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Hydrocele

How Chinese medicine differentiates hydrocele (fluid buildup around the testicle) — distinct from Testicular Pain (Orchialgia), Varicocele and Edema already covered — the five patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A scrotal swelling should first be examined by a doctor (a hydrocele needs to be distinguished from a hernia or a testicular mass) before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for hydrocele — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
SP-6Tonifies the Spleen and Stomach. Resolves Dampness and benefits urination.
REN-12Tonifies the Stomach and strengthens the Spleen. Regulates Qi and removes pain.
BL-20Tonifies the Spleen Qi and Yang. Resolves Dampness.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys and its receiving of Qi.
SP-9Regulates the Spleen. Resolves Dampness.
BL-23Tonifies Kidney-Yang and nourishes Kidney-Yin.
LR-3Subdues Liver-Yang. Clears Interior Wind.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
SP-10Cools the Blood. Invigorates Blood and removes stagnation.
ST-28Moves Qi in the Lower Burner. Opens the Water passages and benefits urination.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency With Dampness

Clinical manifestations: Soft, painless scrotal swelling with chronic, gradual onset, abdominal bloating and loose stools, heavy limbs and fatigue, poor appetite.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, soft and lacking force.
Treatment principle: Strengthen Spleen-Qi, dry Dampness, stop fluid accumulation from within.
Note: moxa applicable on the tonifying points. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this project (most recently Vocal Cord Edema, this same batch) — no pattern link is given here; points still link fine individually.

2. Cold-Dampness in the Lower Burner View full pattern →

Clinical manifestations: Scrotal swelling feels cold and heavy, worse in cold damp weather, no redness/heat/sharp pain, cold hands and feet, loose or watery stools.
Tongue: Pale, swollen body with teeth marks, thick white greasy coating, excessively moist. Pulse: Deep, slow, and soggy, especially weak in the rear positions.
Treatment principle: Dispel Cold, transform Dampness, move Qi in the lower burner.
Note: moxa applicable throughout. Linked to this site's Damp-Cold-in-the-Bladder slide via the same Lower-Burner organ-system logic used for Tongue Atrophy (batch 39) and Frequent Urination (batch 40).

3. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Red, hot, painful scrotal swelling, burning sensation during urination, feeling of heaviness in the lower body, acute or subacute onset.
Tongue: Red, slightly swollen, with a yellow greasy coating thickest at the root. Pulse: Slippery and rapid, may feel soggy.
Treatment principle: Clear Heat and drain Dampness from the lower burner.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Bladder slide via the same Lower-Burner organ-system logic.

4. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Soft, non-tender scrotal swelling, feeling cold overall (worse in the lower body), frequent urination especially at night, soreness and cold pain in the lower back and knees, fatigue and low spirits.
Tongue: Pale, puffy, tender with teeth marks, wet white coating. Pulse: Deep, slow, weak, especially at the Kidney position.
Treatment principle: Warm Kidney-Yang and promote water transformation.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing scrotal pain worsening at night, history of trauma/surgery/chronic lower abdominal pain, dark circles under the eyes or dusky complexion, swelling feels distended and heavy, not soft.
Tongue: Purple or dusky body with stasis spots and distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry, rough and uneven.
Treatment principle: Invigorate Blood and dispel stasis to unblock channels and restore fluid exchange.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the well-established stasis-spot-tongue marker.
Related conditions

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