This pattern occurs in individuals with inherent Yin Deficiency who are exposed to external cool-Dryness, particularly during autumn. In this pattern, the Lungs and Stomach, both crucial for fluid regulation, are adversely affected.

The Lungs, associated with the metal element and vulnerable to Dryness, are easily damaged by Dry external pathogens. This is exacerbated in someone already experiencing fluid damage, leading to symptoms like a dry throat and a hacking cough with scanty sputum. These symptoms indicate not only the Lung's Yin Deficiency but also the obstruction of Lung Qi due to the cool-Dryness invasion.

The Stomach, responsible for generating Body Fluids, also suffers from Yin Deficiency, manifesting as thirst. The combined Deficiency in both the Lungs and Stomach leads to a lack of adequate fluids in these organs.

Additionally, the red tongue with a lack of coating, a thin pulse, fever, and a rapid pulse are indicative of the overall Yin Deficiency and the resultant Internal Heat. This pattern demonstrates the interconnectedness of the Lungs and Stomach in fluid regulation and the impact of external pathogenic factors on pre-existing constitutional weaknesses. Treatment would focus on nourishing the Yin of both the Lungs and Stomach and addressing the dryness to restore balance.