How to treat left spermatic cord hydrocele in children?

The treatment of left-sided spermatic cord hydrocele in children must of course be symptomatic, especially when choosing traditional Chinese medicine treatment methods, it is necessary to differentiate and treat based on syndrome differentiation, and not be blind. Hot ironing therapy and immersion therapy can also be adopted. Patients are advised to make scientific choices.

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1. Syndrome differentiation and treatment 1. Kidney Qi deficiency syndrome: more common in infants and young children. The lump increases when they stand or cry, and shrinks when they lie down. When the lump is too large, the scrotum is as shiny as crystal, the tongue coating is thin white, and the pulse is thin and smooth. Warms the kidney, promotes Yang, transforms Qi and promotes water circulation. Representative prescription: Jisheng Shenqi Pills with modifications. 2. Syndrome of damp-heat descending: The scrotum is damp and warm, or there is swollen and painful testicles, red and hot urine, red tongue with yellow greasy coating, and rapid pulse. Clears heat and removes dampness. Representative prescription: Dafenqingyin with modifications. 3. Kidney deficiency, cold and dampness syndrome: more common in patients with long-term illness, with cold scrotum, thickened skin, heaviness and discomfort. There may be symptoms such as pale complexion, fatigue, sore waist and weak legs, loose stools, clear and long urine, white tongue coating, and deep and fine pulse. Warming the kidney and dispelling cold. Representative prescription: Jiawei Wutai San with modifications. 4. Blood stasis and collateral obstruction syndrome: There is a history of testicular injury or testicular tumor, a lump can be felt, accompanied by pain, and the patient is often unable to transmit light. The tongue is dark purple, the tongue coating is thin, and the pulse is thready and wiry. Dissolves blood stasis, promotes qi and promotes diuresis. Representative prescription: modified Huoxue Sanyu Decoction.

2. Hot ironing therapy: Grind 100g each of fennel and orange seeds into coarse powder, fry until hot, put into a cloth bag and apply warm ironing to the affected area for 20 to 30 minutes each time, 2 to 3 times a day. It needs to be heated up again before next use and can be used for 3 to 5 days before changing the medicine. It is suitable for patients with kidney deficiency, cold and dampness as the symptom.

3. Soaking method: Take 10g each of gallnut and alum, boil them in 300ml of water, wait until the appropriate temperature, and soak the scrotum in the liquid for 20 to 30 minutes each time, 2 to 3 times a day. The liquid needs to be heated up for the next soaking.

4. For application method, use Huiyang Yulong ointment or Chonghesan mixed with wine and honey and apply it to the affected side of the scrotum once a day. It is suitable for patients with kidney deficiency, cold and dampness as the symptom.