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Liquid failing to bear upward

津不上承 〔津不上承〕 jīn bù shàng chéng

Breakdown in the upward supply of fluid to head head, face, nose, throat, mouth, eye, and ears. Liquid failing to bear upward is attributable to damage to fluid in a) externally contracted febrile disease, b) diseases of the bowels and viscera preventing normal distribution of liquid, c) internal static blood obstruction preventing the ascent of fluids. The main signs are dry mouth and lips, dry tongue with little liquid, sore dry throat, nosebleeds, tinnitus and deafness, and dry eyes with scant tear fluid. Other signs include dry cough without phlegm, thirst with taking of fluids, dizzy head and flowery vision. The tongue is red or crimson with a dry or peeling yellow fur. The pulse is large or fine and rapid.

Medicinal therapy: Ophiopogon and Asparagus Decoction (二冬汤 èr dōng tāng) or Dryness-Clearing Lung-Rescuing Decoction (清燥救肺汤 qīng zào jiù fèi tāng).

Acumoxatherapy: Base treatment mainly on KI, SP, and LU. Select KI-6 (Shining Sea, 照海 zhào hǎi), KI-2 (Blazing Valley, 然谷 rán gǔ), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), TB-2 (Humor Gate, 液门 yè mén), Sea Source (海泉 hǎi quán), and Gold Liquid and Jade Humor (金津玉液 jīn jīn yù yè); needle with supplementation or with even supplementation and drainage. If the cause is blood stasis internal obstruction, needle with even supplementation and drainage at BL-17 (Diaphragm Transport, 膈俞 gé shù), SP-10 (Sea of Blood, 血海 xuè hǎi), and LR-3 (Supreme Surge, 太冲 tài chōng).

Point selection according to signs: For dry sore throat, add LI-4 (Union Valley, 合谷 hé gǔ) and KI-7 (Recover Flow, 复溜 fù liū); prick LU-11 (Lesser Shang, 少商 shào shāng) to bleed. For dry nose and nosebleed, add GV-23 (Upper Star, 上星 shàng xīng), LI-4 (Union Valley, 合谷 hé gǔ), and LI-20 (Welcome Fragrance, 迎香 yíng xiāng). For tinnitus and deafness, add BL-23 (Kidney Transport, 肾俞 shèn shù), TB-17 (Wind Screen, 翳风 yì fēng), GB-2 (Auditory Convergence, 听会 tīng huì), and TB-3 (Central Islet, 中渚 zhōng zhǔ). For dry cough without phlegm, add BL-13 (Lung Transport, 肺俞 fèi shù) and LU-5 (Cubit Marsh, 尺泽 chǐ zé).

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