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Damage caused by excessive sexual activity (sex, childbirth) to kidney essence, thereby weakening the health and increasing vulnerability to disease. Commonly observed signs include lumbar pain, seminal emission, dizziness, and lassitude of spirit and lack of strength. Excessive childbirth may cause damage to the thoroughfare (chōng) and controlling (rèn) vessels, characterized by menstrual irregularities, amenorrhea, and vaginal discharge.

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