↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: A bearing-down or dragging sensation worse after standing or fatigue; chronic fatigue; weak limbs; poor appetite; loose stools.
Tongue: Pale, puffy, tooth-marked. Pulse: Weak and thready.
Treatment principle: Tonifies Spleen Qi and lifts sinking energy.
Note: moxa is strongly indicated.
Clinical manifestations: Burning or stinging urination; frequent, urgent urination with small volume; cloudy, dark urine; lower abdominal fullness; foul-smelling discharge.
Tongue: Red, yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and drains Dampness from the Lower Burner.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Bladder slide, its established Lower-Burner Damp-Heat convention.
Clinical manifestations: Looseness and a bearing-down feeling in the urethra; frequent, clear urination; dribbling or incontinence; increased night-time urination; weak lower back and knees.
Tongue: Pale, puffy, moist. Pulse: Deep, weak, fine, at the rear positions.
Treatment principle: Tonifies Kidney Qi to secure and lift the lower orifices.
Note: moxa is strongly indicated.
4. Heart-Kidney Yin Deficiency
Clinical manifestations: Heaviness worse at night; scanty, dark urination; dry mouth and throat; palpitations with vivid dreams; five-centre heat; low-back soreness.
Tongue: Red tip, little coat, dry or cracked. Pulse: Thin and rapid.
Treatment principle: Nourishes Yin and anchors the Kidney to settle Empty-Heat.
Note: no moxa (Yin deficiency with heat signs). No combined Heart-and-Kidney-Yin-deficiency slide exists — no pattern link is given here.
Clinical manifestations: Fluctuating heaviness or distension in the urethra, worse with emotional stress, anger or frustration; rib-side distension; frequent sighing; mood swings.
Tongue: Normal or slightly dark. Pulse: Wiry, especially at the left middle position.
Treatment principle: Courses Liver Qi and resolves the constraint in the lower abdomen.
Note: no moxa.