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A disease pattern characterized by signs of both heart yīn vacuity and lung yīn vacuity. The chief signs are dry cough, heart palpitation, and tidal heat. Other signs include cough with scant sticky phlegm that is not easy to expectorate, heart vexation, reduced sleep, profuse dreaming, dry lips, dry throat, scant urine, postmeridian tidal heat, vexing heat in the five hearts, and night sweating. The tongue is red and dry with scant fur. The pulse is fine and rapid. Lung yīn vacuity with fire that scorches the liquid causes counterflow qì and dry cough or cough with scant sticky phlegm that is difficult to expectorate. Heart yīn vacuity with blood failing to nourish the heart and depriving the spirit of nourishment explains the reduced sleep and sleeplessness. The dry lips, dry throat, scant urine, postmeridian tidal heat, vexing heat in the five hearts, and night sweating are all signs of yīn vacuity with effulgent fire. Yīn vacuity explains the dry scant tongue fur and fine pulse; vacuity fire flaming upward explains the red tongue and rapid pulse.

Medicinal therapy: Enrich vacuity and downbear fire; moisten the lung and quiet the spirit. Use variations of Aster Decoction (紫菀汤 zǐ wǎn tāng).

Acumoxatherapy: Base treatment mainly on back transport points, HT, LU, and KI. Select BL-15 (Heart Transport, 心俞 xīn shù), BL-13 (Lung Transport, 肺俞 fèi shù), BL-17 (Diaphragm Transport, 膈俞 gé shù), BL-43 (Gāo-Huāng Transport, 膏肓俞 gāo huāng shù), LU-5 (Cubit Marsh, 尺泽 chǐ zé), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), PC-6 (Inner Pass, 内关 nèi guān), HT-7 (Spirit Gate, 神门 shén mén), KI-3 (Great Ravine, 太溪 tài xī), and KI-6 (Shining Sea, 照海 zhào hǎi); needle with supplementation.

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