Yang of these two organs is deficient the urine is usually abundant and clear. However, in severe
cases, Kidney-Yang can be so deficient that it does not transport fluids to the Bladder at all and
the urination becomes scanty. This condition may be clearly differentiated from scanty urination
due to Kidney-Yin deficiency, from the absence of thirst.
Treatment Principle
Warm the Kidneys, strengthen Yang, stoke the Fire of the Gate of Vitality, strengthen the
Spleen, eliminate Water.
Acupuncture
The acupuncture treatment for this pattern would be almost exactly the same as for the previous
one, with only two differences. First of all, more moxa would be needed and the point Du-4
Mingmen should be added (with moxa) to strongly tonify and warm the Fire of the Gate of
Vitality. Secondly, the points used to eliminate oedema should be needled with reducing method
because the pathogenic factor (in this case "Water overflowing") is strong and predominant.
Herbal Treatment
Prescriptions
Zhen Wu Tang Variation
(True Warrior Decoction Variation)
Fu Zi Radix Aconiti carmichaeli praeparata 10 g
Bai Zhu Rhizoma Atractylodis macrocephalae 12 g
Fu Ling Sclerotium Poriae cocos 15 g
Bai Shao Radix Paeoniae albae 6 g
Sheng Jiang Rhizoma Zingiberis officinalis recens 3 slices
Ze Xie Rhizoma Alismatis orientalis 12 g
Dong Gua Pi Cortex Fructi Benincasae hispidae 12 g
Yu Mi Xu Stylus Zeae mays 30 g
Explanation
The first five herbs form the True Warrior Decoction which is specific for oedema from Spleen-
and Kidney-Yang deficiency.
- Ze Xie, Dong Gua Pi and Yu Mi Xu all drain Dampness and resolve oedema.
Zhen Wu Tang and Wu Ling San
(True Warrior Decoction and Five "Ling" Powder)