Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 Hello, I have a patient with pain in the groin and testicles. The pain is usually dull, but certain movements can cause a sharper pain. Pain usually manifests if have a period of inacivity, eg., lying down, or driving a car for long distances. Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. Qustions:- 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. 3) What herbs or formula ould you use for groin pain due to stagnation. Thanks a lot. John Chow Melbourne, Australia The all-new Mail goes wherever you go - free your email address from your Internet provider. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 Hi John, I have had a couple of patients with the same symptoms you report. Both of them have had spinal nerve impingement from vertebral disk problems. I would send him for x-rays or to be evaluated by a chiropractor before assuming it's simple qi stagnation, particularly since his symptoms are worse in specific positions. This is typical of nerve impingement. John Chow <vajra_master wrote: Hello, I have a patient with pain in the groin and testicles. The pain is usually dull, but certain movements can cause a sharper pain. Pain usually manifests if have a period of inacivity, eg., lying down, or driving a car for long distances. Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. Qustions:- 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. 3) What herbs or formula ould you use for groin pain due to stagnation. Thanks a lot. John Chow Melbourne, Australia The all-new Mail goes wherever you go - free your email address from your Internet provider. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 Seems to involve blood stasis as well (possible varicose veins, sharp pain, build up of pain with inactivity). I would stick with focusing on the LV channel, Ligou LV5 is a great point for this. I would also look into confluent pairs, perhaps Gongsun SP4 and Neiguan P6. Blood moving herbs may also help (Niu xi, - ones that enter the LV channel and lower parts of the body) This is all speculative of coarse with out tongue, pulse and more info. Hope it helps. _______________ Invite your Hotmail contacts to join your friends list with Windows Live Spaces http://clk.atdmt.com/MSN/go/msnnkwsp0070000001msn/direct/01/?href=http://spaces.\ live.com/spacesapi.aspx?wx_action=create & wx_url=/friends.aspx & mkt=en-us Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 Hi Andrea and all, This is an interesting topic for me, since I usually take the position that while imaging is very useful and necessary in many cases, what is imaged is not what is " actually " going on. I generally, when I see impingement reported, do not assume that the problem is one of simple impingement, but rather that it is a branch effect of a " real " reason, for example, qi stagnation. In my experience, the only cases where the impingement is primary are in cases of accidents / physical injury. Thoughts? Hugo < Chinese Medicine Thursday, 15 February, 2007 9:55:47 AM Re: Groin & Testicular pain Hi John, I have had a couple of patients with the same symptoms you report. Both of them have had spinal nerve impingement from vertebral disk problems. I would send him for x-rays or to be evaluated by a chiropractor before assuming it's simple qi stagnation, particularly since his symptoms are worse in specific positions. This is typical of nerve impingement. John Chow <vajra_master@ > wrote: Hello, I have a patient with pain in the groin and testicles. The pain is usually dull, but certain movements can cause a sharper pain. Pain usually manifests if have a period of inacivity, eg., lying down, or driving a car for long distances. Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. Qustions:- 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. 3) What herbs or formula ould you use for groin pain due to stagnation. Thanks a lot. John Chow Melbourne, Australia ------------ --------- --------- --- The all-new Mail goes wherever you go - free your email address from your Internet provider. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 Hi John, replexively I would say the following (and so please take these ideas only as ideas): Assessment: Cysts in the testicles often have to do with qi /fluid stagnation, qi deficiency, yang deficiency, cold in the related channels and so on. Pain of the sort you described (though we need more information) could be deficiency, cold, qi stagnation, fluid stagnation, blood stasis, or maybe heat. We probably need mroe information on his tongue, pulse, as well as his body temperature. I want to know from the patient if he ever subjectively (internally) perceives cold or emptiness in the lower tantien or the genital area, or if he ever perceives objectively (externally via touching) that his scrotum, penis, or lower abdomen are cold or swollen. Time of day or night for these s & s would be good too. His sexual function and habits might be very relevant, as well as his diet and sleeping habits. Treatment I might focus on K and Liv channels. Liv 5 and 6 are especially useful, moxa plus qi sensation (from needle or moxa) radiating along the channel usually precede good effect. K points will vary based on the rest of his presentation. The patient may also want to warm the area with his own qi. Cupping his testicles in the palms of his hands, and relaxing, sending qi to the area if very effective for increasing blood circulation to the scrotum / testicles and I find this exercise to be necessary, especially for cases where cysts / swelling or excessive firmness is present. Keep in mind that these cases are usually based in deficiency, and therefore it is imperative that the patient rest more and not engage in depleting activities, whether sexual or otherwise. Hope that was helpful, Hugo John Chow <vajra_master Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. Qustions:- 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. 3) What herbs or formula ould you use for groin pain due to stagnation. Thanks a lot. 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Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 Hi Hugo, You may be right. However, both of my patients had serious physical injuries to the lower back; one of them was actually crushed between a truck and some structure. Certainly stagnation of both qi and blood is part of the scenario following such injuries. I have gotten better results treating huatuojiaji points than with treatments aimed solely at relieving stagnation, though. Andrea Beth Hugo Ramiro <subincor wrote: Hi Andrea and all, This is an interesting topic for me, since I usually take the position that while imaging is very useful and necessary in many cases, what is imaged is not what is " actually " going on. I generally, when I see impingement reported, do not assume that the problem is one of simple impingement, but rather that it is a branch effect of a " real " reason, for example, qi stagnation. In my experience, the only cases where the impingement is primary are in cases of accidents / physical injury. Thoughts? Hugo < Chinese Medicine Thursday, 15 February, 2007 9:55:47 AM Re: Groin & Testicular pain Hi John, I have had a couple of patients with the same symptoms you report. Both of them have had spinal nerve impingement from vertebral disk problems. I would send him for x-rays or to be evaluated by a chiropractor before assuming it's simple qi stagnation, particularly since his symptoms are worse in specific positions. This is typical of nerve impingement. John Chow <vajra_master@ > wrote: Hello, I have a patient with pain in the groin and testicles. The pain is usually dull, but certain movements can cause a sharper pain. Pain usually manifests if have a period of inacivity, eg., lying down, or driving a car for long distances. Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. Qustions:- 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. 3) What herbs or formula ould you use for groin pain due to stagnation. Thanks a lot. John Chow Melbourne, Australia ------------ --------- --------- --- The all-new Mail goes wherever you go - free your email address from your Internet provider. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2007 Report Share Posted February 16, 2007 Hi Andrea. Now I'm confused. You refer to two patients who suffered physical injury; they clearly belong to the second category that I mentioned - " physical injury " . Then you state that you have gotten better results with the HTJJ points - do you refer to your accident patients or others as well. I agree that HTJJ are immensely useful points, and I do use them often. Thank you, Hugo < Hi Hugo, You may be right. However, both of my patients had serious physical injuries to the lower back; one of them was actually crushed between a truck and some structure. Certainly stagnation of both qi and blood is part of the scenario following such injuries. I have gotten better results treating huatuojiaji points than with treatments aimed solely at relieving stagnation, though. Andrea Beth Hugo: In my experience, the only cases where the impingement is primary are in cases of accidents / physical injury. Thoughts? Hugo Any questions? Get answers on any topic at Answers. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2007 Report Share Posted February 16, 2007 Hi Hugo, No need to be confused. First, my name is Andrea Beth. Second, I am referring to only 2 patients. They both had very old physical injuries, and I used huato's on both. That's all I did. No UB-17 and LI-4 and LIV-3, and no herbs to treat stagnation; in fact, no herbs at all. This is despite the fact that old, poorly-healed injuries usually involve a great deal of stagnation, as did theirs. Hugo Ramiro <subincor wrote: Hi Andrea. Now I'm confused. You refer to two patients who suffered physical injury; they clearly belong to the second category that I mentioned - " physical injury " . Then you state that you have gotten better results with the HTJJ points - do you refer to your accident patients or others as well. I agree that HTJJ are immensely useful points, and I do use them often. Thank you, Hugo < Hi Hugo, You may be right. However, both of my patients had serious physical injuries to the lower back; one of them was actually crushed between a truck and some structure. Certainly stagnation of both qi and blood is part of the scenario following such injuries. I have gotten better results treating huatuojiaji points than with treatments aimed solely at relieving stagnation, though. Andrea Beth Hugo: In my experience, the only cases where the impingement is primary are in cases of accidents / physical injury. Thoughts? Hugo Any questions? Get answers on any topic at Answers. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2007 Report Share Posted February 16, 2007 One of the signs of lumbar facet joint pathology is pain radiating into the groin. I don't think it would affect the testicles, but it is worth keeping in mind. Also there is a great chinese patent medicine for testicular pain due to stagnation, I just can't remember the name. I think it is based on the formular Ju he Wan. Does anybody know the name of the patent?- Ken Cherman, L.Ac. Chinese Medicine , Andrea Beth Damsky < wrote: > > Hi John, > > I have had a couple of patients with the same symptoms you report. Both of them have had spinal nerve impingement from vertebral disk problems. I would send him for x-rays or to be evaluated by a chiropractor before assuming it's simple qi stagnation, particularly since his symptoms are worse in specific positions. This is typical of nerve impingement. > > > > John Chow <vajra_master wrote: > Hello, > > I have a patient with pain in the groin and testicles. > The pain is usually dull, but certain movements can cause a sharper pain. > Pain usually manifests if have a period of inacivity, eg., lying down, or driving a car for long distances. > > Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. > > Qustions:- > 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. > 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. > 3) What herbs or formula ould you use for groin pain due to stagnation. > > Thanks a lot. > > John Chow > Melbourne, Australia > > > > The all-new Mail goes wherever you go - free your email address from your Internet provider. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2007 Report Share Posted February 16, 2007 Actually the most likely referred pain to testicles from musculoskeletal problems is T-12 disc. The iliolumbar ligament refers to the groin. Facets are unlikely to refer to testicles - asvassah Chinese Medicine Thursday, February 15, 2007 11:01 PM Re: Groin & Testicular pain One of the signs of lumbar facet joint pathology is pain radiating into the groin. I don't think it would affect the testicles, but it is worth keeping in mind. Also there is a great chinese patent medicine for testicular pain due to stagnation, I just can't remember the name. I think it is based on the formular Ju he Wan. Does anybody know the name of the patent?- Ken Cherman, L.Ac. Chinese Medicine , Andrea Beth Damsky < wrote: > > Hi John, > > I have had a couple of patients with the same symptoms you report. Both of them have had spinal nerve impingement from vertebral disk problems. I would send him for x-rays or to be evaluated by a chiropractor before assuming it's simple qi stagnation, particularly since his symptoms are worse in specific positions. This is typical of nerve impingement. > > > > John Chow <vajra_master wrote: > Hello, > > I have a patient with pain in the groin and testicles. > The pain is usually dull, but certain movements can cause a sharper pain. > Pain usually manifests if have a period of inacivity, eg., lying down, or driving a car for long distances. > > Doctor says it is probably due to inflammation of prostate (non bacteria protatitis). Scanning etc., does not indicate cancer of eithr prostate or tsticles, although there are some some cysts in the testicls which the doctor says are within normalcy and are not cancerous. > > Qustions:- > 1) What is your diagnosis? I ould have put down to Liver Qi Stagnation at th groin. > 2) How wopuld you treat? At the moment, I use a combination of massage and acupuncture. Points:- LV-33, LV-8, SP-6 Groin and testicular massage with mdeicated cream. > 3) What herbs or formula ould you use for groin pain due to stagnation. > > Thanks a lot. > > John Chow > Melbourne, Australia > > > > The all-new Mail goes wherever you go - free your email address from your Internet provider. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2007 Report Share Posted February 17, 2007 On 16 Feb 2007 at 7:57, Alon Marcus wrote: <Chinese Medicine > " Alon Marcus " <alonmarcus Date sent: Fri, 16 Feb 2007 07:57:13 -0800 Re: Re: Groin & Testicular pain Send reply to: Chinese Medicine > Actually the most likely referred pain to testicles from > musculoskeletal problems is T-12 disc. The iliolumbar ligament refers > to the groin. Facets are unlikely to refer to testicles > Best regards, HOME + WORK: 1 Esker Lawns, Lucan, Dublin, Ireland Tel: (H): +353-(0); VOIP Number: +353-1482-7068; Tel: (M): +353-(0) < " Man who says it can't be done should not interrupt woman doing it " - Chinese Proverb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2007 Report Share Posted February 17, 2007 I have a senior patient (age 55) who suffered a kick to the groin over 15 years ago. He has a non-descending testicle on the left side. His MD told him not o worry about it. His health is otherwise good. He's tried some Homeopathy, which actually does have this symptom listed in a great many manners.. There are acupuncture protocols but I was looking for something herbal. Any suggestions. Ed Kasper LAc. Santa Cruz, CA Quote Link to comment Share on other sites More sharing options...
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