What should be done if a patient with urethritis also has epididymitis?

Patient's question:

Neurological Epididymitis in Second-Level Neurons of Gonorrhea Patients, Scrotal Swelling and Pain When Walking with Legs Apart, How to Treat Epididymitis Complicated with Gonorrhea?

Doctor's answer:

Epididymitis is a cellulitis that starts from the vas deferens and spreads to the tail of the epididymis. During the acute phase, the epididymis becomes swollen and hard, and the infection spreads from the tail to the head of the epididymis. Traditional Chinese Medicine offers a formula called Modified Zhiju Decoction, which includes Chaihu (Bupleurum chinense), Chishao (Paeonia lactiflora), Chuanlianzi (Gleditsia sinensis), Dandao (Cynanchum bungei), Litchi seeds, Guangju seeds, Zeixia (Alisma orientale), Bupleurum, Qinjiao (Coptis chinensis), and Cheqianzi (Plantago asiatica), each in equal amounts, along with Shenggancao (Glycyrrhiza uralensis). The decoction is prepared by boiling twice daily. This formula promotes liver qi and resolves dampness and heat, primarily used for treating epididymitis. Epididymitis can be stabilized, but the treatment process is generally slow, and relapse is common after recovery. Therefore, active cooperation with the doctor's medication plan is essential during treatment.

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