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Vacuity diarrhea

虚泻 〔虛瀉〕xū xiè

1. Sloppy diarrhea forming a vacuity pattern. Vacuity diarrhea is usually due to spleen-stomach vacuity and debilitation of kidney yáng. It is associated with withered-yellow facial complexion, fatigue and lack of strength, low food intake, thin stool without sour malodor, a pale tender-soft tongue with white fur, and a vacuous pulse.

Medicinal therapy: Supplement the center and warm the kidney. Use Aconite Center-Rectifying Decoction (附子理中汤 fù zǐ lǐ zhōng tāng), or Six Gentlemen Decoction (六君子汤 liù jūn zǐ tāng) combined with Four Spirits Pill (四神丸 sì shén wán).

Acumoxatherapy: Base treatment mainly on the back transport and alarm points of the SP and ST. Select BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), LR-13 (Camphorwood Gate, 章门 zhāng mén), ST-25 (Celestial Pivot, 天枢 tiān shū), SP-4 (Yellow Emperor, 公孙 gōng sūn), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ); needle with supplementation and add moxa. Five Pillar Points (五柱穴 wǔ zhù xué), can also be moxaed. For debilitation of kidney yáng, add BL-23 (Kidney Transport, 肾俞 shèn shù), CV-4 (Pass Head, 关元 guān yuán), and GV-4 (Life Gate, 命门 mìng mén).

See spleen-kidney yáng vacuity.

2. A vacuous pulse with diarrhea, a sign of detriment to yīn-blood. Plain Questions (素问 sù wèn, yù bǎn lùn yào piān) states, Vacuity diarrhea is despoliation of the blood.

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