TCM diagnosis Based on Syndrome Differentiation:
Non-special orchitis is mostly caused by urethritis, cystitis and prostatitis; bacteria spread from seminiferous duct or lymph (orchitis always combines with urethritis, systitis, prostatitis), inflammation irritation causes testicles congestion, edema, seminiferous tubes necrosis, hemorrhage, may form testicular abscess. The most common cause if the epididymal orchitis caused by Epididymitis. The patients often suffer from testicular pain, groin pain, accompanied by high fever, leukocytosis, etc. testicle swelling, pressing pain is very obvious, scrotum skin irritation.

According to orchitis patients' causes, pathological changes and the symptoms, the medicine to cure orchitis can clear heat and detoxicate, kill all kind of bacteria, viruses, turn mycoplasma and chlamydia negative; the heat-clearing and detoxicating drugs together with promoting blood circulation to remove blood stasis and soften hard lumps and dispel nodes drugs, can eliminate testicular hyperemia, edema, abscesses and other lesions; then use inducing diuresis for treating strangurtia drugs to cure accompanied urethritis, cystitis and clear the urine. The whole prescription has a curative effect of heat-clearing and detoxicating, promoting blood circulation to remove blood stasis, soften hard lumps and dispel nodes, inducing diuresis for treating strangurtia, can cure orchitis and its complication.

Diagnosis in Western Medicine:
You may need a prostate examination to see if your prostate is inflamed. This involves your doctor inserting a finger into your rectum to physically examine the prostate.

Your doctor may ask for a urine sample and swab any discharge for lab analysis. This can determine if you have STIs or other infections.

Ultrasound imaging can rule out testicular torsion. Testicular torsion is another condition that causes extreme pain in the testicles and groin area, and the symptoms are often confused with those of orchitis. Testicular torsion is the twisting of the spermatic cord, a network of nerves and blood vessels that runs into each testicle. It can threaten your fertility if it interrupts blood flow to your testicles.