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A disease pattern characterized by signs of both heart yáng vacuity and lung yáng vacuity. The main signs are stifling oppression and pain in the heart and chest. Other signs include heart palpitation, forceless cough and panting, fear of cold, lack of warmth in the hands and feet, and dark purple lips. The tongue is dark in color and enlarged. The tongue fur is white and glossy. The pulse is sunken, slow, and forceless.

Analysis: The lung inhabits the upper burner and governs the qì of the whole body. The heart governs the vessels. Hence, when the yáng of the chest is devitalized, causing qì stagnation and blood stasis, there is stifling oppression and pain in the heart and chest. When heart yáng is vacuous, its pumping power is reduced; hence there is heart palpitation. Lung qì vacuity gives rise to forceless cough and panting; insufficiency of yáng qì causes fear of cold, cold limbs, and green-blue or purple lips. The dark, enlarged tongue with white glossy fur and the forceless slow sunken pulse are all indications of yáng vacuity.

Medicinal therapy: Boost qì and assist yáng; loosen the chest and relieve pain. Use Origin-Preserving Decoction (保元汤 bǎo yuán tāng).

Acumoxatherapy: Base treatment mainly on back transport points, CV, GV, and LU. Select BL-15 (Heart Transport, 心俞 xīn shù), BL-13 (Lung Transport, 肺俞 fèi shù), CV-14 (Great Tower Gate, 巨阙 jù què), LU-9 (Great Abyss, 太渊 tài yuān), CV-6 (Sea of Qì, 气海 qì hǎi), CV-4 (Pass Head, 关元 guān yuán), GV-4 (Life Gate, 命门 mìng mén), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ); needle with supplementation and large amounts of moxa.

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