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I have a case of a 28 yo male with chronic epididymitis. He is about 4 months into pain. I started seeing him three weeks ago. At first I gave him GZFZT modified according to Dr. Tian for undescended testicles as he had a bit of a feeling of retraction (add CLZ 6 WZY 6 Juhe 9 Lizhihe 9). He experienced a positive change immediately so I decided to keep him on the formula.  His progress plateaued and seemed even to get worse if he missed a few doses of the herbs, so I increased the fuzi to 45g/day. He then had a bad week last week. Not sure if the change was due to exercise, a nocturnal emission (which in the past has caused flares), or just random. I decided to switch him to something that could get at deeper cold so I gave him DGSNJWZYSJT plus FZ at 45. His pain came down a bit again, but is still at the level of the first improvement. He is depressed about the ongoing pain. Everything else is WNL. His pulse in the right chi is slightly tight (an improvement), thin wiry in the cun and guan on the right side. His left pulses have come up with the formulas and is no longer deep and weak, but thin wiry. His abdomen has some rikyu and maybe a bit of weakness in the lower abdomen.

 

Any suggestions of how to get him to improve more? His mood is also quite low. Thanks.

 -Steve