Pattern Full/Empty

Kidney Yang Deficiency with Water overflowing

Shèn Yáng Xū Shuǐ Shī Shàng Fàn 肾阳虚 水湿上泛
Affects: Kidney

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Diagnostic Considerations

Edema of the ankles, breathlessness, Deep-Weak-Slow pulse and Pale-Swollen tongue are enough in and of themselves to diagnose this pattern.

Palpitations and cold hands only appear if Water also overflows to the Heart. The thin watery frothy sputum, coughing and asthma only appear as symptoms if Water also overflows to the Lungs.

Causes & Pathology

Common Causes

Pathological Mechanism

This pattern is a severe case of Kidney Yang Deficiency and necessarily a very chronic condition. This is both a Deficiency and Excess pattern, the Excess part being the accumulation of Fluids.

It occurs when Kidney Yang fails to transform Body Fluids (since the Kidneys "rule Water") which accumulate under the skin to form edema. It also often cause water retention in other Organs, particularly the Heart and Lungs.

If it affects the Heart the patient will also have symptoms of palpitations and cold hands. If it affects the Lungs, symptoms will include coughing with a thin watery frothy sputum, which is indicative of the presence of Phlegm-Fluids formation.

Treatment Approach

Treatment Principle

Tonify and warm the Kidneys, transform Water and warm and tonify Spleen-Yang. If Water overflows to the Heart or Lungs, warm and tonify Heart Yang or Lung Qi respectively.

Diet & Lifestyle Recommendations

Eat a balanced diet composed only of cooked foods and those with a warm energy such as whole grains, vegetables (especially adzuki beans) and meat (especially lamb, beef and pork).

Avoid excessive sexual activity and exposure to cold.

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Related TCM Concepts

Kidneys Yang Deficiency Body Fluids