Library

Chao Yuanfang stated: All sinews converge at the genitalia. When pathogenic factors invade the Jueyin (Liver) and Shaoyin (Kidney) meridians and contend with cold qi, it results in swelling and pain of the scrotum with retraction of the testes. Although the classics divide this condition into four types—namely Chang hernia (intestinal hernia), Qi hernia (gas hernia), Shui hernia (water hernia), and Luan hernia (testicular hernia)—if pediatric cases are not treated promptly, they may become chronic stubborn diseases. For instance, symptoms such as curved waist, abdominal pain, spontaneous cold sweating, and both testes retracting into the abdomen until the pain subsides and they emerge, is named "Nei Diao" (Internal Retraction). It is treated with Yunqi San (Uniform Qi Powder) and Jinling San (Golden Bell Powder).

Zeng stated: Some infants present with complete retraction of the penis where it is invisible, or a shiny swollen scrotum without pain; this is due to deficiency of Liver and Kidney qi. Jinling San and Yunqi San are appropriate. This is because sinews contract and retract when exposed to cold, but relax and extend when exposed to heat. Therefore, according to the Three Causes theory, treatment should focus on relaxing the Small Intestine qi and dispersing wind. However, this condition in children often arises from sitting in cold, damp places or contracting wind-dampness. Danggui San (Angelica Decoction) combined with Areca Seed (Binglang) and Atractylodes Rhizome (Cangzhu), decocted with water and fresh ginger, is suitable. In cases where the external genitalia skin swells greatly without dryness or pain, appearing shiny like an inflated balloon, this is caused by qi deficiency. Jiuzi Wan (Leek Seed Pill) from the Three Causes school and Yunqi San are indicated. Another presentation involves reddish, transparent swelling of the external genitalia skin, or swelling of the vulva in female infants, which is transmitted from Heart heat; these are treated with Mutong San (Akebia Decoction) and Daochi San (Guide Out Redness Powder). Occasionally, crying, shouting, and anger cause stagnation in the lower jiao, leading to accumulation that does not dissipate, combined with obstruction of the urinary orifice, resulting in scrotal or testicular swelling; Taoren Wan (Peach Kernel Pill) is appropriate. Pediatric Hu hernia (fox hernia), characterized by asymmetry in size and frequent movement up and down, is called Pian Zhui (Lateral Drooping). Ten-four roasted spiders and five qian of Cinnamon Twig (Guizhi) are ground into powder. Each dose is 8 fen, taken twice daily, mixed with wine. Honey pills are also acceptable. External application of Hei San (Black Powder) is used.

Qian Yi stated: The cause of hematuria lies in the fact that the Heart governs blood and has a interior-exterior relationship with the Small Intestine. Blood circulates throughout the meridians and organs. If heat accumulates in the Bladder, blood渗 (seeps) into the bladder (pao), causing blood to appear in the urine.

Xue Ji stated: Heat entering the Large Intestine causes hematochezia (blood in stool); heat entering the Small Intestine causes hematuria (blood in urine). In children, this is often due to heat acquired in the womb, or the nursing mother suffering from invasion by the Six Exogenous Pathogens or Seven Emotions, or accumulating heat from rich and heavy foods, or the child consuming sweet and fatty foods leading to heat accumulation, or being invaded by exogenous pathogens. For hematuria due to excess heat, Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction) is used; for deficiency heat, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is used.