KIDNEY 10

KIDNEY YIN DEFICIENCY (shen yin xu): primary symptoms are dizziness; blurry vision; ringing in the ears; sore and weak lower back or knees; burning in palms and soles; tidal heat sensations; night sweats. Secondary symptoms include dry mouth and throat; flushed face; emaciated features; premature graying of hair; low sperm count in males; decreased menstrual flow and infertility in females; forgetfulness; insomnia; spermatorrhea; premature ejaculation; heel pain; yellow urination; dry stool. The tongue typically presents with a red body and little or no coating; the pulse tends to be fine and rapid.

Representative Herbs: rehmannia (dihuang), cornus (shanzhuyu), asparagus root (tianmendong), ho-shou-wu (heshouwu), lycium fruit (gouqizi), ligustrum (nuzhenzi), tortoise shell (guiban), turtle shell (biejia), scrophularia (xuanshen), eclipta (hanliancao), anemarrhena (zhimu).

Representative Formulas: Return the Left Decoction; Achyranthes and Rehmannia Formula (Zuogui Yin); Rehmannia Six Formula (Liuwei Dihuang Wan).

KIDNEY YANG DEFICIENCY (shen yang xu): primary symptoms are pale or dark complexion; listless spirit; obvious aversion to cold; cold extremities; low sex drive; weak or cold and painful lower back and knees; early morning diarrhea; frequent urination or clear and profuse urination. Secondary symptoms include impotence; premature ejaculation; infertility; clear vaginal discharge; inhibited urination and edema; dizziness; ringing in the ears. The tongue typically presents with a pale, tender, and often toothmarked body, and a white and slippery coating; the pulse tends to be deep, slow, and forceless.

Representative Herbs: aconite (fuzi), cinnamon bark (rougui), epimedium (yinyanghuo), morinda (bajitian), psoralea (buguzhi), deer antler (lurong), curculigo (xianmao), fenugreek (huluba), cistanche (roucongrong), cynomorium (suoyang).

Representative Formulas: Return the Right Pill (Yougui Wan).

KIDNEY QI DEFICIENCY (shen qi xu): primary symptoms are dizziness; ringing in the ears; weak or sore lower back and knees; physical and mental fatigue; shortness of breath. Secondary symptoms include pale complexion; spontaneous sweating; decreased mental and physical growth rate in children; frequent urination; nocturia; spermatorrhea; premature ejaculation; asthmatic panting upon exertion. The tongue typically presents with a pale body and a white coating; the pulse tends to be fine and weak.

Representative Herbs: walnut (hutaorou), dioscorea (shanyao), eucommia (duzhong), cuscuta (tusizi), schizandra (wuweizi), cornus (shanzhuyu), morinda (bajitian).

Representative Formula: Rehmannia Eight Formula (Shenqi Wan).

KIDNEY JING DEPLETION (shen jing bu zu): primary symptoms are dizziness; ringing in the ears; weak or sore lower back and knees; low sperm count in males; amenorrhea and infertility in females; delayed mental and physical development in children. Secondary symptoms include decreased memory; slow and clumsy body movements; dull facial expressions; emaciated body structure; hair loss; loose teeth; late closing of fontanella in babies; muscular atrophy.

Representative Herbs: placenta (ziheche), deer antler (lurong), tortoise shell gelatin (guijiaojiao), cordyceps (dongchong xiacao), cooked rehmannia (shu dihuang), lycium fruit (gouqizi), cornus (shanzhuyu), eucommia (duzhong), cistanche (roucongrong).

Representative Formula: Placenta Restorative Pills (Heche Dazao Wan).

BILATERAL DEFICIENCY OF KIDNEY YIN AND YANG (shen yin yang liang xu): primary symptoms are dizziness; ringing in the ears; weak, sore, or painful lower back and knees; cold fingers and toes and/or burning sensations in palms and soles; night sweats or spontaneous sweating. Secondary symptoms include pale complexion and/or flushed face; poor memory; insomnia; vivid dreaming; listless spirit; loose teeth; dry and split hair; unsteady walk; swollen feet; asthmatic panting upon physical exertion. The tongue typically presents with a red body and little or no coating, or with a pale body and white coating; the pulse tends to be fine and rapid, or deep, slow, and weak.

Representative Herbs: cooked rehmannia (shu dihuang), ho-shou-wu (heshouwu), lycium fruit (gouqizi), ligustrum (nuzhenzi), cornus (shanzhuyu), cuscuta (tusizi), schizandra (wuweizi).

Representative Formulas: Rehmannia Eight Formula (Shenqi Wan); Five Seed Fertilize the Ancestral Force Pill (Wuzi Yanzong Wan).

THE KIDNEY QI FAILS TO EXECUTE ITS STORING ACTION (shen qi bu gu): primary symptoms include clear, frequent, and dribbling urination; enuresis; bedwetting; spermatorrhea; premature ejaculation; tendency to miscarry; clear vaginal discharge. Secondary symptoms include pale complexion; mental and physical fatigue; weak or sore back; loss of hearing; spontaneous sweating. The tongue typically presents with a pale body and a white coating; the pulse tends to be fine and weak.

Representative Herbs: schizandra (wuweizi), euryale (qianshi), rose hips (jinyingzi), mantis egg cases (sangpiaoxiao), dioscorea (shanyao), alpinia (yizhiren), dragon bone (longgu), oyster shell (muli), cuscuta (tusizi).

Representative Formulas: Golden Lock Shore Up the Jing Pill (Jinsuo Gujing Wan); Mantis Formula (Sangpiaoxiao San); Retract the Source Pill (Suoquan Wan).

THE KIDNEY FAILS TO GRASP AND RETAIN QI (shen bu na qi): primary symptoms are shortness of breath or asthmatic panting (brief inhale, longer exhale), especially following physical exertion. Secondary symptoms include pale complexion; puffy face; blue lips; emission of small amounts of urine when coughing; spontaneous sweating; general aversion to cold; cold extremities; weak or sore lower back and knees; mental and physical fatigue. The tongue typically presents with a pale body and a white coating; the pulse tends to be fine and weak, or floating and uprooted.

Representative Herbs: walnut (hutaorou), gecko (gejie), psoralea (buguzhi), schizandra (wuweizi), cooked rehmannia (shu dihuang), ginseng (renshen), codonopsis (dangshen), aquilaria (chenxiang), amethystum (zishiying).

Representative Formulas: Ginseng and Walnut Decoction (Renshen Hutao Tang); Ginseng and Gecko Powder (Shen Jie San); All Encompassing Qi Pill (Du Qi Wan).

YIN DEFICIENCY CAUSING FIRE EFFULGENCE (yin xu huo wang): primary symptoms are flushed face and red lips; restlessness; difficulty falling asleep; dry mouth and throat; burning sensation in palms and soles; tidal heat sensations; night sweats. Secondary symptoms include obsessive sexual fantasies; excessive urge to masturbate; frequent sexual dreams; dark urination; constipation. The tongue typically presents with a red body and little or no coating; the pulse tends to be fine and rapid.

Representative Herbs: anemarrhena (zhimu), phellodendron (huangbai), coptis (huanglian), raw rehmannia ( sheng dihuang), peony (baishao), cynanchum (baiwei), eclipta (hanliancao), lycium bark (digupi).

Representative Formulas: Anemarrhena, Phellodendron, and Rehmannia Formula (Zhi Bai Dihuang Wan); Lock in the Marrow Pellet (Fengsui Dan).

KIDNEY YANG DEFICIENCY CAUSING WATER EFFUSION (shen yang xu shui fan): primary symptoms are puffiness and edema (especially prominent in lower extremities). Secondary symptoms include ashen or waxen face color; inhibited urination; obvious aversion to cold; cold extremities; palpitations; stuffy sensation in chest; shortness of breath; cough or asthmatic panting accompanied by expectoration of runny and clear phlegm; heavy and painful waist; abdominal fullness; scrotal edema. The tongue typically presents with a fat, pale, and toothmarked body, and a white and slippery coating; the pulse tends to be deep and wiry; or deep and fine.

Representative Herbs: aconite (fuzi), cinnamon twig (guizhi), hoelen (fuling), curculigo (xianmao), alisma (zexie), plantago seed (cheqianzi), polyporus (zhuling).

Representative Formula: Vitality Combination (Zhenwu Tang).