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Spermatocystitis

How Chinese medicine differentiates spermatocystitis into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Prostatitis and Orchitis pages. 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. Blood in the semen with fever, severe pain, or that persists beyond a few episodes needs medical assessment to rule out infection or a structural cause.
General Acupuncture Points

Acupuncture points traditionally used for spermatocystitis (seminal vesicle inflammation) — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Strengthens the Uterus and regulates menstruation.
BL-23Tonifies the Kidneys and nourishes the Kidney-Essence. Consolidates Kidney-Qi. Strengthens the lower back.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Blood-streaked or pinkish semen; burning urination; a heavy, dragging sensation in the perineum; scrotal dampness; urinary urgency and frequency.
Tongue: Red with thick yellow greasy coating at the root. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, drains Dampness, stops bleeding and promotes urination.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Liver slide, its established Lower-Burner Damp-Heat convention.

2. Kidney Yin Deficiency With Empty-Heat Blazing View full pattern →

Clinical manifestations: Scanty, bright-red blood; lower back soreness; night sweats; five-palm heat; a dry mouth and throat worsening at night; tinnitus; dizziness; nocturnal emissions.
Tongue: Red, thin, dry, little or no coating. Pulse: Fine and rapid, weak at the rear position.
Treatment principle: Nourishes Yin, clears empty Heat, cools the Blood and stops bleeding.
Note: no moxa. Linked to this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

3. Qi and Blood Stagnation

Clinical manifestations: Stabbing perineal pain worsening with pressure; dark or clotted blood in the semen; fullness and distension in the perineum; pain aggravated by emotional stress; irritability.
Tongue: Dark purple with stasis spots. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and relieves pain.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.

4. Heart and Spleen Deficiency View full pattern →

Clinical manifestations: Pale or light-red blood; recurrent, scanty bleeding; palpitations; difficulty falling asleep with vivid dreams; poor appetite with bloating; loose stools; fatigue; a sallow complexion; forgetfulness and worry.
Tongue: Pale, puffy, teeth-marked, thin and weak. Pulse: Fine and weak, especially at the left front and right middle positions.
Treatment principle: Tonifies Qi, nourishes Blood, strengthens the Spleen and calms the Spirit.
Note: moxa is appropriate. Linked to the closest slide (Spleen- and Heart-Blood deficiency); it names Blood only, so treat as a partial match.

5. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Pale or brownish blood; cold limbs especially below the knees; a sore, cold lower back with weak knees; chronic loose or early-morning diarrhea; deep fatigue; poor appetite with bloating.
Tongue: Pale, swollen, puffy, teeth-marked, white slippery coating. Pulse: Deep, weak, slow.
Treatment principle: Warms and restores Yang, consolidates Essence and strengthens the Spleen's Blood-holding function.
Note: moxa is strongly indicated.
Related conditions

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