Scrotal Hydrocele

Wind-Dampness With Spleen Qi Deficiency

Clinical Manifestations	Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big
Treatment Principle	Promote perspiration Disseminate Lung Qi Clear Heat Move water Suppress asthma
Herb Formulas	Yue Bi Tang modified Yue Bi Jia Zhu Tang Wu Ling San
Points

Wind-Dampness With Wei Qi Deficiency

Clinical Manifestations	Sweating with aversion to Wind Heavy sensation in the body Superficial edema Urinary difficulty Knee pain Abdominal bloating Edema in lower legs Fatigue Edema in women with constitutional Deficiency T: Pale C: White or Swollen and moist P: Floating and weak, or soft and thready
Treatment Principle	Augment Qi Strengthen the Spleen Release the Exterior Promote urination Reduce edema Regulate water circulation
Herb Formulas	Fang Ji Huang Qi Tang
Points

Spleen Qi Deficiency

Clinical Manifestations	Swelling of the testicles and scrotum A dragging sensation in the lower abdomen No pain Digestive complaints Anorexia Abdominal distention Chest stuffiness Dizziness on standing Lack of strength in the extremities Fatigue T: Pale C: White Short, weak and maybe deep
Treatment Principle	Strengthen the Spleen Tonify Qi
Herb Formulas	Bu Zhong Yi Qi Tang
Points

Cold-Damp Distresses The Spleen

Clinical Manifestations	Abdominal fullness Heavy head and body Edema of the face and eyes Watery diarrhea Short, scanty urination Epigastric distention and pain Anorexia Maybe loose stools with undigested food Edema of the lower extremities Thirst Joint pain Dysuria T: Pink or Pale C: White and greasy P: Soft and thready or Relaxed
Treatment Principle	Dispels Dampness in the Spleen. Regulates flow of Qi in the Spleen and Stomach.
Herb Formulas	Wei Ling Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20

Cold Stagnation In The Liver Channel

Clinical Manifestations	Swelling and pain in scrotum as if the testicles were being pulled downward or Contractions and Cold sensations of scrotum which are alleviated by warmth Pain, distention, fullness and Cold sensation in lower abdomen Cold limbs Dislike of Cold and a preference for warmth T: Pale C: White, greasy P: Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold
Herb Formulas	Nuan Gan Jian
Points	Moxa needle LIV-1, REN-4, SP-6

Kidney Yang Deficiency

Clinical Manifestations	Swelling of the testicles and scrotum Dysuria Dizziness Shortness of breath Palpitations below the umbilicus Low back pain and weakness Cold lower extremities T: Pale C: Greasy and white P: Deep and weak
Treatment Principle	Warm Yang Resolve Dampness Disperse swelling Soften hardness
Herb Formulas	Wu Ling San modified Ju He Wan Due to Kidney and Liver Deficiency with acute pain of the lower abdomen which is worse with Cold : Nuan Gan Jian
Points

Yin Deficiency

Clinical Manifestations	Swelling and pain of the scrotum and one or both testicles Maybe urinary dysfunction Five sole Heat Night sweats Dizziness Tinnitus Lower back and knee pain and weakness T:Red C: Little or none P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Eliminate Dampness Disperse swelling
Herb Formulas	Zhu Ling Tang modified
Points

Damp-Heat Pouring Downward

Clinical Manifestations	Swelling of the scrotum and testicles Redness Inflammation Pain Painful urination T: Red C: Yellow P: Rapid and soggy
Treatment Principle	Clear Heat Resolve Dampness Disperse swelling Alleviate pain
Herb Formulas	Yin Chen Wu Ling San
Points

Cold-Damp Obstructs The Luo Channel

Clinical Manifestations	Swelling and enlargement of the testicles and scrotum on one or both sides Cold pain in the lower abdomen A heavy, dragging sensation in the lower abdomen The lower abdomen resists pressure Discomfort in the upper abdomen with warmth
Treatment Principle	Spread the Liver Warm the channels Resolve Dampness Disperse the swelling
Herb Formulas	Si Ling San With Blood Stagnation: Ling Gui Zhu Gan Tangmodified
Points