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Clear yáng failing to bear upward

清阳不升 〔清陽不升〕 qīng yáng bù shēng

Also clear qì failing to bear upward. The inability of yáng qì to warm and nourish the head, flesh, limbs, etc. The main signs are dizzy head and vision, shortness of breath and laziness to speak, fatigue and lack of strength, abdominal distension and diarrhea. Other signs my be reduced hearing acuity, hypersomnia, and poor appetite. The tongue is pale with white fur, and the pulse is weak or vacuous.

Medicinal therapy: Boost qì and upbear yáng. Use Center-Supplementing Qì-Boosting Decoction (补中益气汤 bǔ zhōng yì qì tāng) or Yáng-Upbearing Stomach-Boosting Decoction (升阳益胃汤 shēng yáng yì wèi tāng).

Acumoxatherapy: Base treatment mainly on GV and CV. Select GV-20 (Hundred Convergences, 百会 bǎi huì), CV-6 (Sea of Qì, 气海 qì hǎi), CV-4 (Pass Head, 关元 guān yuán), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), needle with supplementation and large amounts of moxa.

Point selection according to signs: For dizziness, add ST-8 (Head Corner, 头维 tóu wéi) and LI-4 (Union Valley, 合谷 hé gǔ). For poor food intake and sloppy stool, add ST-25 (Celestial Pivot, 天枢 tiān shū) or moxa Five Pillar Points (五柱穴 wǔ zhù xué). For abdominal distension, add PC-6 (Inner Pass, 内关 nèi guān) and ST-25 (Celestial Pivot, 天枢 tiān shū).

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