There is an eastern remedy that has been used for generations. The information has been translated from eastern medicine literature. Japkasai, the Thai testicular massage and Chinese remedies are illustrated below.
This treatment will take at least 2 hours. Take your time with the instructions.
The Japkasai massage has the following benefits for people suffering chronic spermatocystitis:
- Stimulate blood circulation.
- Strengthen the spermatic cord
- Provide pain relief of the testicles
- Increase testosterone production
This massage can be very intense for the patient. The massage has to be done with them knowing the procedure beforehand and consenting to the treatment fully.
For this you will need basic massage tools and a massage table. There are many ways of administrating this treatment but the steady hands of a practitioner should be all that is needed. I sell an accelerated kit with the proper instruments and emollients to make work easier. Contact me for prices.
The basic kit comes with the massage bongers and oils for treatment. The advanced kit is more suitable for someone trained in eastern medicine but anyone should be able to operate with these instructions.
The basic kit comes with the massage bongers and oils for treatment. The advanced kit is more suitable for someone trained in eastern medicine but anyone should be able to operate with these instructions.
Step 1
Asses the patient in a standing position. We want to make sure the patient is eligible for this type of treatment. Things to look out for are damage done such as bruising, unusual swelling, excess pain. If any of these symptoms are present, the patient must first get consent from their doctor to proceed.
Presence of fluid buildup, know as a hydrocele needs treatment from a doctor.
Abnormal, or advanced, testicular torsion accompanied by pain.
Testicles that have no pain, or little response when squeezed.
Step 2
At the massage stage, have the patient put on the blindfold. Play soft music if available to sooth the nerves.. Have the patient lay down on his back in the supine position with their knees bent up and apart.
We want to expand the scrotom and elongate the spermatic cords with the following massages:
A) Pull up, towards the body between the testes and penis while massaging the spermatic cord.
B) Pull Down, in reverse while massaging the spermatic cords.
C) Massage outwards, separating the testes
D) and back in.
Repeat this process until the testicles are hanging loosely from the body as such:
A wet, warm washcloth may help in this procedure to help with the spermatic cord lengthening.
The next step in this process is the testicular rolling. This can be done by slowly rotating each teste independently 180 degrees at a time and both in a clockwise and counterclockwise fashion.
After this is the tap and push. With one hand, lift the scrotum and
A) with your finger tap on each teste. Asses the pain threshold of the patient. Increase the tap until you have reached their pain threshold and remember this value.
B) Using the base of your hand in a slapping motion, hitting both testes, assign a threshold of pain for both at one time.
C) Twist the tested above the 180 degree mark in both directions, until a threshold is realized.
While the patient is still in the supine position, We need to next check the perineum.
The perineum is located between the anus and the scrotum.
Massage this area, checking for excess pain. From the Perineum up to the scrotum, completing the same steps as from above, but from the underside of the scrotum.
Check for excess swelling in the perineum and fluid buildup. The prostate should be avoided during this massage, but feeling for inconsistencies, if experienced, is a worthwhile technique.
A table with leg-stays are very helpful in this examination, but not required.
Step 3
Have the patient rest on their hands and knees. Test scrotum should hang freely away from the body as such.
Use a towel or a pillow if necessary. Make sure the patient is comfortable and does not have a weak back.
In this position, repeat the procedure from step 2. Tap, hit, rotate.
The patient can also lay on his side during this step if a bad back is another area of discomfort (notice, preferential scrotal stretching in image)
Now is when you will need the belt. You can try to gauge the patients response from you hand, but you want to apply pressure and a sting enough for them to gain blood flow.
The skin will warm and color red. This is a positive sign the blood is flowing and the energy is connected. You will want to make sure that you have a rose red color for the treatment to work. If the patient is unhappy with this and is asking to stop. Go back to the testicle massage from step 2-3 and work back down the list until you have reached a red complexion, depending on skin tone.
If the patient gets an erection during this part of the treatment, it is to be expected. The blood is flowing in this region. It will be good for aftercare.
Use Pinchwood/Rainwood oil (supplied with the kit I sell) and cover the red areas. This will also help with the healing process. Make sure to use plenty and cover all affected areas, especially the testes. We want to massage it in for at least 5 minutes, more if still sore.
Step 4
Have the patient get back into the supine position. We are going to use pain as a tool to fix this problem. The patient with spermatocystitis endures pain worse than what we will administer. While this is very uncommon in the western world and may strike as taboo, it is an ancient medicine practiced in many eastern countries.
For this step, you will need Bongers, rope, a wooden mallet and or restraints. This can be painful and restraint may be necessary either via rope or hand restraints, positioning the hands to stay away from preventing the job at hand.
Bongers
For bongers, This can be administered in both the supine and hands and knees. Make sure the perineum, testes, spermatic cord (both above and below) are struck. Use a repetitive motion, with not too much force, but not too little force either. A fast light pace is key.
Bongers are available from places such as Amazon and other oriental massage product sites. I also carry a line of bongers that can be purchased directly from me.
Paddle
The paddle is a good tool for someone just starting either as a patient or as the administrator of said paddle. Still, care should be used.
No tools, just hands
In conjunction to tools, it may be preferable to use hands in the absence of good tools. In some cases a combination of both hands and tools are used.
Step 4 needs to be repeated. It's important to give a full treatment. Multiple small taps, slaps, hits in repetition are more beneficial than 1 or 2 heavy hits. Aim for the spermatic chords if the pain becomes too severe.
Apply oil well after this part. Make sure to cover all affected areas followed by pressure to make sure the oil absorbs into the skin thoroughly.
Some notes
While Japkasai treatment may seem very uncommon or not beneficial, the patient will walk away with less pain. This treatment will cause short term pain, but in the long term, a less painful life. The treatment can last months, if not years of future discomfort. Spermatocystitis is known to last an entire lifetime and this treatment is lifesaving for the patient. A qualified Eastern Medicine doctor may not be available and it is hard for the patient to find a practitioner to administer this as it is very uncommon in the west.
During this procedure the patient may be uncomfortable and want to stop. Assure them that it is in their best benefit to proceed for a long term solution, but if he says no, stop immediately.
The patient may also experience an erection. Not only is this common, this is a result of the excess testosterone in the body that is generated by the pain produced in this area. Assure the patient that this is normal.
If at any point swelling occurs, stop. Have a cold washcloth handy and let the patient relax in the supine position until the swelling goes down. Do not proceed if this occurs.The patient will have to wait some months.
As a guideline, this should be performed at most twice per month. Do not exceed this as the patient will have no real benefit between this timeframe.
Advise the patient to not ejaculate for up to several days after treatment. When they do ejaculate, they may notice some pain. This is normal from the spermatic cords in the healing process
Part 2 - FAQ here. http://massagepros22.blogspot.com/2013/10/japkasai-treatment-frequently-asked.html
