» conventional diagnoses: pulmonary heart disease; edema due to Liver cirrhosis; nephrosis.
» etiology: severe Kidney Yang Xu (Deficiency) results in Shi (Excess) pattern of chronic retention of Dampness; excessive cold, raw foods resulting in Spleen Yang Xu (Deficiency); with Water for overflowing to the Lung: retention of Exterior Cold in Lung which has caused Lung Qi Xu (Deficiency) and produced Internal Phlegm; with Water overflowing to the Heart: Heart Yang Xu (Deficiency) poor constitution and emotional problems.
signs and symptoms
general signs and symptoms:
chilly
fullness and distension of abdomen
scanty clear urine
low back soreness
edema, esp. feet and ankles
cold feeling in legs and back
with Water overflowing to the Lung:
above plus asthma
cough
dyspnea on exertion
thin, watery, frothy sputum
with Water overflowing to the Heart:
above plus palpitations
breathlessness
cold hands
» pulse: deep, weak, slow, slippery.
» tongue: pale, wet, swollen; white coating.
course and prognosis
» principle of treatment: tonify and warm Kidney; transform Water; warm and tonify Spleen Yang; tonify Heart Yang or Lung Qi, respectively, if overflowing affecting either organ.
differential diagnosis
footnotes