Early symptoms of gonococcal dermatitis

　　Gonococcal invasion of the blood can cause symptoms such as fever, chills, general malaise, and loss of appetite. The typical manifestation is gonococcal dermatitis. Gonococcal dermatitis often occurs in the perineum, coronal sulcus, and penis, and is often complicated by gonococcal urethritis. The initial onset of erythema and papules later develops into blisters and pustules with redness around them. Neisseria gonorrhoeae can be found in the skin lesions.

　　The symptoms of gonococcal dermatitis at different stages are as follows:

　　(1) Damp-heat toxic accumulation (acute gonorrhea): redness and swelling of the urethral orifice, urgent urination, frequent urination, painful urination, persistent leakage, turbid urine like fat, and pus overflowing from the urethral orifice. In severe cases, the urethral mucosa is edematous and nearby lymph nodes are swollen and painful. Red tongue, yellow and greasy coating, slippery and rapid pulse.

　　(2) Syndrome of Deficiency and Dulian (Chronic Gonorrhea): Unsmooth urination, short and astringent urine, inexhaustible dripping, soreness in the waist and weak legs, and heat in the five palpitations. It is easy to develop after drinking or being tired, eating less and having poor appetite. The tongue is pale or has teeth marks, the coating is white and greasy, and the pulse is deep and weak.

　　(3) Toxic evils flowing (with complications): prostate swelling and pain, refusal to press, turbid urine or dripping, and backache and sinking feeling. Red tongue, thin yellow coating, slippery and rapid pulse.

　　(4) Heat poison enters the collaterals (gonococcal septicemia): urine is burning and stinging, urine is red and astringent, and lower blood pressure stomach ache , headache, high fever, or alternation of cold and heat, indifferent expression, swollen face, sore limbs and joints, palpitations and depression. Red tongue, yellow and dry coating, slippery and rapid pulse.