Article 133: Medicinal Diet and Massage for Seminal Vesiculitis and an Overview of Hydrocele

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Treatment and recuperation of common diseases

Medicinal diet for treating seminal vesiculitis

1. One carp (about 200-500 grams), 10 grams of thistle, 10 grams of atractylodes, and appropriate amounts of pepper, fennel, scallions, and ginger. Remove the scales, gills, and internal organs from the carp and wash it clean. Wash the thistle and atractylodes and put them into the fish's belly. Add an appropriate amount of water and simmer over low heat to make soup. When the fish is half-cooked, add the seasonings and cook until fully cooked. Then you can eat the fish and drink the soup.

2. Slice 120g of fresh lotus root and chop 120g of fresh Imperata cylindrica root. Put them together in a pot with water and boil to make a decoction. Drink it as a tea substitute.

3. Peel and cut 250g of fresh loofah into sections, stir-fry briefly in a pan with a little oil, add 250g of tofu and enough water, bring to a boil over high heat, then simmer over low heat, add seasonings and it's ready to eat.

4. Two pig bladders and 100 grams of Job's tears. Rinse the pig bladders thoroughly with warm water and cut them into strips. Heat oil in a pot, add the shredded bladders and stir-fry briefly. Add the Job's tears and seasonings, add water and simmer over low heat to make porridge. Eat on an empty stomach, 1-2 times daily.

5. Crush 30g of fox nuts and 15g of walnut kernels, and add 5-8 jujubes. Mix the fox nut powder with cooled boiled water to form a paste, then add it to boiling water and stir. Add the walnut kernels and jujube kernels, and cook until it becomes a thick porridge. Add sugar before serving.

How to perform massage therapy

1. Lie on your back with your lower limbs bent and legs spread apart to fully expose the perineum. Press the perineum acupoint with your thumb for 1 to 3 minutes, until you feel soreness and distension.

2. Place both palms on the lumbosacral region and use the hypothenar eminence to rub up and down quickly for 1 to 3 minutes.

3. Press the Shenshu acupoint with your thumb for 1 minute.

Note: Do not apply excessive force when pressing the perineum acupoint, and avoid massaging the testicles and penis.

The above techniques are used for hematospermia caused by seminal vesiculitis.

What should we pay attention to in daily life?

1. Maintain a regular lifestyle, balance work and rest, eliminate worries, and enhance their confidence in overcoming the disease.

2. Avoid excessive sexual stimulation and intercourse to reduce excessive congestion of the seminal vesicles. You should also avoid prolonged abstinence and never attempt to ejaculate during intercourse.

3. Drink plenty of water. It is advisable to eat turtle, tortoise, eel, oyster meat, sea cucumber, mussels, chicken, and pork bone marrow. Avoid eating chili peppers, garlic, onions, ginger, alcohol, dog meat, and mutton, so as not to affect the treatment effect and prevent recurrence.

4. Actively treat the primary lesions, such as acute and chronic prostatitis, urethritis, cystitis, etc.

5. Prostate and seminal vesicle massage is contraindicated during the acute phase to prevent the spread of inflammation. Patients with chronic seminal vesiculitis can have seminal vesicle and prostate massage regularly (1-2 times per week) to improve blood circulation in the prostate and seminal vesicles and to promote the discharge of inflammatory substances.

6. If the treatment is correct, the hematospermia will disappear within 8 to 10 days. However, treatment should not be stopped and the course of treatment should be extended to 3 weeks.

Hydrocele

The tunica vaginalis was originally part of the peritoneum. Around seven or eight months of gestation, the testis descends from the retroperitoneum, pulling the peritoneum through the inguinal canal into the scrotum. This forms the processus vaginalis, and the peritoneum constituting the processus vaginalis is called the tunica vaginalis; the tunica vaginalis of the spermatic cord portion is called the spermatic cord tunica vaginalis, and the tunica vaginalis of the testis portion is called the testicular tunica vaginalis. The testicular tunica vaginalis can be further divided into the visceral layer and the parietal layer. The layer covering the surface of the testis and epididymis is called the visceral layer, and the layer in contact with the scrotal wall is called the parietal layer. Before birth, the processus vaginalis begins to close at two points: the internal inguinal ring and above the testis. Finally, the spermatic cord portion of the tunica vaginalis becomes a fibrous cord, while only the testicular portion remains open, forming the tunica vaginalis sac.

If the tunica vaginalis of the spermatic cord is not completely closed, a communicating hydrocele can form; if it is not completely closed, an infantile hydrocele or spermatic cord hydrocele can form. If the tunica vaginalis of the spermatic cord is completely closed, and the fluid accumulates within the tunica vaginalis of the testis, it is called a testicular hydrocele.

Causes of disease

1. Primary hydrocele:

(1) The cause is unknown. It may be due to increased secretion of the tunica vaginalis, decreased absorption, or undetected or healed orchitis or epididymitis.

(2) The processus vaginalis of the peritoneum is not closed, and the fluid in the abdominal cavity flows into the processus vaginalis of the peritoneum to form congenital hydrocele.

2. Secondary hydrocele: Inflammation of the testis and epididymis, tuberculosis, filariasis of the scrotum, testicular tumors, scrotal surgery, and trauma can all cause secondary hydrocele. The fluid often contains white blood cells.

Classification of hydrocele

1. Hydrocele: Fluid accumulation within the tunica vaginalis of the testis; this is the most common type in adults.

2. Infantile hydrocele: The processus vaginalis of the spermatic cord closes at the internal ring, and the processus vaginalis below the closure becomes a pear-shaped sac, but does not communicate with the abdominal cavity. It is also called spermatic cord or testicular hydrocele, and is more common in infancy.

3. Communicating hydrocele: also known as congenital hydrocele. The processus vaginalis fails to close completely, and the tunica vaginalis communicates with the abdominal cavity. When lying down, fluid in the tunica vaginalis can flow into the abdominal cavity, and when standing, fluid in the abdominal cavity can flow into the tunica vaginalis. The size of the tunica vaginalis varies, and this is the most common type in young children.

4. Hydrocele of the spermatic cord: The processus vaginalis of the spermatic cord closes at the internal inguinal ring and above the testis, but the processus vaginalis itself does not close, leaving a sac located above the scrotum or in the inguinal canal, which does not communicate with the abdominal cavity or the tunica vaginalis of the testis.