↑ reinforcing ↓ reducing ⊥ even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.
Clinical manifestations: Night sweats that drench the pillow and stop upon waking; an afternoon or evening tidal fever; a hot sensation in the palms, soles and chest; a dry mouth and throat, worse at night; a malar flush; insomnia and restlessness; thirst with a desire to sip small amounts of water; brought on by ageing, chronic overwork, a long illness, or lack of sleep; eased by rest, cooling hydrating food, avoiding overheating, or a calm evening routine.
Tongue: Red, thin, dry body with cracks and little or no coating. Pulse: Fine, Rapid, weak on deep pressure.
Treatment principle: Nourish Yin, clear deficiency Heat, secure the Exterior.
Note: no moxa (Yin deficiency).
Clinical manifestations: Palpitations or a fluttering in the chest; insomnia with excessive dreaming; poor appetite and bloating after eating; a pale or yellowish complexion; loose stools; mental and physical fatigue; night sweats; brought on by overthinking and worry, poor diet, overwork, or chronic illness; eased by rest and avoiding overthinking, warm nourishing food, gentle exercise, or calming meditation.
Tongue: Pale, puffy, tooth-marked body with thin white coating. Pulse: Fine, Weak, especially empty at the left Cun (Heart) and soft at the right Guan (Spleen) positions.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable.
3. Qi and Yin Deficiency
Clinical manifestations: Night sweats; fatigue and a lack of strength; shortness of breath, worse with exertion; a dry mouth with little desire to drink; warm palms, soles and chest; spontaneous daytime sweating; poor appetite; palpitations or fluttering; weakness in the lower back and knees; brought on by overwork, chronic illness, a long illness, or lack of sleep; eased by rest, moistening nourishing food, and avoiding overexertion.
Tongue: Red or pale-red body, thin or absent coating, possibly cracked and dry. Pulse: Fine, Weak, possibly Rapid.
Treatment principle: Tonify Qi, nourish Yin, generate fluids, secure the Exterior.
Note: no moxa. No deck slide combines Qi deficiency and Yin deficiency into one pattern, so no pattern link is given here.
Clinical manifestations: Sticky, yellow-tinged sweat; a bitter taste in the mouth; pain or distension below the ribs; dark yellow or scanty urine; a heavy, sluggish sensation in the body; irritability and restlessness; night sweats; brought on by hot humid weather, spicy or greasy food, alcohol, or stress; eased by cooling food and drinks, rest, avoiding alcohol and spicy food, or a cool environment.
Tongue: Red body, redder at the sides, thick yellow greasy coating. Pulse: Wiry, Slippery, Rapid.
Treatment principle: Drain Damp-Heat from the Liver and Gall Bladder, clear Fire, reduce internal steaming.
Note: no moxa.
5. Deficiency of Both Kidney Yin and Yang
Clinical manifestations: Night sweats with cold hands and feet; alternating chills and hot flushes; deep fatigue and a lack of vitality; soreness and weakness in the lower back and knees; dizziness and ringing in the ears; frequent urination at night; an aversion to cold; brought on by ageing, chronic overwork, a long illness, or excessive strain on the Kidneys; eased by rest, warmth on the lower back, warm nourishing food, or moxibustion.
Tongue: Pale, puffy-tender body with tooth marks and cracks, thin white coating (possibly partially peeled). Pulse: Deep, Fine, Weak, especially at the Chi (rear) position.
Treatment principle: Tonify Kidney-Yang, nourish Kidney-Yin, drain Ministerial Fire.
Note: moxa applicable on BL-23 only; no deck slide combines both Kidney-Yin and Kidney-Yang deficiency in one pattern, so no pattern link is given here.