↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Soreness and weakness of lower back and knees, premature greying or hair loss, poor memory and difficulty concentrating, frequent urination especially at night, tinnitus or gradual hearing loss, general fatigue and lack of vitality.
Tongue: N Pulse: o
Treatment principle: pale, thin body with little or no coating; fine cracks may appear,fine, deep, particularly weak at both rear positions
Clinical manifestations: Fixed, stabbing pain in the lower back or flanks that does not move, pain worsens at night or with pressure, dark or dusky complexion especially under the eyes, palpable lumps or sense of fullness in the abdomen.
Tongue: I Pulse: n
Treatment principle: purplish or dusky body, with stasis spots and engorged, dark sublingual veins,choppy and often wiry
3. Damp-Phlegm
Clinical manifestations: Heaviness and bloating in the abdomen, feeling of heaviness in the limbs, brain fog or muzzy-headedness, poor appetite and nausea.
Tongue: D Pulse: r
Treatment principle: pale, swollen body with scalloped tooth marks and wet surface, covered by thick white greasy coat,slippery, smooth and rolling like beads gliding through oil
4. Damp-Heat in the Lower Burner
Clinical manifestations: Burning or stinging pain during urination, dark cloudy or bloody urine, sudden sharp low back or flank pain, lower abdominal fullness and distension, feeling of heaviness in the legs and lower body.
Tongue: D Pulse: r
Treatment principle: red body, slightly swollen, thick yellow greasy coating most prominent at the root,slippery and rapid, more pronounced at the rear position, may feel soggy
5. Deficiency of both Kidney Yin and Yang
Clinical manifestations: Alternating chills and hot flushes, lower back cold and aching, deep fatigue and lack of vitality, frequent nighttime urination, dry mouth and throat, dizziness and ringing in the ears.
Tongue: W Pulse: a
Treatment principle: pale, puffy-tender body with teeth marks and cracks, thin white coat that may be partially peeled,deep, fine, weak, weakest at the rear position