↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Heavy, dragging sensation in groin, bulge reduces when lying down, worsens with fatigue and prolonged standing, chronic exhaustion, poor appetite and loose stools.
Tongue: Pale, puffy, tender body with teeth marks, thin white coating. Pulse: Weak, especially at right Guan, deep in severe cases.
Treatment principle: Strengthen Spleen Qi and raise the sinking Qi.
Note: moxa strongly indicated, especially DU-20. Direct name match with this site's own Spleen-Qi-sinking slide.
Clinical manifestations: Distending, moving pain in groin or lower abdomen, worsens with emotional stress, irritability and frequent sighing, rib-side or chest fullness.
Tongue: Normal or slightly dark body, red or slightly purple sides, thin white coat. Pulse: Wiry, especially at left middle.
Treatment principle: Move Liver Qi, relieve stagnation, ease distending pain.
Note: no moxa. Direct match on the core distension/irritability/sighing picture.
Clinical manifestations: Cold, cramping pain in groin or lower abdomen, pain radiating to testicles or inner thigh, scrotal contraction or cold sensation, worsens with cold exposure, improves with warmth.
Tongue: Pale body with a white, slippery coating. Pulse: Deep, wiry, and slow or tight.
Treatment principle: Warm the Liver channel, expel Cold, and move Qi.
Note: moxa strongly indicated, especially REN-4. Direct match with this site's own Stagnation-of-Cold-in-the-Liver-channel slide — pain referring downward to the scrotum/testis and relieved by warmth are the same markers named there.
Clinical manifestations: Hot, swollen, painful bulge difficult to reduce, scrotal dampness, itching, or foul-smelling discharge, dark, scanty, or burning urination, thirst without desire to drink.
Tongue: Red body, slightly swollen, with a yellow greasy coating thickest at the root. Pulse: Slippery and rapid, more pronounced at the rear.
Treatment principle: Clear Damp-Heat from the lower burner, reduce swelling and inflammation.
Note: no moxa — an active inflammatory stage, medical evaluation takes priority. Direct match with this site's own Damp-Heat-in-the-Bladder slide on the Lower Burner organ-system level.