is the KD replete or deficient?
KD is always deficient, never replete
what are some sx indicating a KD Deficiency?
- chronic low back, knee, hip, ankle, or low joint problems
- chronic night-time urination more than 1x per night
- dark blue or black circles under the eyes (brown circles indicate KD disease or organ anatomy pathology; and puffiness under eye could indicate chronic KD Xu but it could also be LU Xu so need to ask other questions)
- abdominal palpation: empty feeling under umbilicus
- U shaped hollow at root of tongue
what are some general signs indicating KD involvement?
issues with:
- lower body
- head hair
- ears
- bones, including teeth
- jing
these s/sx are which pattern, how do you Tx?
- aching & weakness of low back
- weak knees
- fatigue
- dizziness
- decreased hearing ability
- tinnitus
- no leakage issues*
- pale tongue
- deep, weak pulse
KD Qi Vacuity
TX: Supplement KD
KD 3, SP 6, KD 10, UB 23, UB 52, Du 4
these s/sx are which pattern, how do you Tx?
- frequent clear urination with dribbling post-stream
- soreness/aching of low back
- weakness of back, knees
- dizziness
- ringing in ears/tinnitus
- dribbling/leakage of urine*
- seminal emission
- premature ejaculation
- enuresis
- chronic vaginal discharge
- could have bleeding during pregnancy, stirring of fetus
- pale tongue, white coat
- deep, weak pulse
Insecurity of KD Qi
TX: Secure the KD, Astringe the Essence
KD 3, KD 10, UB 23, UB 52, Du 4, Ren 4, SP 6, Du 20
Moxa Du 4, Ren 3
these s/sx are which pattern, how do you Tx?
- aching/soreness of low back
- weakness & coldness of back, knees
- bright white complexion*
- impotence
- premature ejaculation
- lassitude
- frequent, copious, clear urination*
- edema of legs*
- infertility
- loose stools
- pale tongue
- deep, forceless, weak pulse
KD Yang Vacuity
TX: Tonify & Warm the KD, Strengthen the MingMen FIre
Du 4, UB 23, UB 52, Ren 4, Ren 6, KD 3, KD 7
these s/sx are which pattern, how do you Tx?
- dizziness
- tinnitus
- weak, aching low back & knees
- deficient reproductive function
- loss of head hair, teeth
- in children: retarded growth & development, short stature, weakness of bones, delay in closure of fontanels
- red, peeled tongue (Macioca); pale tongue (Deng)
- floating-empty pulse (Macioca); weak pulse (Deng)
Insufficiency of KD Essence
TX: Nourish Essence
UB 23, KD 3, Du 4, Ren 4, Ren 6, KD 6, GB 39, UB 11
Moxa if cold signs
Note: difference in pulse & tongue because Macioca believes underlying cause is Deficient Yin, whereas Deng believes it is Deficient Yang
these s/sx are which pattern, how do you Tx?
- dizziness, vertigo
- tinnitus, poor hearing
- poor memory
- dry mouth, especially at night
- night sweating
- 5 center heat
- aching back
- nocturnal emissions
- constipation
- dark, scanty urination
- red tongue, no coat, cracks
- rapid, find pulse
KD Yin Vacuity
TX: Nourish KD Yin
UB 23, KD 6, LU 7, KD 3, KD 2, Ren 4, KD 10
these s/sx are which pattern, how do you Tx?
- SOB on exertion
- rapid, weak breathing
- difficulty with inhaling
- cough
- asthma (insufficient breath, tension in neck)
- spontaneous sweating
- cold limbs
- swelling of face, but thin body
- clear urination during asthma
- sore low back
- pale tongue
- weak, deep, feeble pulse (tightness if cold signs)
KD Failing to Absorb Qi
TX: Tonify & Warm KD, Aid KD to Grasp Qi
KD 3, LU 7, KD 6, ST 36, UB 23, Du 4, Ren 6, Ren 17, KD 7
these s/sx are which pattern, how do you Tx?
- frequent & urgent urination
- burning with urination
- difficulty with urine flow (stop-start)
- dark or turbid urine
- blood in urine
- “sand” in urine
- fever
- thirst
- red tongue, sticky yellow coat esp. in root
- rapid, slippery pulse; may be slightly wiry
UB Damp-Heat
TX: Clear Heat, Resolve Dampness, Open Water Passages of Lower Burner
SP 9, SP 6, UB 22, UB 28, Ren 3, UB 63, UB 66
these s/sx are which pattern, how do you Tx?
- bright white facial complexion
- physical cold
- cold limbs
- frequent, clear urination
- could have enuresis, or nocturia
- pale, puffy tongue with wet coat
- deep, weak pulse
UB Vacuity Cold (aka KD Yang Vacuity)
TX: Warm & Secure the KD (Yang), Reduce the Urine
SP 6, UB 22, Ren 3, ST 28, UB 28, Du 4, max
these s/sx are which pattern, how do you Tx?
- could be either repletion or vacuity
- inhibited urination
- difficulty with urinary stream
- total blockage of urinary stream
- lower abdominal distention
UB Qi Block (though you would never say this pattern name)
TX for LU-related case: “Remove the lid from the pot” by using LU 7 to ventilate the Lung
TX for KD Vacuity: Supplement KD, Disinhibit Urine
name the KD patterns:
1) KD Qi Vacuity
2) Insecurity of KD Qi
3) KD Yang Vacuity
4) Insufficiency of KD Essence
5) KD Yin Vacuity
6) KD Failing to Absorb Qi
name the UB patterns:
1) UB Damp-Heat
2) UB Vacuity Cold (aka KD Yang Vacuity)
3) UB Qi Block
