Welling-abscess of the testicle

A welling-abscess (yōng) growing on the testicle. Two patterns are observed:

Patterns

Damp-heat pouring downward (湿热下注 shī rè xià zhù) and causing causing qì and blood to congeal and stagnate gives rise to welling-abscess of the testicle characterized by sudden swelling and heat in one side of the scrotum, shiny stretched skin of the scrotum, and acute pain and hard swelling of the testicle. After bursting and discharging thick yellow pus, it heals rapidly.

Biomedical correspondence: Suppurative orchitis.

Medicinal therapy: Clear heat and disinhibit dampness. Use Gentian Liver-Draining Decoction (龙胆泻肝汤 lóng dǎn xiè gān tāng) plus tangerine pip (Citri Reticulatae Semen, 橘核 jú hé), litchee pit (Litchi Semen, 荔枝核 lì zhī hé), and toosendan (Toosendan Fructus, 川楝子 chuān liàn zǐ). Topical: Golden Yellow Paste (金黄膏 jīn huáng gāo).

Yīn vacuity and congealing phlegm-damp (痰湿凝滞 tán shī níng zhì) gives rise to a welling-abscess of the testicle characterized by gradual swelling and hardening of the testicle, with mild pain, absence of heat and redness. It takes takes several months (or even up to two years) to begin suppurating, and after bursting, it discharges thin pus, and heals with difficulty.

Biomedical correspondence: tuberculosis of the testis.

Medicinal therapy: Enrich yīn and eliminate dampness; transform stasis and free the network vessels. Use Yīn-Enriching Dampness-Eliminating Decoction (滋阴除湿汤 zī yī chú shī tāng).