Patient's question:
Doctor,First, let me tell you about my situation. There has been a discharge from my scrotum, and the left side of my scrotum is swollen, especially noticeable when it contracts. It has been like this for about a year. I went to the hospital earlier this year and had my prostatic fluid checked. They said it was prostatitis, but after spending a lot of money on treatment, it hasn’t helped at all. I hope the doctor can help me. Thank you in advance.
Doctor's answer:
Hello: Here are a few suggestions:1. Damp-Heat Stagnation Type
Mostly an acute episode of chronic prostatitis. Treatment focuses on clearing heat and detoxifying, promoting diuresis and resolving turbidity. If heat is predominant, Ba Zheng San (Eight Treasure Decoction) is modified accordingly; if dampness is predominant, Ba Zheng San is combined with Euonymus alatus and Winter Melon Seeds. If both damp-heat are present, San Miao Wan (Three Unique Pill) combined with Bi Yu San (Jade Jade Powder) is modified. Ba Zheng He Ji (Eight Treasure Syrup) can also be used. However, these heat-clearing and diuretic formulas should not be overused for extended periods, as they may damage the spleen and stomach and deplete yin and fluids.
2. Yin Deficiency with Excess Fire Type
Symptoms include frequent masturbation, excessive sexual activity, lower back and leg weakness, general fatigue, restlessness, white discharge at the end of urination, constipation, and dark yellow urine. Treatment focuses on nourishing kidney yin. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Decoction) is commonly modified.
3. Kidney Yang Deficiency Type
Symptoms include frequent urination, white discharge from the urethra, cold limbs, lower abdominal and perineal discomfort, damp and cold scrotum, premature ejaculation, and dizziness. Treatment focuses on warming and tonifying kidney yang. Gui Fu Ba Wei Wan (Cinnamon and Fu Zi Eight-Ingredient Decoction) is commonly modified.
4. Qi Stagnation with Blood Stasis Type
Suitable for long-term, chronic cases that are difficult to heal. Symptoms include lower abdominal, perineal, and lower back discomfort, pain, and urethral irritation. Treatment focuses on promoting blood circulation and resolving stasis, regulating qi and resolving stagnation. Fu Yuan Huo Xue Tang (Recover Vitality and Promote Blood Circulation Decoction) is commonly modified.
5. Middle Qi Deficiency Type
Symptoms include clear and copious urine or frequent urination without pain, white discharge at the end of urination, perineal discomfort, fatigue, shortness of breath, reluctance to speak, and poor appetite. Treatment focuses on replenishing middle qi and elevating clearness while lowering turbidity. Bu Zhong Yi Qi Tang (Middle Qi Replenishing Decoction) is commonly modified.
External treatment refers to non-orally administered medications, often used as supplementary therapy to oral Chinese medicine. The main