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A disease pattern of spleen vacuity and liver blood vacuity. The main signs are dizzy head and flowery vision, torpid intake and sloppy stool. Other signs may include numbness of the limbs, dry eyes, pale-white lips, fatigue and lack of strength, lusterless nails, pale-white or withered-yellow facial complexion, abdominal distension after eating, and scant pale menstrual flow. The tongue is pale-white and lusterless. The pulse is fine and weak or fine and soggy.

Analysis: The liver governs the blood and free coursing. The spleen controls the blood, governs movement and transformationand is the source of formation of blood and qì. When splenic movement is strong, blood is engendered and does not stray from the vessels so that liver has blood to store. Dual vacuity of the liver and spleen can arise when the spleen is vacuous, and either the source of qì and blood is reduced or the spleen fails to manage blood. When liver blood is insufficient, it cannot ascend to nourish the head and eyes, hence dizzy head, flowery vision, dry eyes, pale-white or withered-yellow facial complexion, and pale-white lips. When liver blood is insufficient, the sinews are deprived of nourishment, hence the numbness of the limbs and lusterless nails. When splenic movement is impaired, there is distension after eating. When spleen qì is insufficient, the body is inadequately nourished, so there is fatigue and lack of strength. When blood and qì are depleted, the menstrual flow is scant and pale. The lusterless pale-white tongue and the soggy fine pulse are also signs of qì blood depletion.

Medicinal therapy: Boost the liver and fortify the spleen. Use Eight-Gem Decoction (八珍汤 bā zhēn tāng).

Acumoxatherapy: Base treatment mainly on back transport points, LR, SP, and CV. Select BL-18 (Liver Transport, 肝俞 gān shù), BL-20 (Spleen Transport, 脾俞 pí shù), BL-17 (Diaphragm Transport, 膈俞 gé shù), CV-6 (Sea of Qì, 气海 qì hǎi), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), LR-13 (Camphorwood Gate, 章门 zhāng mén), LR-3 (Supreme Surge, 太冲 tài chōng), and GB-41 (Foot Overlooking Tears, 足临泣 zú lín qì); needle with supplementation and moxa.

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