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Heart-kidney yīn vacuity

心肾阴虚 〔心腎陰虛〕xīn shèn yīn xū

A condition characterized by signs of heart yīn vacuity and kidney yīn vacuity. The main signs of heart-kidney yīn vacuity are heart palpitation or fearful throbbing, and seminal emission. Other signs include insomnia, forgetfulness, heart vexation, aching lumbus, loosening of the teeth, yellow urine, dry stool, and night sweating. The tongue is red with scant fur. The pulse is fine and rapid.

Analysis: The kidney stores essence; when yīn-essence is vacuous it fails to restrain yáng, hence there is night sweating and seminal emission. Insufficiency of kidney essence causes lumbar pain. Insufficiency of bone and marrow causes loosening of the teeth. The heart governs the vessels; when heart blood is vacuous, the heart spirit is not stored and nourished, hence the heart vexation, insomnia, and forgetfulness. When the blood fails to nourish the heart, there are palpitation. When heart and kidney yīn are vacuous, fluids are insufficient, hence the yellow urine and dry stool. The red tongue with scant fur and the rapid fine pulse are signs of yīn vacuity with effulgent fire.

Medicinal therapy: Enrich the kidney and nourish the heart; downbear fire and quiet the spirit. Use Celestial Emperor Heart-Supplementing Elixir (天王补心丹 tiān wáng bǔ xīn dān).

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), BL-17 (Diaphragm Transport, 膈俞 gé shù), CV-14 (Great Tower Gate, 巨阙 jù què), PC-6 (Inner Pass, 内关 nèi guān), HT-7 (Spirit Gate, 神门 shén mén), KI-3 (Great Ravine, 太溪 tài xī), BL-52 (Will Chamber, 志室 zhì shì), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation.

See heart yīn vacuity; kidney yīn vacuity.

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