How to treat acute orchitis?

Orchitis is actually a common reproductive disease, but it is not a topic of much concern to men, because men basically do not pay attention to the health of their reproductive organs, which can easily lead to orchitis. Orchitis is extremely harmful to sperm and will directly affect the health of sperm. If you conceive during the illness, the health of the embryo may also be affected. Orchitis can generally be treated by bed rest, antibiotics, or traditional Chinese medicine, but the effect will be slower.

Acute orchitis is often caused by blood-borne infection or infection through the lymphatic route, and can be associated with a variety of acute infectious diseases. For example, when suffering from mumps, the virus can be excreted in the urine and cause acute orchitis. In acute attacks, the testicles are enlarged and painful, the scrotum is red and swollen, and there are no urinary tract symptoms. The body temperature can be as high as 40℃.

Acute purulent orchitis belongs to the category of "egg disease" in traditional Chinese medicine; mumps orchitis is often called "egg disease" in Miao medicine. Its etiology and pathogenesis are often related to damp heat accumulation, fire poison, accumulation and formation of purulent disease in the acute stage; chronic patients show phlegm and blood stasis blocking each other in the genitals. Experts recommend that you continue to treat it with the Wenwan Xiaojie prescription.

1. Western medicine treatment

(1) General treatment: bed rest, local hot compress and scrotal elevation.

(2) Antibiotics are ineffective for viral orchitis, and Chinese medicine should be used for treatment. Oral administration of fluazifop, 0.2 g each time, 3 times a day; or teligot, 0.2 g each time, 2 times a day, for 5-7 days. Intravenous penicillin 6.4 million u/day, twice a day, for 3-5 days. For those who are allergic to penicillin, intravenous cyclofloxacin lactate injection can be used, 200 mg each time for adults, once every 12 hours, for a course of 3-5 days. Gentomycin can also be injected intramuscularly, 80,000 u each time, twice a day, for a course of 3-5 days.

2. Chinese medicine treatment

(1) Damp-heat descending: fever with chills, swollen and painful testicles, hard and dark urine, dry stool, red tongue with yellow greasy coating, and stringy, slippery and rapid pulse.

Treatment method: Clear away dampness and heat, detoxify and relieve swelling.

Prescription: 10g each of Scutellaria baicalensis, Fructus Akebiae, Fructus Akebiae, Fructus Plantagoeia (wrapped and decocted), Rhizoma Cynomorii, Radix Angelicae Sinensis, Radix Rehmanniae, 6g of Radix Bupleuri, 12g of Radix Glycyrrhizae, 15g of Gentiana scabra, 20g each of Honeysuckle and Toosendan.

(2) Qi stagnation and blood stasis: The testicles gradually swell and become hard to the touch. There is mild pain. The tongue has dark edges with ecchymosis, a thin white coating, and a stringy and slippery pulse.

Treatment method: Promote Qi and blood circulation, and disperse stagnation.

Prescription: 10 grams each of tangerine seed, costus root, bitter orange, Magnolia officinalis, Toosendan, peach kernel, and Corydalis yanhusuo, 15 grams each of kelp and seaweed, 6 grams of Akebia, 15 grams each of Rehmannia glutinosa, Radix Rehmanniae, Radix Yuanshen, chrysanthemum, and dandelion, and 30 grams of deer antler grass.

(3) Blood stasis: testicular trauma, swelling and pain, or redness, swelling and burning sensation, blue tongue with ecchymosis, and astringent pulse.

Treatment method: Promote blood circulation, remove blood stasis and relieve pain.

Prescription: 10 grams each of bupleurum, angelica, peach kernel, and pangolin, 8 grams each of safflower and rhubarb, 15 grams of trichosanthes, 20 grams each of dandelion and honeysuckle.