What are the traditional Chinese medicine diagnosis and treatment methods for varicocele?

Varicose veins mainly occur in young men, and are closely related to the eating and living habits of young men. So what treatment is better? Generally, the side effects of Chinese medicine treatments are less than those of Western medicine, because Chinese medicine focuses more on mobilizing the body's mechanisms. The following is the view of Chinese medicine.

Chinese Medicine Diagnosis Methods

(I) Dampness-heat-stasis syndrome

Clinical manifestations: scrotal prolapse, burning pain or redness and swelling, larger earthworm-like mass, accompanied by heaviness and fatigue, abdominal distension, sticky mouth, nausea, red tongue, yellow and greasy coating, and stringy and slippery pulse.

(ii) Cold and dampness stagnation syndrome

Clinical manifestations: scrotal swelling and cooling, testicular pain, pain in the lower abdomen and perineum, and even penis contraction, local blue veins exposed, resembling earthworms, aggravated by long-term walking or standing, relieved by lying down, sore waist and knees, clear and cold semen, cold body and limbs. Pale tongue, white fur, deep and thin pulse.

(III) Blood stasis syndrome

Clinical manifestations: The veins of the scrotum are exposed, coiled into a ball, like an earthworm, the testicles are swollen and painful, aggravated by fatigue, relieved after rest, accompanied by a dark complexion, abnormal semen, and low sperm count. The tongue is dark or has ecchymosis, and the pulse is stringy and astringent.

(IV) Liver and Kidney Deficiency Syndrome

Clinical manifestations: scrotal and testicular swelling and discomfort, occasional dull pain, blue veins on the scrotum exposed, resembling an earthworm, accompanied by dizziness, soreness of the waist and knees, insomnia, impotence, infertility, pale tongue with white coating, and deep, weak pulse.

Chinese Medicine Treatment Methods

1. Blood stasis and obstruction syndrome

Treatment principle: Promote Qi and soothe the liver, activate blood circulation and remove blood stasis

Prescription: Chaihu Shugan Powder with modifications

Medicinal use: Bupleurum 12g, Citrus aurantium 10g, White Peony 15g, Chuanxiong 10g, Processed Cyperus 10g, Salvia miltiorrhiza 30g, Caulis Spatholobi 15g, Processed Frankincense 10g, Leech Powder 3g, Licorice 6g

Add or subtract: If there is pain, add honeysuckle vine and earthworm; if there is obvious twisting, add Trillium and Curcuma zedoaria; if there is chills and numbness in the affected limb, add Aconitum and Cinnamon twig; if there is soreness and swelling in the affected limb, add Clematis chinensis and earthworm.

2. Liver and kidney deficiency syndrome

Treatment principle: Clear the liver, nourish yin, nourish blood, relax tendons, activate blood circulation, remove blood stasis, benefit the kidney and replenish essence

Medicinal use: Chuanxiong 15g, Angelica 10g, White Peony 10g, Rehmannia glutinosa 15g, Aloe 10g, Kelp 10g, Papaya 15g, Caulis Spatholobi 15g, Stephania tetrandra 10g, Licorice 6g

Another recipe: 15 grams each of Salvia miltiorrhiza, Curcuma zedoaria, Cyathula officinalis, Rehmannia glutinosa, and Epimedium brevicornum, and 10 grams each of Digong worm, Angelica sinensis root, Chuanxiongdu, processed Cibotium barometz, Cistanche deserticola, and Deer antler powder.

Add or subtract: for tinnitus, dizziness and vertigo, add Ziziphus jujuba seeds and Radix Polygoni Tenuifolia; for numbness of limbs, add cinnamon twig and Rhizoma Smilacis Glabrae; for dry eyes, add chrysanthemum and Scrophularia ningpoensis.

3. Cold and dampness stagnation syndrome

Treatment principle: Strengthen the spleen and benefit the dampness, warm the meridians and dredge the meridians

Prescription: Roasted Astragalus 30g, Cinnamon Twig 10g, Caulis Spatholobi 15g, Radix Codonopsis pilosulae 15g, Radix Codonopsis pilosulae 30g, Radix Stephaniae 10g, White Mustard Seed 10g, Dried Ginger 10g, Papaya 15g

Add or subtract: If the lower limbs are severely swollen, add Poria cocos; if the swelling is very severe, add Poria cocos peel and Chinese yam; if there is poor appetite and diarrhea, add Atractylodes macrocephala and Amomum villosum.

4. Dampness, heat and blood stasis syndrome

Treatment principle: Strengthen the spleen, promote dampness, activate blood circulation and dredge the meridians

Prescription: Roasted Astragalus 30g, Cinnamon Twig 10g, Caulis Spatholobi 15g, Radix Codonopsis pilosulae 15g, Radix Codonopsis pilosulae 30g, Processed Frankincense 10g, Leech Powder 3g, Rhizoma Chuanxiong 15g, Angelica 10g, White Peony Root 10g

Add or subtract: If the lower limbs are severely swollen, add Poria peel and Atractylodes macrocephala. If the pain is severe, add Honeysuckle vine and Earthworm. If the twisted lumps are obvious, add Trillium and Curcuma.