What is the diagnosis for a female patient with a little red, peeled tongue and vaginal discharge suggesting fatigue and low back pain?

The diagnosis of Kidney Yin Deficiency with lower jiao Dampness fits the symptoms presented by the patient. A peeled tongue that is red indicates that the body is experiencing heat, often linked to Yin deficiency, which manifests as a lack of nourishing fluids and leads to dryness and potential peeling of the tongue surface.

The presence of fatigue and low back pain suggests an underlying deficiency, as the kidneys are closely associated with both vitality and the health of the lower body. In Traditional Chinese Medicine (TCM), the kidneys house Yin and are responsible for fluid regulation. A deficiency in Yin can lead to an inability to transform and transport fluids properly, contributing to internal Dampness, especially in the lower jiao, which includes the reproductive and urinary systems.

The vaginal discharge observed could be a result of this Dampness, which tends to impair the organs' ability to regulate fluids. The complexity of symptoms—combining fatigue, low back pain, a red peeled tongue, and vaginal discharge—points toward a pattern that combines these elements of both deficiency and Dampness.

Other options may reflect certain aspects of the symptoms but do not encompass the overall pattern effectively. For instance, the idea of 'Deficient Cold' cannot fully explain the tongue characteristics or the specific symptoms presented