↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: A cold, aching lower back and knees; frequent, clear urination (especially at night); profound fatigue with a desire to sleep; reduced libido or erectile dysfunction; generalized coldness, particularly in the lower body.
Tongue: Pale, puffy, tender with teeth marks, wet white coating. Pulse: Deep, slow, weak, especially at the rear positions.
Treatment principle: Warm and tonify Kidney-Yang, restore the body's internal fire.
Clinical manifestations: Lower leg and ankle swelling; scanty urine; heaviness and fatigue in the limbs; coldness in the lower back and legs; breathlessness or palpitations on exertion.
Tongue: Pale, puffy, teeth-marked body with white slippery coating, excessively wet. Pulse: Deep, slow, weak, especially weak at the Chi position.
Treatment principle: Warm Kidney-Yang and disperse Cold, promote urination and drain Dampness.
Clinical manifestations: Early-morning diarrhea; chronic loose stools with undigested food; poor appetite and abdominal bloating; a cold pain in the abdomen; cold hands and feet below the knees; a sore, cold lower back.
Tongue: Pale, swollen, puffy with teeth marks, white slippery coating. Pulse: Deep, weak, slow; both rear positions feeble, right middle position weak.
Treatment principle: Warm Yang and disperse Cold, tonify Qi and strengthen the Spleen.
4. Lesser Yin Cold Transformation
Clinical manifestations: Constant drowsiness with a desire to sleep; ice-cold hands and feet; diarrhea with undigested food; severe chills with curling up in bed; profound internal coldness.
Tongue: Pale, puffy, tender with tooth marks, white slippery coating, excessively moist. Pulse: Fine, faint, deep, slow.
Treatment principle: Rescue devastated Yang from collapse, warm the interior and expel Cold.
Note: this presentation (profound cold collapse) needs urgent medical evaluation for possible adrenal crisis before any acupuncture — moxa applicable once medically stable. No deck on this site has this specific Shang Han Lun-framed Yang-collapse category, so no pattern link is given here.