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Chinese Symptomology Signs & symptoms of spleen qi vacuity include: * Fatigue * Lack of strength * Shortness of breath * Postural hypotension * Poor appetite * Indigestion * Undigested food in the stools * An enlarged tongue with teeth-marks on its edges and thin, white fur * A forceless pulse Signs & symptoms of kidney qi vacuity include: * Cock-crow diarrhea * Enduring diarrhea * Low back soreness and pain * Chilled extremities * Possible polyuria * A deep, slow pulse Western Symptomology Spleen-kidney dual vacuity resulting in chronic colitis, chronic dysentery, irritable bowel syndrome, tuberculosis of the colon, allergic colitis, and low back pain Actions Warms and supplements the spleen and kidneys, secures the intestines and stops diarrhea Pattern Spleen-kidney dual vacuity Ingredients Bu Gu Zhi (Fructus Psoraleae) 333.3 mg ~ Rou Dou Kou (Semen Myristicae) 166.7 mg ~ Wu Wei Zi (Fructus Schisandrae) 166.7 mg ~ Wu Zhu Yu (Fructus Evodiae) 83.3 mg Within this formula: Bu Gu Zhi supplements both the spleen and kidneys and stops diarrhea. Rou Dou Kou warms the spleen and kidneys and secures the intestines. Wu Zhu Yu dispels cold from the middle burner. It also courses the liver and rectifies the qi, thus freeing the flow of the qi mechanism. Wu Wei Zi also secures the intestines. However, since it engenders fluids, it help prevent Wu Zhu Yu from damaging yin fluids due to its warmth and acridity. Sheng Jiang and Da Zao fortify the spleen and harmonize the middle. Sheng Jiang also helps transform dampness. This formula comes from Xue Jiís Ming dynasty Nei Ke Zhai Yao (Selected Essentials of Internal Medicine).