Guest guest Posted September 28, 2002 Report Share Posted September 28, 2002 One of the reasons I'm posting this is it deals with the concepts of Deficiency and Excess. Another is that some readers are experiencing profuse, clear urination. Frequent urination can be due to a number of different Roots (some Cold, some Hot), but profuse, clear urination points to a Cold condition. This can either be Deficiency Cold (Yang Deficiency - not enough Yang to warm the body properly) - or it can be due to Excess Cold invading the body (either through the weather being too cold or the person consuming food and drink which is too cold or has too much Cold energy). " Kidney yang deficiency. Clear, profuse and frequent urinaiton with characteristic symptoms of Kidney yang insufficiency such as facial pallor, tiredness, soreness of the lower back and knees, coldness of the limbs and general sensitivity to cold, dizziness, tinnitus, pale tongue with a white coat, and a deep slow weak pulse, especially at the proximal (chi) position. " Internal yin cold predominating over yang. Clear profuse urination with obvious sensitivity to cold, lower abdominal cold pain which markedly improves with heat, preference for warm food and drinks, cold limbs, loose stool, pale tongue with a white coat, and deep, wiry pulse. " (Fluid Physiology and Pathology in Traditional , Steven Clavey, p. 86.) Even though there are a lot of similarities between these two Roots (they share the characteristics of Cold), there also are differences. One is a Deficiency condition (xu), and the other is Excess (shi). The " soreness of the lower back and knees " and the tinnitus point to Kidney imbalance. (These are general Kidney symptoms.) The Cold symptoms - like slow pulse, movements, and speech; sensitivity to cold, and extreme fatigue narrows the Kidney imbalance down to Kidney Yang Deficiency. The pale tongue is not specific to Yang Deficiency or Cold. Neither is a pale complexion. Blood Deficiency and Qi Deficiency also can manifest as a pale complexion and pale tongue (though the tongue and sometimes even the complexion can be somewhat normal in color in cases of Qi Deficiency. The pale complexion of Blood Deficiency will be dull pale. The pale complexion of Yang Deficiency or Qi Deficiency will be shiny pale. Actually, Kidney Yang Deficiency also will manifest as a preference for warm liquids. The person seldom may feel thirsty and prefers hot teas and soups when s/he does drink. A better indication of Deficiency vs. Excess is the thickness of the tongue coating. In Deficiency conditions, the tongue coat thickness will be normal or thinner than normal. If there is Stomach Yin Deficiency, the coating may even be missing. Excess conditions usually are characterized by thick tongue coats. Normal to thinner than normal, Deficiency. Thicker than normal, Excess. (Keep in mind that the tongue changes more slowly than the pulse. The pulse will change following an acupuncture treatment. If the tongue color or coating has had time to change, the condition has been going on for some time, usually at least a day or more if not much, much longer.) Although both conditions are Cold conditions, the treatments will be slightly different. If a person is Yang Deficient, Yang will need to be supplemented (Yang tonic herbs) in addition to warming the Yang and the Interior. If the person is suffering from Excess Cold, the treatment involves warming the Interior and expelling the Cold. In cases of Excess Cold, the next question needs to be why did the Cold invade? Is the person eating too many foods and liquids that are chilled too much or have the effect of cooling the body (thermal energy), or was the person exposed to cold weather. In the case of cold weather, the next question becomes how cold was the cold weather. Was the weather so cold that it was able to invade regardless of the person's Protective Qi being adequate, or was the weather not so cold but the person is Protective Qi Deficient. In the latter cases, Protective Qi will need to be increased via herbs like astragalus and via strenghtening the Spleens and/or Lungs. Think about urination in the winter vs. urination in the summer. In the winter, even well people tend to produce more urine and clearer urine than in the summer (though it won't be as profuse or as clear as a person suffering from Deficiency Cold or Excess Cold). The Uterus, Intestines, and Stomach are vulnerable to direct invasion by Cold. It doesn't have to go through the meridians first. The Kidneys are very vulnerable to Cold. (The Spleen is most vulnerable to Dampness and somewhat vulnerable to Cold.) If Excess Cold is not treated via warming the Interior, changing the diet, dressing warmly enough or staying indoors during cold weather, and addressing any Protective Qi Deficiency problems if they are present, in time the Excess Cold will weaken the Kidneys to the point that Kidney Yang Deficiency will develop. Then you're looking at both Deficiency and Excess Cold, and the two are reinforcing each other. The Excess Cold triggers worse Yang Deficiency, and the Yang Deficiency causes the person to be more vulnerable to Exterior Cold. (Weak Protective Qi is not the only thing that can cause a person to be weather sensitive. Long-term Yang Deficiency also can cause a person to be more vulnerable to Exterior Cold.) Since the Spleen also is vulnerable to Cold, in time there will be Qi Deficiency, including Protective Qi Deficiency (but not limited to it.) A deep pulse (one that can be felt best with a lot of pressure) can point to an Interior condition. A " floating " pulse (one that can be felt best with light pressure) can point to an Exterior condition (as well as some other imbalances). Both Kidney Yang Deficiency and Internal Yin Cold Predominating Over Yang are Interior imbalances. The Organs are affected. Victoria Quote Link to comment Share on other sites More sharing options...
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