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A disease pattern characterized by signs of both heart qì vacuity and kidney qì vacuity. The chief signs of heart-kidney qì vacuity are heart palpitation, seminal efflux, and premature ejaculation. Other signs include shortness of breath, spontaneous sweating, limp aching lumbus, reduced visual acuity, bright-white facial complexion, and fatigue and lack of strength. Urinary signs include incontinence, dribble after voiding, or frequent voidings of clear urine.

Analysis: The heart governs the blood and vessels. Heart qì vacuity reduces the pumping action of the heart, causing heart palpitation. Sweat is the humor of the heart, and when heart qì is vacuous and fails to contain sweat, sweat flows out, hence spontaneous sweating. The kidney stores essence and controls the two yīn. Kidney qì vacuity gives rise to insecurity of the essence gate (control over discharge of semen), hence there is seminal efflux and premature ejaculation. When kidney qì is vacuous, there is urinary incontinence, dribble after voiding, or frequent voidings of clear urine. Furthermore, the kidney opens at the ears, and when kidney qì is vacuous, hearing acuity is reduced. The lumbus is the house of the kidney; when kidney qì is vacuous, there is limp aching lumbus. When heart and qì is vacuous, there is a generalized weakening of functions that manifests as fatigue and lack of strength and a white facial complexion. The pale enlarged tongue with white fur, and the forceless vacuous pulse are also qì vacuity signs.

Medicinal therapy: Boost qì and nourish the heart; supplement the kidney and secure essence. Golden Cabinet Kidney Qì Pill (金匮肾气丸 jīn guì shèn qì wán) with additions.

Acumoxatherapy: Base treatment mainly on back transport points, HT, KI, and CV. Select BL-15 (Heart Transport, 心俞 xīn shù), BL-23 (Kidney Transport, 肾俞 shèn shù), CV-14 (Great Tower Gate, 巨阙 jù què), CV-4 (Pass Head, 关元 guān yuán), KI-3 (Great Ravine, 太溪 tài xī), BL-52 (Will Chamber, 志室 zhì shì), PC-6 (Inner Pass, 内关 nèi guān), and HT-7 (Spirit Gate, 神门 shén mén); needle with supplementation and add moxa.

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