Retracted genitals

The drawing into the body of the anterior yīn (i.e., the genitals) in either males or females, including retracted testicles, scrotum, and penis in males. It is most commonly due to contraction of cold in the foot reverting yīn (jué yīn) liver channel, vacuity fall of original qì due to great vomiting and diarrhea, or to yáng brightness (yáng míng) heat entering the reverting yīn (jué yīn). Cold patterns are much more common than the heat patterns.

Patterns

Cold entering the reverting yīn (jué yīn) (寒入厥阴 hán rù jué yīn) is associated with cold pain and tension in the lesser abdomen. Other signs include fear of cold and cold limbs, and, in severe cases, green-blue lips and curled tongue, heavy body and body pains, long clear voidings of urine or possibly incontinence, and clear-grain diarrhea.

Medicinal therapy: Warm and disperse the evil with Chinese Angelica Counterflow Cold Decoction (当归四逆汤 dāng guī sì nì tāng).

Acumoxatherapy: Base treatment mainly on CV and LR. Select LR-12 (Urgent Pulse, 急脉 jí mài), CV-6 (Sea of Qì, 气海 qì hǎi), CV-4 (Pass Head, 关元 guān yuán), and LR-1 (Large Pile, 大敦 dà dūn); needle with supplementation and add moxa.

yáng brightness (yáng míng) heat evil entering the reverting yīn (jué yīn) (阳明热邪陷入厥阴 yáng míng rè xié rù jué yīn) is characterized by yáng brightness (yáng míng) heat signs including constipation.

Medicinal therapy: Treat by swift precipitation with Major Qì-Coordinating Decoction (大承气汤 dà chéng qì tāng).

Acumoxatherapy: Base treatment mainly on ST, LR, and GB. Select ST-44 (Inner Court, 内庭 nèi tíng), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), LI-4 (Union Valley, 合谷 hé gǔ), LR-3 (Supreme Surge, 太冲 tài chōng), LR-2 (Moving Between, 行间 xíng jiān), and GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán); needle with drainage.

Vacuity fall of original qì (元气下陷 yuán qì xià xiàn) patterns are characterized by counterflow cold of the limbs, black facial complexion, panting, cold sweating, and, in severe cases, loss of consciousness.

Medicinal therapy: Immediate treatment should be given to return yáng and stem desertion using Counterflow Cold Decoction (四逆汤 sì nì tāng) plus ginseng (Ginseng Radix, 人参 rén shēn) and cinnamon bark (Cinnamomi Cortex, 肉桂 ròu guì).

Acumoxatherapy: Base treatment mainly on CV and GV. Select GV-26 (Water Trough, 水沟 shuǐ gōu), GV-25 (White Bone-Hole, 素髎 sù liáo), PC-6 (Inner Pass, 内关 nèi guān), GV-20 (Hundred Convergences, 百会 bǎi huì), CV-4 (Pass Head, 关元 guān yuán), and KI-1 (Gushing Spring, 湧泉 yǒng quán); needle with supplementation or direct moxa. Apply moxa on salt or ginger at CV-8 (Spirit Gate Tower, 神阙 shén què). Compare retracted scrotum retracted testicles.