Overview: varicocele is a kind of vascular disease, which refers to the abnormal expansion, elongation and tortuousness of the spur venous plexus in spermatic cord , which can cause pain and discomfort and testicular function decline. It is not for men. One of the common causes of childbirth. The trailing venous plexus refers to the venous blood vessels in the spermatic cord, which divides into many thin branches and wraps around the testicular arteries in a trailing shape. The disease can be divided into primary and secondary according to the cause. Primary is more common, the cause is unknown, it is obvious when standing up or walking, and can be relieved after lying down; secondary is rare, it is caused by pathological obstruction of left renal vein or inferior vena cava, external compression and other reasons. It is caused by obstruction of spermatic venous return, which cannot be relieved after lying supine. In addition, varicocele has a genetic predisposition, and fathers and brothers of many patients are also susceptible to this disease. There is no record of this disease in traditional Chinese medical literature, and its clinical manifestations belong to the category of " muscular tumor ", "muscle hernia" and "childless". Since liver and kidney deficiency, qi stagnation and blood stasis, and collaterals block are the general pathogenesis of this disease, the principle of TCM treatment is to nourish the liver and kidney, , promote qi and blood circulation , and remove blood stasis and collaterals.
1. Damp-heat stasis
[Symptoms]: scrotum swelling, burning pain or redness, large worm-like groups, heavy body fatigue, sticky carpus and abdomen ,nausea. Red tongue, yellow greasy moss, slippery pulse string
[Prescription]: Fangji, 萆薢, Yinchen, Eupatorium, Achyranthes, , Danpi, Salvia miltiorrhiza, Lychee kernels, Chuanmeizi, Bupleurum , green peel, tangerine peel)
[Function]: clears away heat and removes dampness,Huayu Tongluo
[addition and subtraction]: If the damp evil is more serious, see anorexia plus atractylodes, malt; scrotal mass is obvious, add frankincense, prunella
2. Cold-stagnation liver pulse
[Symptoms]: scrotum swelling and cold, testicular pain, pulling the abdomen, perineum and even impotence, local green veins exposed, like earthworm, long walking, long standing aggravation, Resting on the supine position is relieved, the waist and knees are sore, the body is clear and cold, and the limbs are cold. pale tongue, white fur, deep pulse
[prescription]: Angelica Sini Decoction Heliang Fu Pills (Angelica sinensis, peony, Guizhi, Mutong, Asarum, Sunburn Licorice , jujube, Bupleurum, orange core, fennel, ginger, paofu tablets)
[Function]: warming meridian and dispelling cold, replenishing qi and dredging collaterals
[Addition and subtraction]: For those with obvious qi deficiency, add roasted astragalus and Codonopsis ; for more pain, add salvia and black medicine
3. Blood stasis blocking the collateral
Exposure, twisting into a ball, shape like an earthworm, testicular pain is more severe, fatigue is aggravated, and relieved after rest, accompanied by dull complexion, abnormal semen, less refined. Dark tongue or spots with blood stasis, pulse string astringent
[Prescription]: Shaofu Zhuyu Decoction (Angelica, Chuanxiong, red peony root, Corydalis , fennel, dried ginger, cattail yellow, ) Wulingzhi)
【Function】: promotes blood circulation and removes blood stasis,Tongluo pain relief
[addition and subtraction]: If the mass is large, add saponaria saponaria , lychee nucleus; if the pain is more severe, increase notoginseng, Chuanmeizi
4. Deficiency of liver and kidney
[Symptoms]: scrotum and testicles are swollen and uncomfortable, sometimes dull pain, scrotal veins are exposed, like earthworms, accompanied by dizziness, waist and knee weakness, insomnia, dreams, impotence, infertility, Pale tongue and white fur, thin and weak pulse
【Prescription】: Zuogui pill flavored ( rehmannia , yam, dodder, antler gum, tortoise gum, cornus, p13)
[Function]: Replenishing liver and kidney, supplemented by dredging collaterals
[Addition and subtraction]: Adding black medicine, fennel for qi to relieve pain; Angelica, Salvia miltiorrhiza, Caulis spatholobi nourishes blood to remove blood stasis and dredge collaterals
V. Deficiency of Qi and Blood Stagnation
[Symptoms]: The scrotum and testicles have a slight swelling, often pain, and the scrotum has obvious green veins. It looks like an earthworm. It is usually less qi and lazy, with chest tightness, , palpitations, etc. Situation: lack of energy during the day, fat tongue, thin fur, petechiae on the tongue body, heavy pulse
[Prescription]: Modification of Buyang Huanwu Decoction (Astragalus, Angelica guinea tail, red peony root, earth dragon , Chuanxiong, safflower, peach kernel)
[Function]: To invigorate qi and dredge collaterals, promote blood circulation and remove blood stasis
[Addition and subtraction]: Add fennel, black medicine for qi to relieve pain; Danshen, Caulis spatholobi Huoxuetong Network
Daily treatment
Lifestyle and diet adjustment: such as controlling tobacco and alcohol, light diet, avoiding exercises that increase abdominal pressure,Can improve semen quality to a certain extent
Physical therapy: including cooling therapy and the use of scrotal braces, etc.
Ingestion of flavonoids: flavonoids have anti-inflammatory, antioxidant effect, can be fast Improve venous tension, reduce capillary permeability, increase lymphatic drainage rate, and reduce edema. It can improve the pain symptoms caused by varicocele
.
