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13 Cards in this Set

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Dizziness due to Kidney Deficiency

Kidney Yin Deficiency
Pathophysiology
Dizziness due to KI Yin Def. is a pure deficienct pattern. In contrast to the previous pattern of LV and KI Yin Def with Yang rising, characterised by severe episodic dizziness, Kidney Yin def dizziness is mild and occurs with exertion and fatigue.

This type is either a manifestation of deficient Heat rising to the head and disturbing the sensory orifices, or of inadequate Kidney jing. When Jing is weak or insufficient, its function of producing Marrow is weakened and this weakness leads to malnourishment of the 'sea of marrow' that is the brain.
Dizziness due to Kidney Deficiency

Kidney Yin Def
Clinical Features
-mild dizziness that is worse with sex, overexertion and late nights
-low grade fever, afternoon feverishness
-sensation of heat in the palms and sole (5 heart heat)
-malar or facial flushing
-forgetfulness and poor memory
-tiredness, fatigue
-insomnia
-tinnitus
-lower back soreness and weakness, heel pain
-tendency to constipation
T-red with little of no coat
P-thready and rapid
Dizziness due to Kidney Deficiency
Kidney Yin Def
Treatment Principle
and Prescription
TP: Tonify and nourish Kidney Yin

RX: ZUO GUI WAN modified
shu di 240
shan yao 120
shan zhu yu 12
gou qi zi 12
tu si zi 12
lu jiao jiao 12
gui ban jiao 12
niu xi 90
zhi mu 90
huang bai 90
dan shen 90
Dizziness due to Kidney Deficiency

Kidney Yin Def
Modifications
If dizziness is relatively severe
+ Long Gu 60
Mu Li 60
Ci Shi 60
Dizziness due to Kidney Deficiency

Kidney Yin Def
Patent Medicines
LIU WEI DI HUANG WAN
shu di, shan zhu yu, shan yao, fu ling, ze xie, mu dan pi.
ZHI BAI BA WEI WAN
with def heat
shu di, shan zhu yu,shan yao, fu ling, ze xie, mu dan pi, zhi mu, huang bai

ER LONG ZUO CI WAN
with tinnitus
shu di, shan yao, fu ling, mu dan pi, chai hu, shan zhu yu, ze xie, wu wei zi
MING MU DI HUANG WAN
with visual disturbance
shu di, shan zhu yu, shan yao, fu ling, ze xie, mu dan pi, gou qi zi, ju hua, bai shao, bai ji li, gou teng, dang gui, gan cao
QI JU DI HUANG WAN
Liver and Kidney Yin Def.
shu di, shan zhu yu, shan yao, fu ling, ze xie, mu dan pi, gou qi zi, ju hua
Dizziness due to Kidney Deficiency

Kidney Yang Deficiency
Pathophysiology
Kidney Yang Deficiency causes dizziness less freqently than Yin Deficiency. When Kidney Yang is Weak, the 'clear Yang' (of Conciousness)is unable to ascend fully to the head and invigorate the sensory orifices
Dizziness due to Kidney Deficiency

Kidney yang Deficiency

Clinical Features
-dizziness that is generally mild and aggravated or inititated by exertion
-poor memory
-mental and physical fatigue
-loss of hearing acuity
-cold extremities, cold intolerance
-low libido
-fluid retention
-nocturia
-lower back and knees cold, sore and weak
T-swollen and pale
P- deep and thready
Dizziness due to Kidney Deficiency

Kidney Yang Deficiency

Treatment Principle
and
Prescription
TP: Warm the kidneys and support Yang

RX: YOU GUI WAN
shu di 240
chao shan yao 120
du zhong 120
gou qi zi 120
tu si zi 120
lu jiao jiao 120(melted b4)
shan zhu yu 90
dang gui 90
rou gui 60-120
zhi fu zi 60-180(30 mins B4)
Dizziness due to Kidney Deficiency

Kidney yang Deficiency

Modifications:
-If Yang is weak
-If dizziness is relatively severe
If Yang is weak add 2 or 3 of the following:
xian ling pi 90
xian mao 90
bai ji tian 90
rou cong rong 120

If dizziness is relatively severe add:
long gu 60
mu li 60
ci shi 60
Dizziness due to Kidney Deficiency

Kidney Yang Deficiency

Patent Medicines
JIN KUI SHEN QI WAN
YOU GUI WAN
shu di, shan zhu yu, shan yao, gou qi zi, du zhong, tu si zi, dang gui, rou gui
BA JI YIN YANG WAN
ba ji tian, xian ling pi, shu di, shan yao, bai shao, lian zi, shan zhu yu, jin ying zi, xu duan, gou ji, du zhong, gou qi zi, dang gui
ZHUANG YAO JIAN SHEN PIAN
gou ji, wwz, ji xue teng, tu su zi, sang ji sheng, jin ying zi, nu zhen zi
Dizziness due to Kidney Deficiency

Kidney Yin Deficiency

Acupuncture
Shen Shu +
Guan Yuan +
Tai Xi +
Zhao Hai
Lie Que
Tai Yang
Xin Shu -
Dizziness due to Kidney Deficiency

Kidney Yang Deficiency

Acupuncture
Bai Hui moxa
shen shu + moxa
guan yuan + moxa
ming men + moxa
hou xi
shen mai
tai xi +
Dizziness due to Kidney Deficiency

Kidney Yin and Yang Deficiency

Clinical Notes
This pattern may be associated with chronic nephritis, diabetes mellitus, hypothyroidism, thyperaldosteronism, pituitary hypofunction, hypertension or hypotension

Dizziness related to Kidney Def can respond well to treatment although in general Kidney Yin Def patterns require more prolonged treatment than Yang def patterns.