Scrotal welling-abscess

Also kidney sac welling-abscess. A large suppurative swelling of the scrotum. A scrotal welling-abscess starts with painful swelling of the scrotum with heat and redness. In severe cases, the skin is fully stretched so that it becomes smooth and shiny, and the scrotum becomes heavy and sags. With time, it begins to suppurate. A scrotal welling-abscess is accompanied by heat effusion and aversion to cold, dry mouth with desire for cold fluids, and rough voidings of reddish urine. It is attributed to liver and kidney channel damp-heat pouring downward or to invasion of external dampness.

Medicinal therapy: Clear heat and disinhibit dampness with Gentian Liver-Draining Decoction (龙胆泻肝汤 lóng dǎn xiè gān tāng). When pus forms, the same formula can be used with the addition of pangolin scales (Manitis Squama, 穿山甲 chuān shān jiǎ) and gleditsia thorn (Gleditsiae Spina, 皂角刺 zào jiǎo cì), although lancing may be necessary. The condition is distinguished from welling-abscess of the testicle by the absence of swelling of the testicles.