Varicose veins of the spermatic cord belongs to the category of “tendon tumor” and “tendon hernia” in traditional Chinese medicine, and can be treated with prescriptions according to different types of evidence, such as Blood Palace and Blood Stasis Soup and Gentian Liver Laxative Soup. 1. Qi stagnation and blood stasis (stagnation of blood due to lack of circulation of qi), treatment: promoting qi and blood circulation (promoting qi to circulate blood), benefiting the kidneys to generate essence. Recommended formula: Blood Stasis and Blood Stasis Tang combined with Wu Zi Diffractive Zong Wan plus subtractions. 2. Dampness-heat condensation (dampness and heat evils accumulate with each other in the body); treatment: clearing away dampness-heat and nurturing yin to produce essence. Recommended formula: Longdian Diarrhea Liver Tang combined with Wu Zi Diffractive Pill plus or minus. Additional subtractions: add Radix Rehmanniae Praeparata, Radix Paeoniae Alba, Radix et Rhizoma Polygoni Multiflori, Poria Cocos and so on. 3. Yin deficiency of the liver and kidney (deficiency of yin in the liver and kidney). Treatment: tonifying the liver and kidney, nourishing yin and generating essence. Recommended formula: Zuo Gui Wan plus subtractions. Add and subtract: if there is yin deficiency and fire exuberance (deficiency of yin and essence in the body, resulting in hyperactivity of deficiency fire), add Drynaria, Chasteberry, Zhi Mu, Huang Bai, etc.; if there is heavy deficiency of yin and essence, add Huang Jing, Mulberry Seed, Colla Corii Asini, etc. 4. Kidney yang deficiency (lack of yang qi in the kidneys), treatment: warming the kidneys and strengthening yang (warming and tonifying the yang qi in the kidneys), cultivating the vital essence. Recommended formula: Right Angelica Pill plus or minus. Add and subtract: add dry ginger, red ginseng, tonic bone marrow, etc. for those with Yang deficiency and internal coldness; add horny goatweed, baji tian, xianmao, cistanchis, etc. for those with severe Yang deficiency. 5. Qi and blood deficiency, treatment: benefiting qi and nourishing blood (replenishing the body’s qi and blood), activating blood to produce essence. Recommended formula: add or subtract Ten Complete Daxin Tang. Add and subtract: if the deficiency of qi is serious, add ginseng, yam, five-clawed dragon and so on. If blood deficiency is serious, add Huang Jing, Chicken Blood Vine, Colla Corii Asini, Mulberry Seed, etc. Please take the medicine under the guidance of professional physicians.