Generally speaking, blood essence is not easy to be detected immediately, unless there is much bleeding, which is difficult to find during sexual intercourse. Even after sexual intercourse, penis, clothes, etc. were found. They are all stained with blood, and people often think that it is the woman's reason first. If you use condoms or interrupt sexual intercourse, it is not difficult to find blood essence. When people suddenly find that the color of semen changes, they will feel nervous involuntarily and often think anxiously. What's going on here? Semen suddenly changed from normal milky white to blood red, reddish brown or mixed with bloodshot, of course, it was mixed in the blood. So where did the blood come from? It is nothing more than a pathological change in a certain tissue part of the sperm running path, such as bleeding, inflammation and even tumor. Don't treat blood essence lightly, it may also be a signal of some serious disease, so it's best to find a specialist to check it carefully. Blood essence is not uncommon in clinic. After detailed clinical and laboratory examination, most of them can be controlled or cured by treatment, and only a few tumor patients need further treatment. Because the composition of semen mainly comes from seminal vesicle, followed by prostate, except for spermatozoa. Anatomically, the ejaculatory duct connecting the seminal vesicle gland opens at the urethral crest of the posterior urethra, and there are 10-20 openings around it. In fact, seminal vesicle, prostate and posterior urethra are interlinked, and inflammation can easily spread from one of them to the other two. In addition, the wall of seminal vesicle gland is very thin, and once it is congested, the wall of capsule covered with blood vessels is easy to bleed. Therefore, the most common cause of hemospermia is seminal vesiculitis, followed by prostatitis and posterior urethritis or posterior urethral congestion. Due to the spread of inflammation in other nearby organs, it can also cause inflammation, swelling, congestion and bleeding of seminal vesicle wall. Generally speaking, at least 70% of hemospermia under 30 years old is caused by inflammation. If it is only accidental hemospermia, no specific changes are found after examination, or it may be caused by acute congestion and mechanical collision during sexual intercourse, which leads to the rupture and bleeding of tiny blood vessels in some tissues. There is no need to panic about this short-lived hemospermia. Just stop having sex for a week or two and you can fully recover. Bleeding caused by inflammation is mostly good and bad, but it doesn't last long. If hemospermia persists and intensifies, the possibility of tumor cannot be ruled out. Individual patients have extensive bleeding tendency in other parts of the body, which is likely to be hemorrhagic diseases of the whole blood system, such as leukemia and thrombocytopenia, rather than the result of local lesions.
Traditional Chinese medicine believes that hemospermia is mostly due to the deficiency of kidney yin and high fire, which forces blood to rush; Or because of excessive sexual intercourse, blood collaterals are damaged and blood flow is refined; Or due to damp-heat betting, semen room fumigation, blood-heat rash.
Treatment of hemospermia
Treatment: nourishing yin and reducing fire, cooling blood and stopping bleeding.
Radix Rehmanniae 15 Cortex Moutan 12 Rhizoma Alismatis 12 Rhizoma Anemarrhenae 12 Fructus Corni 10 Poria 18 Fructus Ligustri Lucidi 15 Herba et Gemma Agrimoniae 18 Eclipta prostrata/kloc-. Wet bark cools blood and purges liver fire; Alisma orientalis clearing away heat; Anemarrhena asphodeloides reduces deficiency heat; Yam strengthens the spleen; Yunling strengthens the spleen and infiltrates dampness; Ligustrum lucidum and Eclipta prostrata nourish liver and kidney and cool serum heat; Mume and Herba et Gemma Agrimoniae converge to stop bleeding; Astragalus membranaceus can replenish qi and consolidate the foundation; Cornus officinalis led the fire to its source. The syndrome differentiation and treatment of blood essence shows that semen is red, accompanied by ejaculation pain and pudendal swelling and discomfort; Hypersexuality, nocturnal emission, soreness of waist and knees, fever of hands and feet, dizziness and tinnitus, dry mouth and throat. The tongue is red, with little moss and thin pulse.
Treatment: nourishing yin and reducing fire, cooling blood and stopping bleeding.
Prescription 1. The main prescription Dabuyin Pill (Zhu Danxi's "Danxi Heart Method") is added and subtracted: Cortex Phellodendri 10g, Rhizoma Anemarrhenae 10g, Carapax et Plastrum Testudinis 15g, Radix Rehmanniae 20g, Eclipta prostrata 15g, Fructus Ligustri Lucidi 15g and Rhizoma Imperatae 20g. Decoct in water twice and take it twice, daily 1 dose. 2. Chinese patent medicine (1) White Dihuang Pill, taken orally, 9g each time, 3 times a day, with boiled water. (2) Liuwei Dihuang Pill, 9 grams each time, 3 times a day, taken orally with boiled water. (3) Dabuyin Pill, taken orally, 9 grams each time, 3 times a day, with boiled water. 3. Single prescription (1) Sheng Di Yangyin Qingre Decoction (Qi Hao's "Prescription of Good Prescriptions"): 20g of Radix Rehmanniae, 20g of Poria, 9g of Radix Paeoniae Alba, Ligustrum lucidum 15g, Eclipta prostrata 10g, Semen Plantaginis 10g, and Alismatis Rhizoma1. Decoct with water, daily 1 dose. (2) Yangyin Qingre Zhixue Decoction (Ranqihua Formula): Radix Asparagi, Cortex Phellodendri, Cortex Lycii, Rhizoma Dioscoreae, Fructus Corni, Cortex Moutan and Fructus Lycii each 65438±05g, Eclipta prostrata, Rhizoma Imperatae and Radix Rehmanniae each 30g, Pollen Typhae, Carapax et Plastrum Testudinis, Semen Cuscutae, Fructus Ligustri Lucidi and Achyranthis Radix each 65438±02g. Decoct with water, daily 1 dose, and avoid sexual intercourse during taking the medicine. Spleen and kidney qi deficiency syndrome is characterized by semen red, or blood in essence, and blood color is pale red; Loss of libido, emaciation and fatigue, soreness of waist and knees, eating less and staying more, fatigue and spontaneous sweating after sexual intercourse. Red tongue with white fur and weak pulse.
Treating spleen and kidney, benefiting qi and tonifying kidney.
Prescription 1. Buzhong Yiqi Decoction (Li Dongyuan's spleen and stomach theory) is composed of Astragalus membranaceus 30g, Atractylodes macrocephala 10g, Pericarpium Citri Tangerinae 10g, roasted Cimicifuga rhizome 5g, Bupleurum chinense 10g, Codonopsis pilosula 10g and Cuscuta chinensis 15. Decoct with water, daily 1 dose. 2. Chinese patent medicine (1) Buzhong Yiqi Pill, taken orally, 9 grams each time, 3 times a day, with boiled water. (2) Shiquan Dabu Pill, taken orally, 9 grams each time, 3 times a day, with boiled water. 3. The prescription of Buyi Decoction (Lai et al.' New Prescription for Clinical Efficacy' 1980.6): Radix Rehmanniae Preparata 15g, Radix Codonopsis 15g, Colla Corii Asini 10g (decocted separately), Radix Dipsaci, Pollen Typhae 15g. Decoct in water twice and take it twice, daily 1 dose. Damp-heat downward flow syndrome is characterized by dark red or dark red semen, ejaculation pain, distending pain in the lower abdomen, testicles or perineum, itching or pain of penis, wet itching of scrotum, burning of urethra, or red and turbid urine; Bitter and sticky mouth, irritable. Red tongue, yellow greasy fur and slippery pulse.
Treat damp heat, cool blood and stop bleeding.
Prescription 1. The main prescription of Bazhengsan (Taiping Huimin Hejiju Prescription by Chen et al.) was revised as follows: Akebia manshuriensis 10g, Plantago asiatica 10g, Polygonum aviculare 15g, Yunnan wheat 15g, Gardenia jasminoides Ellis 15g and rhubarb 5. Decoct with water, daily 1 dose. 2. Chinese patent medicine (1) Compound Chuanxinlian tablets, taken orally, 4 tablets each time, 3 times a day. (2) Compound pineapple enzyme tablets, taken orally, 3 tablets each time, 3 times a day. 3. Prescription of (1) Qinggan Xiehuo Decoction (Chaguo Wengfang): Radix Gentianae 10g, Fructus Gardeniae 10g, Radix Scutellariae 10g, Radix Rehmanniae 15g, Colla Corii Asini 9g (dissolved separately), Cortex Phellodendri 9g, and Colla Corii Asini 9g. Decoct with water, daily 1 dose. (2) Danggui Longhui Pill (Pu Ya Qingfang) prescription: Radix Gentianae10g, Radix Angelicae Sinensis 6g, Scutellariae Radix10g, Cortex Phellodendri10g, Gardenia Black 9g, Radix et Rhizoma Rhei 9g, Rhizoma Coptidis 5g, Radix Rehmanniae15g and Radix Paeoniae Rubra 20g. Decoct in water twice and take it twice, daily 1 dose. Blood stasis syndrome is characterized by dark red semen or dark purple blood in semen, which stings the penis during ejaculation; Small abdominal distension, stuffy pain, insomnia, dreaminess and depression. Dark tongue or ecchymosis, dull and astringent pulse.
Treatment: promoting blood circulation, removing blood stasis, dredging collaterals and stopping bleeding.
Prescription 1. The main ingredients of Gexia Zhuyu Decoction (Wang Qingren's Medical Treatment and Correction) are: peach kernel 10g, cortex moutan 10g, radix paeoniae rubra 10g, radix linderae 5g, rhizoma corydalis 10g, radix Angelicae sinensis 10g and rhizoma Chuanxiong. Decoct with water, daily 1 dose. 2. Chinese patent medicine (1) Compound Danshen Tablets, taken orally, 4 tablets each time, 3 times a day. (2) At the end of Panax notoginseng, take orally, 3g each time, 3 times a day, and take it with boiled water. 3. Jing Cheng Decoction (Wang Guangjian's prescription): rhubarb 15g (below), peach kernel 10g, safflower 10g, angelica sinensis 10g, Rhizoma Dioscoreae Septemlobae 10g, and poria cocos. Semen Vaccariae 15g, Radix Glycyrrhizae 6g, Radix Notoginseng 3g (orally taken), Glauber's salt 6g (dissolved), Lumbricus 10g, Semen Phaseoli 30g and Rhizoma Imperatae 30g. Decoct with water, daily 1 dose.