heat infiltration, use the methods of clearing heat, drying dampness, and activating collaterals. The prescription can use Er Miao San with added ingredients, such as coix seed, scutellaria baicalensis, Achyranthes bidentata, Polygonum multiflorum, Millettia reticulata, Salvia miltiorrhiza, Ligusticum chuanxiong, earthworm, Zexie and Poria. For those with invasion of cold and dampness, use the methods of warming the meridians, promoting dampness removal and activating the collaterals. The prescription can be Wei Ling Decoction or Chu Shi Decoction with added ingredients, and cinnamon twig, aconite root, earthworm, etc. can be added as appropriate.

Femoral pain caused by Qi deficiency and blood stasis and kidney yang deficiency: Those with Qi deficiency and blood stasis usually have qi and blood deficiency, which leads to malnutrition of meridians and sluggish blood circulation, resulting in blood stasis and blockage; those with kidney yang deficiency usually have long-term illness with decline of yang qi, which causes meridians to lose the warmth of yang qi, and become blocked by cold. For those with Qi deficiency and blood stasis, the pain is like being pricked by a needle, and there are signs of blood stasis. The skin of the femoral pubic area may be purple and rough, and there are signs of Qi deficiency (short breath, laziness to speak, low voice, fatigue, fear of wind and spontaneous sweating, pale complexion, pale tongue and weak pulse). For those with kidney yang deficiency, there is cramping and cold pain in the femoral pubic area, and the local skin color is pale. The pain is relieved by warmth and aggravated by cold, and there are signs of kidney deficiency (symptoms such as cold body and limbs, sore waist and weak legs, cold pain in waist and knees, tinnitus, spermatorrhea, and weak radial pulse). Both can cause muscle wasting or weakness over time. For those with qi deficiency and blood stasis, the method of invigorating qi, promoting blood circulation and removing blood stasis can be used, and Huangqi Guizhi Wuwu Decoction can be added with ingredients such as peach kernel, safflower, salvia miltiorrhiza, Millettia reticulata, Ligusticum chuanxiong, earthworm, etc.; while for those with kidney yang deficiency, the method of warming yang and unblocking collaterals must be used, and Jinkui Shenqi Pills can be added with ingredients such as Millettia reticulata, salvia miltiorrhiza, safflower, earthworm, etc.

The key to treating pain in the groin is to differentiate between external infection and internal injury, and between damp-heat and cold-dampness. If the pain lasts for a long time, attention should be paid to whether it is due to qi deficiency and blood stasis or kidney yang deficiency. However, clinically, the above symptoms often occur simultaneously, such as damp-heat blocking the collaterals and blood stasis; kidney yang deficiency may also be accompanied by blood stasis, so they should be carefully distinguished.