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(Eight pulse methods, four prescriptions, one moxibustion method)

Kidney Excess-Heat Syndrome

If the Yin pulse at the Chi position of the left wrist, posterior to Shenmen, is excess (Shi), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from dry tongue and swollen throat, vexation and restlessness with dry pharynx, occasional pain in the chest and hypochondrium, panting, coughing with sweating, distension and fullness of the lower abdomen, stiffness and tension in the waist and back, heaviness of the body and heat in the bones, dark yellow urine, irritability and forgetfulness, heat and pain in the soles of the feet, blackening of the four limbs, and deafness. This is named Kidney Excess-Heat. (*Mai Jing* states: In cases of Kidney Excess-Heat, the patient experiences distension and obstruction of the bladder, and pulling pain between the lower abdomen and the lumbar spine.)

If the Yin pulse at the Chi position of the right wrist, posterior to Shenmen, is excess (Shi), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from bi-syndrome with body heat and heart pain, pulling pain between the spine and hypochondrium, cold extremities with reverse heat and vexation. This is named Kidney Excess-Heat.

Prescription for treating Kidney Excess-Heat causing lower abdominal distension and fullness, true black color of the four limbs, deafness, dreams of the waist and spine separating, latent water qi, and other conditions leading to urgent breathing:
Magnesium Sulfate (Mangxiao), Poria (Fuling), Scutellaria Root (Huangqin) [each 3 liang]; Juice of Fresh Rehmannia Root (Shengdi Zhi), Acorus Tatarinowii Rhizome (Changpu) [each 5 liang]; Magnetite (Cishi) [8 liang, crushed like sparrow heads]; Rhubarb (Dahuang) [1 sheng].
The above ten ingredients are cut into small pieces. Boil with 9 sheng of water. Decoct the first seven ingredients to obtain 2.5 sheng of liquid. Strain off the dregs. Add Rhubarb to the liquid and boil again until reduced by 2-3 he. Remove the Rhubarb. Add the juice of Fresh Rehmannia Root and simmer briefly for one or two boils. Then add Magnesium Sulfate. Divide into three doses.

Prescription for treating Kidney Heat causing irritability and forgetfulness, loss of hearing, fullness and urgency in the four limbs, and stiffness and rigidity in turning the waist and back:
Bupleurum Root (Chaihu), Spirit of Poria (Fushen) [Poria (Fuling) in *Waitai Mi Yao*], Scutellaria Root (Huangqin), Alisma Rhizome (Zexie), Cimicifuga Rhizome (Shengma), Apricot Seed (Xingren), Isatis Leaf (Daqing), Magnesium Sulfate (Mangxiao) [each 2 liang]; Magnetite (Cishi) [4 liang]; Antelope Horn (Lingyangjiao) [1 liang]; Rehmannia Root (Dihuang), Light Bamboo Leaves (Dan Zhuye) [each 1 sheng].
The above twelve ingredients are cut into small pieces. Boil with 1 dou of water to obtain 3 sheng of liquid. Strain off the dregs. Add Magnesium Sulfate. Divide into three doses.

Prescription for treating Kidney Heat where urine is dark yellow and red, difficult to pass, resembling Gardenia juice or Phellodendron Bark juice, with pain at the glans penis upon the urge to urinate:
Ulmus Root Bark (Yubai Pi), Malva Seed (Dongkuizi) [each 1 sheng]; Plantago Herb (Cheqian Cao), Talcum (Huashi) [half jin, crushed]; Scutellaria Root (Ziqin), Tetrapanax Medulla (Tongcao), Dianthus Flower (Qumai) [each 3 liang]; Pyrrhosia Leaf (Shiwei) [4 liang].
The above eight ingredients are cut into small pieces. Boil with 2 dou of water. First decoct Plantago Herb to obtain 1 dou of liquid. Strain off the dregs and clarify. Take 9 sheng of the clear liquid. Add the remaining herbs and decoct to obtain 3.5 sheng of liquid. Strain off the dregs. Divide into four doses.

Kidney and Bladder Both Excess

At the Chi position of the left wrist, posterior to Shenmen, if both Yin and Yang pulses are excess (Shi), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in an excess state. The patient suffers from stiffness of the spine, opisthotonos (body bent backward), upward deviation of the eyes, Qi rushing up to strike the heart, severe back pain preventing self-turning or side-laying. This is named Kidney and Bladder Both Excess.

At the Chi position of the right wrist, posterior to Shenmen, if both Yin and Yang pulses are excess (Shi), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in an excess state. The patient suffers from manic disorders, heavy head with pulling pain in the eyes, syncope with a desire to run, upward deviation of the eyes, profuse sweating due to Wind, and excessive sweating. This is named Kidney and Bladder Both Excess.

Kidney Deficiency-Cold

At the Chi position of the right wrist, posterior to Shenmen, if the Yin pulse is deficient (Xu), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from stifling sensation in the heart, heaviness below, and swollen feet that cannot touch the ground. This is named Kidney Deficiency-Cold.

At the Chi position of the right wrist, posterior to Shenmen, if the Yin pulse is deficient (Xu), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from thin and weak calves, aversion to cold, intermittent and absent pulses, cold feet, heaviness in the upper body and lightness in the lower body, inability to bear weight when walking, distension and fullness of the lower abdomen, Qi rushing up to strike the chest causing pain radiating to the hypochondrium. This is named Kidney Deficiency-Cold.

Prescription for treating Kidney Qi Deficiency-Cold causing impotence, pain in the waist and spine, heaviness and weakness of the body, turbid voice, and sudden cessation of Yang Qi:
Cistanche Stem (Congrong), Atractylodes Macrocephala Rhizome (Baizhu), Morinda Officinalis Root (Bajitian), Ophiopogon Tuber (Maidong), Poria (Fuling), Licorice Root (Gancao), Achyranthes Bidentata Root (Niuxi), Schisandra Berry (Wuweizi), Eucommia Bark (Duzhong) [each 8 liang]; Plantago Seed (Cheqian Zi), Dried Ginger (Ganjiang) [each 5 liang]; Fresh Rehmannia Root (Shengdi) [5 jin].
The above twelve ingredients are processed and sifted into fine powder. Take one cunbi after meals with wine, three times daily.

Prescription for treating Kidney Wind Deficiency-Cold:
Moxibustion on Shenshu (BL23), one hundred zhuasts. The location is on both sides of the umbilicus, posteriorly along the spine, each 1.5 cun lateral to the spine.

Kidney and Bladder Both Deficient

At the Chi position of the right wrist, posterior to Shenmen, if both Yin and Yang pulses are deficient (Xu), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in a deficient state. The patient suffers from frequent urination, heart pain with coldness in the back, and occasional lower abdominal fullness. This is named Kidney and Bladder Both Deficient.

At the Chi position of the right wrist, posterior to Shenmen, if both Yin and Yang pulses are deficient (Xu), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in a deficient state. The patient suffers from heart pain, heaviness below with inability to retract, prolapse of the anus, frequent painful diarrhea, cold invasion causing泄泻 (loose stools), simultaneous pain in the Kidney and Heart. This is named Kidney and Bladder Both Deficient.