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| pattern | Deficiency of Both Kidney Yin and Yang |
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bubble_chart Concept For example, in the case of ischuria, when the pattern of dual deficiency of kidney yin and yang is present, it is characterized by difficulty or dribbling urination, weak urination, soreness and weakness in the lower back and knees, tidal fever, and night sweats. This is often due to insufficient kidney yang, decline of the life gate fire, prolonged yang impairment affecting yin, leading to dual deficiency of kidney yin and yang, and failure in qi transformation, resulting in the inability of qi to transform fluids. Treatment should focus on warming the kidneys, enriching yin, and relieving stuffy orifices, using the formula Life-Relieving Kidney Qi Pill(Jisheng Fang). In cases of impotence and seminal emission, the pattern of dual deficiency of kidney yin and yang is characterized by erectile dysfunction, nocturnal emission, infertility, and mental fatigue. This is often caused by excessive sexual activity, leading to deficiency of essence and yin, yin impairment affecting yang, resulting in dual deficiency of kidney yin and yang. Treatment should focus on warming and strengthening kidney yang, enriching yin, and securing essence, using the formulas Zan Yu Dan (Jingyue Quanshu) combined with Jisheng Secret Essence Pill (Jisheng Fang). In diseases with edema, the pattern of dual deficiency of kidney yin and yang is characterized by generalized edema, especially in the lower body, scanty urine, dry mouth, and a red tongue with little coating. This is due to kidney deficiency leading to dysfunction of urination and defecation, yang deficiency causing failure in qi transformation, and yin deficiency leading to fluids transforming into water, resulting in edema. Treatment should focus on tonifying the kidneys and promoting diuresis, using the formula True Warrior Decoction(from the "Treatise on Cold Damage Diseases") combined with Anemarrhena, Phelloendron and Rehmannia Pill(Yifangkao). In cases of anuria and vomiting, the pattern of dual deficiency of kidney yin and yang is characterized by nausea, vomiting, scanty or absent urine, edema, a dull complexion, mental fatigue, and even mental confusion, dry mouth, a dark red tongue with a swollen body and white coating. This is due to severe deficiency of primordial yang, depletion of true yin, and retention of turbid pathogens. Treatment should focus on promoting yang to resolve turbidity, enriching yin, and promoting diuresis, using the formulas Golden Chamber Kidney Qi Pill(Jingui Yaolue) and Rhubarb and Aconite Decoction(Jingui Yaolue). In cases of deficiency fatigue, the pattern of dual deficiency of kidney yin and yang is characterized by prolonged coldness with feverish sensations in the palms and soles, dry mouth but preference for hot drinks, dizziness, tinnitus, soreness and weakness in the lower back and knees, impotence, seminal emission, and infertility. This is often caused by extreme fatigue and prolonged deficiency that fails to recover, leading to dual deficiency of kidney yin and yang. Treatment should focus on dual supplementation of yin and yang, using the formulas Right-Restoring Pill and Left-Restoring Pill(Jingyue Quanshu). Clinically, differentiation should be made based on the specific disease. The pattern of dual deficiency of kidney yin and yang often appears in the advanced stage of diseases, with severe decline of healthy qi and damage to both yin and yang, representing the final pathological transformation. In the process of disease mechanism evolution, it ultimately leads to the exhaustion of kidney qi and the separation of yin and yang, resulting in a critical condition. Treatment should follow the principle of "treating yin for yang, treating yang for yin," urgently rescuing the endangered yin essence and yang qi.
The pattern of dual deficiency of kidney yin and yang refers to a general term for a series of symptoms caused by insufficient primordial yang and deficient yin essence of the kidney, which cannot warm and nourish the zang-fu organs and meridians. This syndrome is caused by internal and external factors leading to strain and chronic sexually transmitted disease in the late stage [third stage], which ultimately affects the kidney.
The main clinical manifestations include: fear of cold, curling up in bed, feverish feeling in the palms and soles, dry mouth and throat, but a preference for hot drinks, vertigo, tinnitus, soreness and weakness in the lower back and knees, clear and long urination or dribbling after urination, impotence and seminal emission in men, infertility and leukorrhea in women, white coating at the root of the tongue, a swollen tongue body, slightly red tongue texture, and a thin and weak pulse at the chi position.
The pattern of dual deficiency of kidney yin and yang is commonly seen in diseases such as "deficiency fatigue," "impotence," "seminal emission," "ischuria," "anuria and vomiting," and "edema."
This syndrome should be differentiated from the "kidney-yang deficiency pattern" and the "kidney-yin deficiency pattern."
bubble_chart Differentiation and Treatment
In addition to the aforementioned clinical manifestations, the pattern of dual deficiency of kidney yin and yang exhibits distinct characteristics when it appears in different diseases, and should be carefully differentiated.
bubble_chart Differentiation of Similar Patterns
- Kidney-yang deficiency pattern and pattern of dual deficiency of kidney yin and yang: Kidney-yang deficiency pattern and pattern of dual deficiency of kidney yin and yang are both related and distinct in terms of the mechanism of disease. The further development of kidney-yang deficiency pattern, where yang impairment affects yin, leads to the pattern of dual deficiency of kidney yin and yang. It can also result from prolonged and untreated kidney-yin deficiency pattern, where yin impairment affects yang, evolving into a syndrome of deficiency of both yin and yang. Yang deficiency manifests as fear of cold and curling up; yin deficiency manifests as a feverish feeling in the palms and soles, dry mouth with a desire to drink. The kidneys govern urination and defecation, so true essence deficiency leads to clear and copious urine or dribbling after urination, impotence, and seminal emission in men, and infertility in women. The chi pulse corresponds to the kidneys, so kidney deficiency results in a deep and thin chi pulse. Pure kidney-yang deficiency pattern is less severe than the pattern of dual deficiency of kidney yin and yang, clinically presenting with fear of cold, pale complexion, sore and cold lower back and knees, edema, and clear and copious urine, primarily reflecting yang decline and yin exuberance. This can be used for differentiation.
- Kidney-yin deficiency pattern and pattern of dual deficiency of kidney yin and yang: Kidney yin deficiency is often caused by excessive indulgence damaging essence, or Rebing late stage [third stage], scorching kidney yin, or chronic illness affecting the kidneys. The mechanism of disease for the pattern of dual deficiency of kidney yin and yang can develop from prolonged kidney-yin deficiency pattern, and the condition is more severe than pure kidney-yin deficiency pattern. Clinically, the former primarily manifests as vexing heat in the chest, palms, and soles, insomnia, night sweats, dry mouth and throat, sore and weak lower back and knees, nocturnal emission, a red tongue, and a thin, rapid pulse, reflecting yin deficiency with effulgent fire. The latter additionally includes fear of cold, curling up, edema particularly in the lower body, impotence, and cold leukorrhea in women. The two conditions differ in severity and depth.
- Jingyue Quanshu: "If the lungs are damaged, the illness manifests in the breath and the muscles and skin... If the kidneys are damaged, the illness results in bone wilting, incontinence of urine and feces. This is due to initial injury to the yang, which later affects the yin. When yang is exhausted below, the solitary yang cannot survive alone, and the condition is incurable."
- Yibian: "The syndrome is fundamentally due to yin deficiency. If there is shortness of breath, reluctance to speak, lack of strength to move, aspermia in the eyes, and a pale complexion, it is also accompanied by yang deficiency."
- Zhengyin Maizhi: "There are cases of true yin deficiency where taking yin-tonifying medicine leads to cold deficiency, and taking warming and tonifying medicine leads to deficiency fire. This is a fatal condition where yin edema is exhausted and yang fire is also deficient, unable to endure tonification. There are also cases of true yang deficiency where taking warming and tonifying medicine leads to deficiency fire, and taking yin-tonifying medicine does not lead to cold deficiency. This is a fatal condition where yang fire is exhausted and yin edema is also deficient, unable to endure warming and tonifying."
