From On Cold Damage (伤寒论 shāng hán lùn). A feeling of uneasiness focused in the chest together with insomnia occurring in vacuity patterns. Distinction is made between qì vacuity, yáng vacuity, yīn vacuity, and residual heat. In qì vacuity it is accompanied by fatigue and lack of strength, reduced food intake, lassitude of spirit, dry mouth with low fluid intake and a soft soggy pulseand is treated by supplementing qì. In yáng vacuity, it is associated with cold limbs and fear of cold, and a slow sunken pulseand is treated by warming supplementation. In yīn vacuity, it is accompanied by dry mouth, red tongue, and a rapid fine pulseand is treated by enriching yīn and clearing fire. In residual heat harassing the inner body occurring in the latter stages of febrile disease, it is associated with residual heat (effusion), dry mouth and tongue, and yellow or reddish urineand is treated by clearing heat and eliminating vexation.
Acumoxatherapy: Base treatment mainly on HT and three yīn channels of the foot. Main points: Alert Spirit Quartet (四神聪sì shén cōng), HT-7 (Spirit Gate, 神门 shén mén), BL-15 (Heart Transport, 心俞 xīn shù), PC-6 (Inner Pass, 内关 nèi guān), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo).
For qì vacuity, add BL-20 (Spleen Transport, 脾俞 pí shù), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and CV-6 (Sea of Qì, 气海 qì hǎi), needling with supplementation and adding moxa.
For yáng vacuity, add CV-6 (Sea of Qì, 气海 qì hǎi), CV-4 (Pass Head, 关元 guān yuán), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and GV-20 (Hundred Convergences, 百会 bǎi huì), using both needles and moxa.
For yīn vacuity, needle with supplementation at BL-23 (Kidney Transport, 肾俞 shèn shù), KI-3 (Great Ravine, 太溪 tài xī), and KI-6 (Shining Sea, 照海 zhào hǎi), and with drainage at the main points and HT-8 (Lesser House, 少府 shào fǔ).
For residual heat, add ST-41 (Ravine Divide, 解溪 jiě xī), LI-4 (Union Valley, 合谷 hé gǔ), LI-11 (Pool at the Bend, 曲池 qū chí), ST-43 (Sunken Valley, 陷谷 xiàn gǔ), GB-39 (Suspended Bell, 悬钟 xuán zhōng), and ST-44 (Inner Court, 内庭 nèi tíng), needling with drainage.