Tongue
Red or pale-red, dry, with little coat
Pulse
Thin, weak; may be rapid
Key Symptoms
Overview
Qi and Yin are both depleted: the fatigue, breathlessness and sweating of Qi Deficiency together with the dryness and empty heat of Yin Deficiency. A common end-point after febrile disease, in chronic wasting-thirst (diabetes), and in long-standing lung and heart disease.
Differentiate from
- Qi and Blood Deficiency (pale tongue, no dryness or heat signs)
- Yin Deficiency of a single organ (heat and dryness without marked fatigue and breathlessness)
- Yin and Yang Deficiency (cold signs alongside the heat signs)
Etiology
Febrile disease consuming Qi and fluids; prolonged illness; overwork; profuse or prolonged sweating; chronic wasting-thirst.
Pathomechanism
Heat and long illness consume both Qi and Yin. Deficient Qi fails to secure the exterior and to move and transform fluids; deficient Yin fails to moisten and cool, so dryness and empty heat appear beside the fatigue.
Treatment Principle
Tonify Qi and nourish Yin together.
Representative formulas. Sheng Mai San as the basic formula; Zhu Ye Shi Gao Tang when residual heat remains after febrile disease; Yu Ye Tang in wasting-thirst.
Representative points. ST-36, SP-6, KI-3, LU-9, REN-4, REN-6, BL-13, BL-23.
Related Patterns
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Similar Patterns
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