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Vessel wilting

脉痿 〔脈痿〕mài wěi

Also heart wilting. From Plain Questions (素问 sù wèn, wěi lùn). A wilting (wěi) pattern attributed to heart qì heat with fire flaming upward and carrying qì and blood counterflow with it and causing emptiness of the blood vessels in the lower body. Since the heart governs the blood and vessels and both the heart and vessels are involved in this disease pattern, heart wilting is synonymous with vessel wilting. Signs include joints of the four limbs as if broken, inability to lift the limbs, and weakness in the lower leg preventing the patient from standing.

Medicinal therapy: Clear the heart and drain fire; nourish and quicken the blood with variations of Four Agents Decoction (四物汤 sì wù tāng).

Acumoxatherapy: Base treatment on back transport points, HT, and GB. Needle with supplementation or with even supplementation and drainage at BL-20 (Spleen Transport, 脾俞 pí shù), LR-3 (Supreme Surge, 太冲 tài chōng), BL-17 (Diaphragm Transport, 膈俞 gé shù), and BL-23 (Kidney Transport, 肾俞 shèn shù), and with drainage at BL-15 (Heart Transport, 心俞 xīn shù), HT-8 (Lesser Mansion, 少府 shào fǔ), SI-1 (Lesser Marsh, 少泽 shào zé), LU-9 (Great Abyss, 太渊 tài yuān), GB-30 (Jumping Round, 环跳 huán tiào), and GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán).

See wilting (wěi).

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