Dual vacuity of qì and yīn

A pattern of both qì vacuity and yīn vacuity commonly occurring in febrile disease. It includes qì vacuity signs such as lassitude of spirit and lack of strength, faint low voice, sweating, shortness of breath, torpid intake, and sloppy stool, and yīn vacuity signs such as dry mouth, sore throat, vexing heat in the five hearts, postmeridian tidal heat, and night sweating. It occurs in the following circumstances:

1. Warm-externally contracted febrile disease causing wear on the fluids giving rise to a vacuity desertion trend characterized by great sweating, hasty panting, vexation and thirst, pale red or dry crimson tongue, a large diffuse or fine rapid pulse.
2. Advanced-stage warm heat disease and miscellaneous internal damage disease in which depletion of true yīn and major damage to original qì causes lassitude of spirit and physical fatigue, scantness of breath and laziness to speak, dry mouth and pharynx, low fever or tidal heat or vexing heat in the five hearts, spontaneous sweating, night sweating, red tongue with scant fur, and a large vacuous or rapid vacuous pulse.
3. Evil lodged in the qì aspect in warm disease causing unthorough sweating that eventually damages qì and humor and gives rise to the appearance of white miliaria that is dry, white, and sheenless. In addition, dual vacuity of qì and yīn is also observed in certain consumptive diseases.

Medicinal therapy: Boost qì and bank up the origin; enrich yīn and downbear fire. Use Pulse-Engendering Powder (生脉散 shēng mài sǎn) or Dryness-Clearing Lung-Rescuing Decoction (清燥救肺汤 qīng zào jiù fèi tāng).

Acumoxatherapy: Base treatment mainly on CV, back transport points, ST, SP, and KI. Select CV-6 (Sea of Qì, 气海 qì hǎi), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), SP-3 (Supreme White, 太白 tài bái), and LU-9 (Great Abyss, 太渊 tài yuān) to supplement qì. Select SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), KI-6 (Shining Sea, 照海 zhào hǎi), KI-2 (Blazing Valley, 然谷 rán gǔ), and KI-3 (Great Ravine, 太溪 tài xī) to supplement yīn. Needle with supplementation at all points.