Heart and Kidney Disharmony /Yin Xu    心肾不交

Disclaimer    For educational purposes only.  Do not use as medical advice

Pattern Names
Heart and Kidney Disharmony /Yin Xu • 心肾不交 • Xīn Shèn Bù Jiāo
Classification
Category: Zang Fu Syndrome: Complex
Symptoms
Tongue: Red tongue with redder tip, no coat, mid-line heart crack Pulse: Thready, Rapid, Deep, Weak, Floating, or Empty
Indications: "With heart empty heat": Night sweating, Palpitations, Insomnia, 5 Sole heat, Weakness, Soreness of low back & knees, Sexual problems, Malar flush, Little thirst, Tinnitus, Easily startled, Anxiety, Vertigo, Anxiety, Dream disturbed sleep, Poor memory, Nocturnal emissions, Evening heat, Dry throat at night, Thirst with desire to drink in small amounts, Steaming bone, Scanty dark urine, Dry stool [34] • Palpitations, insomnia, vexation, dream disturbed sleep, dizziness, tinnitus, dry mouth, malar flush, five center heat, night sweats, weakness and aching of the lower back and knees, seminal emissions; a red tongue with little or no coating, and a thready and rapid pulse [32]
Keywords
Irritability, seminal emissions, hot flashes, and lower back ache. [32]   
Treatment 
Harmonize HT and KD, Clear empty heat, Calm Shen, Moisten dryness
Acupuncture 
BL 15, BL 23, BL 52, KD 3, KD 6, SP 6, AnMian, HT 7, PC 6, RN 14
Herb
Tian Wang Bu Xin DanZhu Sha An Shen Wan • Jiao Tai Wan • Bai Zi Yang Xin Tang
Etiology
KD Yin Xu + Heart Yin Xu • Kidney Yin deficiency leading to Heart Yin deficiency [Maciocia] • A pattern caused by a lack of coordination between the Heart fire and Kidney water manifests as yin deficiency with yang excess of the Heart and Kidney. –  Long term excessive worry, thinking or depression. Or sexual hyperactivity, aging, or chronic illness –  Heart fire exorbitant, disturbs spirit cause insomnia, palpitation, vexation –  Kidney yin deficient fail to fill the marrow cause low back pain, dizziness, tinnitus, or poor memory –  Yin deficiency lead yang relative excess, resultdeficient heat cause hot flush, night sweating, heat sensation in five center [Qiao]
Notes
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