Panting due to yīn vacuity with floating yáng. Yīn vacuity panting stems from yīn-blood depletion or kidney vacuity, which deprives yáng qì of its support and causes it to surge upward. During episodes of panting, the patient experiences qì surging up from below the umbilicus. Other signs include tidal heat and night sweating.
Medicinal therapy: Enrich yīn and nourish the blood; supplement the kidney and boost yīn. Use formulas such as Four Agents Decoction (四物汤sì wù tāng), Pulse-Engendering Variant Powder (加减生脉散jiā jiǎn shēng mài sǎn), Ophiopogon and Rehmannia Pill (麦味地黄丸mài wèi dì huáng wán), and Placenta Great Creation Pill (河车大造丸hé chē dà zào wán), adding medicinals that subdue yáng and promote qì absorption if necessary.
Acumoxatherapy: Base treatment mainly on back transport points, LU, and KI. Select BL-23 (Kidney Transport, 肾俞 shèn shù), KI-3 (Great Ravine, 太溪 tài xī), KI-6 (Shining Sea, 照海 zhào hǎi), BL-13 (Lung Transport, 肺俞 fèi shù), Panting Stabilizer (定喘dìng chuǎn), BL-43 (Gāo-Huāng Transport, 膏肓俞 gāo huāng shù), LU-5 (Cubit Marsh, 尺泽 chǐ zé), CV-17 (Chest Center, 膻中 shān zhōng), and LU-9 (Great Abyss, 太渊 tài yuān); needle with supplementation. For tidal heat, add GV-14 (Great Hammer, 大椎 dà zhuī) and PC-5 (Intermediary Courier, 间使 jiān shǐ). For night sweating, add SI-3 (Back Ravine, 后溪 hòu xī) and HT-6 (Yin Cleft, 阴郄 yīn xī).