KIDNEYS

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Chapter 95

KIDNEYS

Chapter contents

KIDNEY-QI DEFICIENCY

KIDNEY-YANG DEFICIENCY PATTERNS

Kidney-Yang deficiency

Kidney-Yang deficiency, Water overflowing

KIDNEY-YIN DEFICIENCY PATTERNS

Kidney-Yin deficiency

Kidney-Yin deficiency with Empty-Heat

Kidney-Yin deficiency, Empty-Heat blazing

Kidney-Yin deficiency with Phlegm

KIDNEY-YANG AND KIDNEY-YIN DEFICIENCY PATTERNS

Kidney-Yang and Kidney-Yin deficiency – predominance of Kidney-Yin deficiency

Kidney-Yang and Kidney-Yin deficiency – predominance of Kidney-Yang deficiency

KIDNEY-QI NOT FIRM

KIDNEYS FAILING TO RECEIVE QI

KIDNEY-ESSENCE DEFICIENCY

COMBINED PATTERNS

Kidney- and Liver-Yin deficiency

Kidney- and Liver-Yin deficiency with Empty-Heat

Kidney and Heart not harmonized (Kidney- and Heart-Yin deficiency with Heart Empty-Heat)

Kidney- and Lung-Yin deficiency

Kidney- and Lung-Yin deficiency with Empty-Heat

Kidney- and Spleen-Yang deficiency

KIDNEY-QI DEFICIENCY

KIDNEY-YANG DEFICIENCY PATTERNS

Kidney-Yang deficiency

Clinical manifestations

Lower backache, cold and weak knees, a sensation of cold in the lower back, a feeling of cold, weak legs, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, apathy, oedema of the legs, infertility in women, loose stools, depression, impotence, premature ejaculation, low sperm count, cold and thin sperm, decreased libido.

Tongue Pale and wet.

Pulse Deep-Weak.

Acupuncture

BL-23 Shenshu, Du-4 Mingmen, Ren-4 Guanyuan, Ren-6 Qihai, KI-3 Taixi, KI-7 Fuliu, BL-52 Zhishi, Jinggong extra point (0.5 cun lateral to BL-52 Zhishi). Moxa must be used.

Prescription

You Gui Wan Restoring the Right [Kidney] Pill

Jin Gui Shen Qi Wan Golden Chest Kidney-Qi Pill.

Kidney-Yang deficiency, Water overflowing

Clinical manifestations

Oedema especially of the legs and ankles, a cold feeling in the legs and back, fullness and distension of the abdomen, soreness of the lower back, a feeling of cold, scanty clear urination.

1. Water overflowing to the Heart: the above symptoms plus palpitations, breathlessness, cold hands.

2. Water overflowing to the Lungs: the above symptoms plus thin, watery, frothy sputum, cough, asthma and breathlessness on exertion.

Tongue Pale, Swollen and wet with a white coating.

Pulse Deep-Weak-Slow.

Acupuncture

Du-4 Mingmen, BL-23 Shenshu, BL-22 Sanjiaoshu, BL-20 Pishu, Ren-9 Shuifen, ST-28 Shuidao, SP-9 Yinlingquan, SP-6 Sanyinjiao, KI-7 Fuliu.

1. For Water overflowing to the Heart: Du-14 Dazhui (moxa), BL-15 Xinshu.

2. For Water overflowing to the Lungs: LU-7 Lieque, BL-13 Feishu, Du-12 Shenzhu.

Prescription

Jin Gui Shen Qi Wan Golden Chest Kidney-Qi Pill plus Wu Ling San Five ‘Ling’ Powder.

KIDNEY-YIN DEFICIENCY PATTERNS

Kidney-Yin deficiency

Clinical manifestations

Dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth and throat at night, lower backache, ache in bones, nocturnal emissions, constipation, scanty dark urine, infertility, premature ejaculation, tiredness, lassitude, depression, slight anxiety.

Tongue Normal-coloured without coating.

Pulse Floating-Empty.

Acupuncture

Ren-4 Guanyuan, KI-3 Taixi, KI-6 Zhaohai, KI-10 Yingu, KI-9 Zhubin, SP-6 Sanyinjiao, Ren-7 Yinjiao, LU-7 Lieque and KI-6 Zhaohai in combination (opening points of the Directing Vessel).

Prescription

Zuo Gui Wan Restoring the Left [Kidney] Pill

Liu Wei Di Huang Wan Six-Ingredient Rehmannia Pill.

Kidney-Yin deficiency with Empty-Heat

Clinical manifestations

Dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, menopausal hot flushes, thirst with a desire to drink in small sips, lower backache, ache in the bones, nocturnal emissions with dreams, constipation, scanty dark urine, infertility, premature ejaculation, tiredness, depression, anxiety, insomnia, excessive menstrual bleeding.

Tongue Red without coating; in severe cases also cracked.

Pulse Floating-Empty and slightly Rapid.

Acupuncture

Ren-4 Guanyuan, KI-3 Taixi, KI-6 Zhaohai, KI-10 Yingu, KI-9 Zhubin, SP-6 Sanyinjiao, Ren-7 Yinjiao, LU-7 Lieque and KI-6 Zhaohai in combination (opening points of the Directing Vessel), KI-2 Rangu, HE-6 Yinxi.

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KIDNEYS

KIDNEYS

KIDNEY-QI DEFICIENCY

Clinical manifestations

Acupuncture

Prescription

KIDNEY-YANG DEFICIENCY PATTERNS

Kidney-Yang deficiency

Clinical manifestations

Acupuncture

Prescription

Kidney-Yang deficiency, Water overflowing

Clinical manifestations

Acupuncture

Prescription

KIDNEY-YIN DEFICIENCY PATTERNS

Kidney-Yin deficiency

Clinical manifestations

Acupuncture

Prescription

Kidney-Yin deficiency with Empty-Heat

Clinical manifestations

Acupuncture

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