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Yáng vacuity heat effusion

阳虚发热 〔陽虛發熱〕 yáng xū fā rè

Vacuity heat due to debilitation of yáng qì (debilitation of kidney yáng or spleen-stomach qì vacuity).

Patterns

Debilitation of kidney yáng (肾气虚衰 shèn qì xū shuāi): Jing-Yue’s Complete Compendium (景岳全书 jǐng yuè quán shū) states, In yáng vacuity, too, there may be heat effusion. This is due to exhaustion of original yáng and fire not returning to its source. It is characterized by heat effusion with vexation and agitation, pale red cheeks, thirst with desire but inability to drink, counterflow cold of the feet, clear white urine (lack of color), clear-grain diarrhea, and a pulse that is sunken and fine or floating, rapid, and forceful, that feels about to disperse when pressure is applied.

Medicinal therapy: Supplement the kidney and warm yáng; return fire to its source. Use Cinnamon Bark and Aconite Eight-Ingredient Pill (桂附八味丸 guì fù bā wèi wán).

Spleen-stomach qì vacuity (脾胃气虚 pí wèi qì xū) arises from taxation fatigue and internal damage. Qì is yáng, so qì vacuity heat effusion is a form of yáng vacuity heat effusion.

Medicinal therapy: Supplement the center and boost yáng qì. Use Center-Supplementing Qì-Boosting Decoction (补中益气汤 bǔ zhōng yì qì tāng).

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