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Chinese Symptomology SIGNS & SYMPTOMS OF KIDNEY YANG VACUITY INCLUDE: * Low back and knee soreness and limpness * Polyuria * Nocturia * Tinnitus * Dizziness * Decreased libido * Cold hands and feet * Fear of cold * A bluish tongue with wet or dry fur * A deep, slow, forceless pulseSIGNS & SYMPTOMS OF KIDNEY YIN AND YANG DUAL VACUITY INCLUDE: * All the preceding plus * Night sweats * Afternoon lowgrade fever * Heat in the five heart or centers * Heart palpitations * Vexation and agitation * Insomnia * A red tongue with scanty fur * A fine, rapid pulse Western Symptomology 1) Kidney yang vacuity, 2) kidney yin & yang dual vacuity manifesting as nephritis, nephrosclerosis, kidney stones, kidney tuberculosis, pyelitis, albuminuria, edema, cystitis, chronic urethritis, prostatic hypertrophy, urinary incontinence, diabetes, cerebral hemorrhage, arteriosclerosis, hypertension, hypotension, neurasthenia, spermatorrhea, impotence, lumbago, sciatica, beriberi, cataracts, glaucoma, decrease in eyesight, keratitis, eczema, senile pruritus, vaginal itching, urticaria, chronic gonorrhea, rectal prolapse, menopausal complaints, primary hyperaldosteronism, Addison’s disease, hypothyroidism, postpartum urinary retention, arthritis, chronic bronchial asthma, etc. Actions Warms and supplements kidney yang Pattern 1) Kidney yang vacuity, 2) kidney yin & yang dual vacuity Ingredients Shu Di (cooked Radix Rehmanniae) 144 mg ~ Shan Zhu Yu (Fructus Corni) 115.5 mg ~ Shan Yao (Radix Dioscoreae) 115.5 mg ~ Fu Ling (Poria) 87 mg ~ Ze Xie (Rhizoma Alismatis) 87 mg ~ Dan Pi (Cortex Moutan) 87 mg ~ Zhi Fu Zi (Radix Lateralis Praeparata Aconiti) 57 mg ~ Rou Gui (Cortex Cinnamomi) 57 mg Within this formula, Shu Di (cooked Radix Rehmanniae), enriches and supplements kidney yin. Shan Zhu Yu (Fructus Corni), and Shan Yao (Radix Dioscoreae), enrich and supplement the liver and spleen, thus assisting the enrichment and supplementation of yin within the kidneys. Rou Gui (Cortex Cinnamomi), and Zhi Fu Zi (Radix Lateralis Praeparata Aconiti), warm and supplement yang within the kidneys. Ze Xie (Rhizoma Alismatis), and Fu Ling (Poria), disinhibit water and seep dampness. They also lead ministerial fire back down to its lower source. In addition, Fu Ling supplements the spleen, remembering that the former and latter heavens are mutually rooted. It also quiets the spirit. Dan Pi (Cortex Moutan) clears and drains ministerial fire should it flare upwards hyperactiviely. It also quickens the blood, and enduring diseases eventually reach the kidneys and typically are associated with blood stasis. Thus this combination of medicinals warms and supplements kidney yang, supplements at the same time as it drains, and supplements without being slimy and stagnating. It is also based on the notion of seeking yang within yin. This formula comes from Zhang Zhong-jing’s late Han dynasty Jin Gui Yao Lue (Essentials from the Golden Cabinet).