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Yáng vacuity water flood

阳虚水泛 〔陽虛水泛〕yáng xū shuǐ fǎn

Water swelling or phlegm-rheum arising when spleen-kidney yáng vacuity, especially kidney yáng (life gate fire) vacuity fails in its warming and moving function and causes water to accumulate. Indispensable Medical Reading (医宗必读 yī zōng bì dú) states, Although water is controlled by the spleen, in actual fact it is ruled by the kidney, which is the water viscus and the seat of original yáng, the life gate. When the life gate fire is debilitated, it fails to restrain yīn and to warm and nourish spleen-earth; yīn is not subservient to yáng so that essence transforms into water. Hence most water swelling patterns can be ascribed to debilitation of fire.

Biomedical correspondence: edema in chronic nephritis, cardiac edema.

Medicinal therapy: For kidney yáng vacuity, use Golden Cabinet Kidney Qì Pill (金匮肾气丸 jīn guì shèn qì wán). For spleen-kidney yáng vacuity, combine the same formula with Spleen-Firming Beverage (实脾饮 shí pí yǐn).

Acumoxatherapy: Base treatment mainly on CV, back transport points, SP, and ST. Select CV-9 (Water Divide, 水分 shuǐ fēn), CV-6 (Sea of Qì, 气海 qì hǎi), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), and BL-39 (Bend Yáng, 委阳 wěi yáng); needle with supplementation and add moxa. For kidney yáng vacuity, add BL-23 (Kidney Transport, 肾俞 shèn shù), GV-4 (Life Gate, 命门 mìng mén), KI-7 (Recover Flow, 复溜 fù liū), and KI-3 (Great Ravine, 太溪 tài xī). For spleen yáng vacuity, add CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), BL-20 (Spleen Transport, 脾俞 pí shù), and SP-4 (Yellow Emperor, 公孙 gōng sūn).

See kidney vacuity water flood.

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