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Kidney yīn vacuity

肾阴虚 〔腎陰虛〕shèn yīn xū

Also:

A disease pattern chiefly characterized by aching lumbus; seminal emission; scant menstruation; dizziness; tinnitus.

Description: Limp aching lumbus and knees; dizziness; tinnitus; loosening of the teeth; hair loss; in men, persistent erections, seminal emission, and premature ejaculation; in women, scant menstruation of amenorrhea or flooding and spotting; insomnia; forgetfulness; dry mouth and pharynx; emaciation; tidal heat effusion (steaming bone tidal heat); vexing heat in the five hearts; night sweating; postmeridian reddening of the cheeks; short voidings of yellow urine; a red tongue with little or no fur and little liquid. A pulse that is fine and rapid.

Diseases: Vacuity taxation; insomnia; dizziness; tinnitus; forgetfulness; heat effusion; sweating; persistent erection; seminal emission; dispersion-thirst.

Biomedical correspondence: Liver-kidney yīn vacuity is seen in some forms of hypertension, neurosis, and menstrual disorders, whereas heart-kidney yīn vacuity may occur in tachycardia, hyperthyroidism, and neurosis. Lung-kidney yīn vacuity is seen in pulmonary tuberculosis.

Pathogenesis: Insufficiency of kidney yīn as a result of any of the following factors:

Analysis of signs

Treatment

Medicinal therapy: Treat by the principle of invigorating the governor of water to restrain the light of yáng. Commonly used medicinals that enrich kidney yīn include: rehmannia (Rehmanniae Radix, 地黄 dì huáng), tortoise shell (Testudinis Carapax et Plastrum, 龟版 guī bǎn), asparagus (Asparagi Radix, 天门冬 tiān mén dōng), turtle shell (Trionycis Carapax, 鳖甲 biē jiǎ), scrophularia (Scrophulariae Radix, 玄参 xuán shēn), flowery knotweed (Polygoni Multiflori Radix, 何首乌 hé shǒu wū), cornus (Corni Fructus, 山茱萸 shān zhū yú), ligustrum (Ligustri Lucidi Fructus, 女贞子 nǚ zhēn zǐ), and eclipta (Ecliptae Herba, 墨旱莲 mò hàn lián). Six-Ingredient Rehmannia Pill (六味地黄丸 liù wèi dì huáng wán) is the basic formula prescribed. For mild cases, Double Supreme Pill (二至丸 èr zhì wán) may be used.

Acumoxatherapy: Base treatment mainly on back transport points and KI. Select BL-23 (Kidney Transport, 肾俞 shèn shù), CV-4 (Pass Head, 关元 guān yuán), KI-3 (Great Ravine, 太溪 tài xī), BL-52 (Will Chamber, 志室 zhì shì), KI-6 (Shining Sea, 照海 zhào hǎi), KI-1 (Gushing Spring, 湧泉 yǒng quán), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation.

Point selection according to signs:

Combined patterns

Further developments: Ascendant hyperactivity of liver yáng; dual vacuity of yīn and yáng with inner body vacuity heat and outer body vacuity cold.

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