↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Deep internal chill; weak lower back and knees; markedly reduced libido; erectile dysfunction; frequent night-time urination; deep fatigue and low spirits.
Tongue: Pale, puffy, tender, tooth-marked, wet white coat. Pulse: Deep, slow and weak, especially at the rear positions.
Treatment principle: Warms and strengthens Kidney Yang; ignites the Gate of Life Fire.
Note: moxa is strongly indicated.
Clinical manifestations: Early-morning diarrhea; loose stools with undigested food; poor appetite; bloating; cold hands and feet; sore cold lower back; weak knees; low libido and erectile weakness.
Tongue: Pale, swollen, puffy, tooth-marked, white slippery coat. Pulse: Deep, weak, slow; both rear positions especially feeble.
Treatment principle: Warms both Kidney and Spleen Yang and improves digestion.
Note: moxa is strongly indicated. Linked to this site's own Kidney-and-Spleen-Yang-deficiency slide.
3. Deficiency of Both Kidney Yin and Yang
Clinical manifestations: Alternating chills and hot flushes; cold limbs with night sweats; deep constant fatigue; sore cold lower back; weak knees; reduced libido; frequent night-time urination; dizziness; tinnitus; dry mouth with loose stools.
Tongue: Pale, puffy, tender, tooth-marked with cracks; thin white partially-peeled coat. Pulse: Deep, fine and weak, especially at the rear positions.
Treatment principle: Warms Kidney Yang while nourishing Kidney Yin.
Note: moxa is appropriate on DU-4/REN-4 only, gently. This site's decks have no combined Kidney-Yin-and-Yang-deficiency slide, confirmed absent — no pattern link is given here.
Clinical manifestations: Swelling of the legs and ankles; feeling cold, especially the lower back and limbs; low libido; erectile dysfunction; scanty, difficult urination; soreness and weakness of the lower back; heavy tired limbs; loose stools; palpitations on exertion.
Tongue: Pale, puffy, scalloped, wet white slippery coat. Pulse: Deep, slow, weak, particularly feeble at the proximal position.
Treatment principle: Warms Kidney Yang; promotes urination and drains Dampness.
Note: moxa is strongly indicated. Linked to this site's own Kidney-Yang-deficiency-with-Water-overflowing slide.
5. Disharmony Between Heart and Kidneys (Kidney Yang Deficiency)
Clinical manifestations: Cold, aching lower back and knees; palpitations with fright; a sensation of heat in the chest with cold below; insomnia with mental restlessness.
Tongue: Pale, puffy, tooth-marked, moist white coat; tip may be slightly redder. Pulse: Deep, slow, weak, especially at the rear positions; left rear particularly feeble; front position may feel slightly wiry.
Treatment principle: Warms Kidney Yang to support the Heart and restore Heart-Kidney harmony.
Note: moxa is appropriate on DU-4/BL-23/REN-4. This site's Kidneys-and-Heart-not-harmonized slide describes the Yin-deficiency version, so it is not linked here.