SUN TEN Quarterly Newsletter Summer 2012: Treating Hydrocele with Concentrated Herbal Extracts
Treating Hydrocele with Concentrated Herbal Extracts
by Dr. Jyh-Sheng You
Center for Traditional Chinese Medicine,
Abstract
A 45-year old male had bilateral swelling and enlargement of his scrotum with slight burning and drooping sensations. He also had pain at the area of KD 1, at the soles of his feet, and SJ 3, the back of his hands. The areas around the medial malleolus on both legs were found swollen. He was diagnosed by a medical doctor with hydrocele, and a testicular tumor was suspected. The TCM diagnosis was water shan. The cause of the disease was dampheat pouring downward to the lower jiao. The locations of the disease were at the liver, kidney and san jiao. The nature of the disease was deficiency at the root and excess at the branch. The treatment principles were discharge heat to drain dampness, clear liver heat to rectify Qi and unblock the collaterals, nourish Yin, and tonify kidney. The formula prescribed was Gentiana Combination (Long Dan Xie Gan Tang)
Gentiana (Long Dan) - The emperor herb of Gentiana Combination
(Long Dan Xie Gan Tang)
Foreword
Hydrocele is a commonly seen condition of the male urogenital system. It is mainly caused by increased fluid accumulation inside the tunica vaginalis or by the abnormal closure of the processus vaginalis causing fluid accumulation inside the tunica vaginalis. In TCM, it belongs to the category of water shan, which is further classified as cold-damp or damp-heat. We see many complex cases with clinical complications; therefore a thorough pattern differentiation is necessary. There are very few modern TCM case studies published regarding this disease; and among them, cases treated with concentrated herbs is even less. We are presenting this case study in order to explain the distinguishing feature of TCM treatment according to pattern differentiation.
Case Study
[Patient Information]
[Chief Complaint]
Bilateral hydrocele for 4 days.
[History of Present Illness]
This 45-year old male patient found his scrotum swollen and enlarged bilaterally when he took shower the night of
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