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Testicular Swelling

How Chinese medicine differentiates testicular swelling into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Hydrocele and Varicocele 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. Sudden, severe testicular pain or swelling needs urgent medical evaluation to rule out testicular torsion — a surgical emergency — before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for testicular swelling — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
DU-20Raises Yang. Benefits the Brain and the sense organs.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
ST-30Regulates Qi in the Lower Burner. Regulates the Penetrating Vessel. Subdues rebellious Qi.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
LR-2Drains Liver-Fire and subdues Liver-Yang. Resolves Damp-Heat in the genitourinary system.
REN-3Resolves Dampness from the Lower Burner. Benefits the Uterus and regulates menstruation.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Sinking View full pattern →

Clinical manifestations: Swelling reduces when lying down, worsens with standing or exertion, dragging or bearing-down sensation in the lower abdomen, chronic fatigue and physical exhaustion, poor appetite and loose stools, pale complexion.
Tongue: Pale, puffy body with teeth marks and a thin white coating. Pulse: Weak and forceless, especially at the right middle position.
Treatment principle: Tonifies Spleen-Qi and raises sinking Yang to restore the lifting force that holds organs in place.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Spleen-Qi-sinking slide.

2. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distending, shifting pain in the scrotum or groin worsening with mood swings, irritability, frequent sighing, sensation of fullness or bloating along the ribs, pain fluctuates with emotional stress.
Tongue: Normal or slightly dark body, with red or slightly purple sides, thin white coat. Pulse: Wiry, taut like a guitar string, most noticeable at the left middle position.
Treatment principle: Smooths Liver-Qi flow along the Liver channel that runs through the groin to relieve distending pain.
Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.

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

Clinical manifestations: Cold, heavy sensation in the scrotum, swelling worsens with cold and damp weather, dull aching or dragging groin pain, cold limbs, especially the feet.
Tongue: Pale and swollen with scalloped edges, thick white greasy coating that is excessively moist. Pulse: Deep, slow, and soggy, often with a slippery quality.
Treatment principle: Warms the Lower Burner to expel Cold, dries Dampness, promotes Qi and Blood circulation through obstructed channels.
Jimai (LR-12) ↓ ST-30 ⊥ REN-4 ↑ LR-3 ↓
Note: moxa strongly indicated throughout. Linked to this site's own Stagnation-of-Cold-in-the-Liver-channel slide, which this session confirmed is genital-specific in its own text — a direct match for a scrotal Cold-Damp presentation.

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

Clinical manifestations: Burning or hot pain in the scrotum, scrotal dampness or itching, red swollen scrotum, feeling of heaviness in the lower body, dark, scanty, or painful urination.
Tongue: Red body, slightly swollen, yellow greasy coating thickest at the root. Pulse: Slippery and rapid, more pronounced at the Chi (rear) position.
Treatment principle: Clears Damp-Heat from Liver and Gallbladder channels while draining excess moisture downward.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Liver slide, which this session confirmed is genital-specific in its own text — a direct match for a scrotal Damp-Heat presentation.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold sensation in the scrotum, aching cold lower back and knees, aversion to cold, cold hands and feet, frequent nighttime urination, fatigue and low spirits, swelling feels cold to the touch.
Tongue: Pale, puffy, tender body with teeth marks, wet white coating. Pulse: Deep, slow, weak, especially at the rear (Kidney) positions.
Treatment principle: Warms and tonifies Kidney-Yang to restore the body's foundational warmth.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.
Related conditions

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