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8 Cards in this Set

  • Front
  • Back
Liver
Groin Pain
shan qi:

Excess Cold
Features:
-swollen, firm, cold and retracted scrotum or testicles
-severe = stone like hardness
-testicular pain better w/ warmth
-cold intolerance
T: white
P: deep, wiry

Warm Lv ch, disperse cold. RQ, stop pain

Formula:
JIAO GUI TANG

Acupuncture:
Lv 3 + M
R 6 M
Ki 6 M
Lv 1 M

* testicular tumors, hernia
Liver
Groin Pain
shan qi:

Deficient Cold
Features:
-testicular coldness, distention
-low abdomen coldness and pain which radiates->to testicles, better w/ warmth
-cold intolerance, cold or numb extremities
T: pale, white coat
P: deep, thready, slow

Warm Lv, Kd; move qi. Disperse cold, stop pain.

Formula:
NUAN GAN JIAN

Acupuncture:
LV 3 + M
R 6 M
Ki 6 M
LV 1 M

*testicular tumors, hernia
Liver
Groin Pain
shan qi:

Watery - Cold Damp
Features:
-swollen, edematous scrotum or unilateral, well defined fluid filled swelling – may or may not be painful
-dragging discomfort in testes
-watery splash when low abd is palpated
-scanty urination
T: thin, greasy coat
P: wiry

Expel pathogenic fluid, move qi. Aid qi transformation

Formula:
WU LING SAN

Acupuncture
Lv 8 M
St 28 M
Sp 6 –
Lv 1 -

* fluid filled cysts or hydrocele.
Liver
Groin Pain
shan qi:

Watery - Damp Heat
Features:
-scrotum is red, swollen, painful or itchy w/ watery yellow exudate from skin
-may be fever
-concentrated urine
-irritability, restlessness
T: greasy, yellow coat
P: wiry, rapid

Clear Damp Heat

Formula:
LONG DAN XIE GAN TANG

Acupuncture:
Sp 9 -
Lv 5 –
R 3 –
Kd 6 –
Lv 1 -

* moist eczema, testicular inflammation or infection. Orchitis, filariasis, testicular torsion.
Liver
Groin Pain
shan qi:

Liver Qi Stagnation
Features:
-bilateral or unilateral swelling and distention of scrotum
-pain radiating to or from low abdomen and/or lumbar region
-aggravated by aggravation, anger, stress, emo upset. Relieved by relaxation
-Other Lv qi stagnation s/sx
T: pale or normal, white coat
P: wiry

Soothe Liver, regulate qi

Formula:
TIAN TAI WU YAO SAN

Acupuncture:
R 6 –
Sp 6 –
Lv 2 –
GB 41 –
Lv 3 –

* may be associated w/ inguinal hernia
Liver
Groin Pain
shan qi:

Qi Deficiency
Features:
-scrotum is swollen, dropped or distended, usually unilaterally with mild pain, discomfort or a dragging sensation
-worse with exhaustion, long hours standing, coughing
-frequent urination
-other Sp qi xu s/sx
T: pale, swollen, scalloped w/ thin coat
P: weak or wiry (if pain)

Tonify Sp to raise qi

Formula:
BU ZHONG YI QI TANG

Acupuncture:
Du 20 M
St 36 + M
R 12 + M
UB 20
Lv 8 benegeni
Sp 6 IB, harmonize Sp/Lv/Ki in LJ, resolve damp

* inguinal hernia, variocele, hydrocele
Liver
Groin Pain
shan qi:

Foxy
Features:
-small intestine intermittently descends into the groin or scrotum through the inguinal canal, disappears when pt lies flat or is manually reduced
-reappears with standing, cough or sneeze
-may be large or small, changing
-may or may not be distention and pain radiating into testes
P: may be wiry or tight if painful

Soothe Liver, Regulate Qi

Formula:
DAO QI TANG

Acupuncture:
St 29 – warm LJ, benegeni
St 30 – reg LJ qi, reg Chong geni d/o
R 4 – fortify yuan qi, yin, blood
St 40 – phlegm, damp
Lv 12 – benefit LJ, shan
Lv 1 – treats shan d/o, reg LJ qi, geni
Lv 3 – spread LV qi, reg LJ

* hernia
Liver
Groin Pain
shan qi:

Hard
Features:
-chronic fluid stagnation congeals into Phlegm obstructing Blood
-scrotum/testicles swollen, hard with loss of sensation
T: pale, sl. purplish with thin or greasy white coat
P:deep

Move qi, transform Phlegm
Soften hardness and disperse swelling

Formula:
JU HE WAN

Acupuncture:
Lv 4 – reg LV qi of LJ, clear stagnant heat
Lv 5 – reg LV qi, benefit genitals, DH from LJ
Sp 9 – resolve damp, bene. LJ
R 3 – dispel excess stagnation/accuml. in LJ
Lv 8 – IB, clear DH from LJ, benegeni
St 29 – warm LJ, benegeni
UB 32 – IB & qi locally
Sp 6 – IB, harmonize Sp/Lv/Ki in LJ, resolve damp
LI 4 – strongly move qi & blood

*likely testicular CA if mass is contiguous with the testis.