Pattern Empty

Kidney and Spleen Yang Deficiency with Empty Cold

Pí Shèn Yáng Xū Hán 脾肾阳虚寒
Affects: Kidney Spleen

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Diagnostic Signs

Diagnostic Considerations

abdominal pain eased by warmth or pressure, dark blood and pus in stool, a pale tongue, and a slow, frail pulse.

Causes & Pathology

Common Causes

Pathological Mechanism

This pattern typically evolves from an initial Damp-Heat dysenteric disorder, leading to a gradual weakening of the Spleen and Stomach. Over time, this progresses into a Cold Deficiency state, marked by the inability of the Middle Burner (Spleen and Stomach) to digest, transform, or transport food, and a weakened Lower Burner fire that fails to metabolize water.

This Deficiency results in an internal obstruction of Damp-Cold, disrupting the Qi mechanism in the Large Intestine and leading to collateral damage. Symptoms include dark blood and pus in the stool, abdominal pain relieved by warmth or pressure, a pale tongue, and a slow, frail, or faint and thin pulse, indicative of Spleen and Kidney Yang Deficiency.

Treatment Approach

Treatment Principle

Warm the Middle and Lower Burner, expels Cold, stop dysentery.

Diet & Lifestyle Recommendations

Eat only cooked food (nothing raw) and favor foods that are warming in nature such as beef or lamb.

For exercising favor light activities such as walking, swimming, bicycling, Yoga, Tai Chi or Qi Gong.

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Related TCM Concepts

Spleen Deficiency / Empty Cold pattern Kidneys