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Kidney yáng failing to warm the spleen. Earth represents the spleen, whereas fire represents kidney yáng (not the heart). In kidney yáng vacuity (insufficiency of the life gate fire), the spleen is deprived of warmth and its ability to transform food water-damp is affected. Hence, there are signs of spleen-kidney yáng vacuity such as such as cold limp lumbus and knees, nontransformation of grain and water, inhibited urination, swelling, and fifth-watch diarrhea. See spleen-kidney yáng vacuity.

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