This pattern often accompanies Kidney Essence Deficiency, as Kidney Yin includes Essence. When both element are depleted in the Kidneys, not enough Marrow is generated to fill the Brain, thus the symptoms of dizziness, tinnitus, vertigo and poor memory. The dizziness is mild and the tinnitus is often gradual and slow, like a rushing water sound. Marrow is also essential for nourishing the bones, thus the pattern also leads to symptoms like back and bone pain.

Essence Deficiency also gives rise to symptoms like nocturnal emissions, infertility or little sperm.

Body Fluids is also a form of Yin, therefore Yin Deficiency causes some degree of Dryness, resulting constipation, scanty dark urine as well as a dry mouth and throat, especially at night.

When Kidney Yin Deficiency proceed for a long time without being treated properly, it can develop some Empty Heat symptoms such as night sweats, five palm heat, feeling of heat or fever in the afternoon or evening, malar flush, thirst but only with desire to drink in small sips and anxiety in the evening.