The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Preliminary reading: What is a pattern? The Kidney in Chinese Medicine The concept of Yin The concept of Deficiency The concept of Yin Deficiency
Key attributes
Chinese name: 肾阴虚 Pinyin name: Shèn Yīn Xū
Pattern nature: Empty
Pattern hierarchy: Specific pattern under Yin Deficiency
Common combinations: Kidney Yin Deficiency With Empty-Heat Blazing Kidney and Liver Yin Deficiency Kidneys And Heart Not Harmonized Kidney and Lung Yin Deficiency
Causes
Precursor patterns: Kidney Essence Deficiency Liver Blood Deficiency Liver Yin Deficiency and four other possible precursors
Common causes: 1. Overwork, 2. Excessive sexual activity, 3. Loss of Blood, 4. Chronic disease, 5. Loss of Body Fluids, 6. Over dosage of Chinese herbs, 7. Diet, 8. Physical over-exertion
Diagnosis
Common symptoms: Anxiety Sweating Back pain Tiredness Lassitude and fourteen other symptoms
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue description: Red tongue without coating, cracked in severe cases
Treatment
Treatment principle: Nourish Kidney Yin, clear Empty Heat
Common formulas: Liu Wei Di Huang Wan Zuo Gui Wan Zhi Bo Di Huang Wan and two other formulas
This pattern often accompanies Kidney Essence Deficiency, as Kidney Yin includes Essence. When both element are depleted in the Kidneys, not enough Marrow is generated to fill the Brain, thus the symptoms of dizziness, tinnitus, vertigo and poor memory. The dizziness is mild and the tinnitus is often gradual and slow, like a rushing water sound. Marrow is also essential for nourishing the bones, thus the pattern also leads to symptoms like back and bone pain.
Essence Deficiency also gives rise to symptoms like nocturnal emissions, infertility or little sperm.
Body Fluids is also a form of Yin, therefore Yin Deficiency causes some degree of Dryness, resulting constipation, scanty dark urine as well as a dry mouth and throat, especially at night.
When Kidney Yin Deficiency proceed for a long time without being treated properly, it can develop some Empty Heat symptoms such as night sweats, five palm heat, feeling of heat or fever in the afternoon or evening, malar flush, thirst but only with desire to drink in small sips and anxiety in the evening.
Precursor patterns: Kidney Yin Deficiency can derive from Kidney Essence Deficiency Liver Blood Deficiency Liver Yin Deficiency Lung Yin Deficiency Stomach Yin Deficiency Stomach and Spleen Yin Deficiency Damp-Heat in the Bladder
Overwork: Prolonged overwork without proper resting, such as several years, can severely consume Kidney Yin.
Excessive sexual activity : Both Kidney Yin and Essence can be largely depleted due to excessive sexual activities.
Loss of Blood : According to TCM, the Liver and the Kidneys share the same rote. It is because the Liver stores the Blood and the Kidneys store Essence and both Elements are inter-transformable. Therefore, prolonged Loss of Blood, such as heavy periods, can cause Liver Blood Deficiency, which eventually develops to Kidney Yin Deficiency.
Chronic disease: Chronic diseases, especially these related to the Liver, Heart and Lungs, can give rise to Kidney Yin Deficiency.
Loss of Body Fluids: A febrile disease consumes Body Fluids, especially in the Heart. It can potentially give rise to Kidney Yin Deficiency.
Over dosage of Chinese herbs: If a patient is given over dosage of Kidney Yang tonifying TCM herbs, Kidney Yin Deficiency can occur.
Diet: Kindy Yang can be depleted due to long term smoking or excessive consumption of foods such as coffee, alcohol, sugar, and fruit juices.
Physical over-exertion: Physical over-exertion consumes Yin as well.
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Rapid (Shu), empty (Xu) or floating (Fu)
Tongue description: Red tongue without coating, cracked in severe cases
Main symptoms: Anxiety Sweating Back pain Tiredness Lassitude Depression Infertility Malar flush Constipation Five palm heat Lower back pain Evening anxiety Diminished hearing Scanty dark urination Premature ejaculation Menopausal hot flushes Dry mouth and throat at night Feeling of heat in the evening Thirst with desire to drink in small sips
Diagnosis commentary: Key characteristic symptoms of this pattern are the sweating and back pain.
Nourish Kidney Yin, clear Empty Heat
The top herbs in Liu Wei Di Huang Wan are Prepared Rehmannia (Shu Di huang), Cornelian Cherries (Shan Zhu Yu) and Yam (Shan Yao)
Source date: 1119 AD
Number of ingredients: 6 herbs
Key actions: Enriches the yin and nourishes the Kidneys.
Liu Wei Di Huang Wan is a 6-ingredient Chinese Medicine formula. Invented in 1119 AD, it belongs to the category of formulas that nourish Yin and tonify.
Besides Kidney Yin Deficiency, Liu Wei Di Huang Wan is also used to treat Blood Deficiency or Yin Deficiency.
The top herbs in Zuo Gui Wan are Prepared Rehmannia (Shu Di huang), Goji Berries (Gou Qi Zi) and Cornelian Cherries (Shan Zhu Yu)
Source date: 1624 AD
Number of ingredients: 8 herbs
Key actions: Nourishes the Yin. Strengthens the Kidneys. Fills the Essence. Augments the marrow.
Zuo Gui Wan is a 8-ingredient Chinese Medicine formula. Invented in 1624 AD, it belongs to the category of formulas that nourish Yin and tonify.
Besides Kidney Yin Deficiency, Zuo Gui Wan is also used to treat Kidney Essence Deficiency or Yin Deficiency.
The top herbs in Zhi Bo Di Huang Wan are Anemarrhena Rhizomes (Zhi Mu), Phellodendron Bark (Huang Bo) and Prepared Rehmannia (Shu Di huang)
Zhi Bo Di Huang Wan is a 8-ingredient Chinese Medicine formula. Invented in 1584 AD, it belongs to the category of formulas that nourish Yin and tonify.
Besides Kidney Yin Deficiency, Zhi Bo Di Huang Wan is also used to treat Kidney Yin Deficiency With Empty-Heat Blazing or Kidney and Liver Yin Deficiency.
The top herbs in Bai Zi Yang Xin Tang are Biota Seeds (Bai Zi Ren), Ningpo Figwort Roots (Xuan Shen) and Prepared Rehmannia (Shu Di huang)
Source date: 1549 AD
Number of ingredients: 9 herbs
Key actions: Reinforces and strengthens Heart Qi. Calms the Mind. Nourishes and moistens the Heart Blood. Tonifies the Kidney Yin.
Bai Zi Yang Xin Tang is a 9-ingredient Chinese Medicine formula. Invented in 1549 AD, it belongs to the category of formulas that nourish the Heart and calm the Mind.
Besides Kidney Yin Deficiency, Bai Zi Yang Xin Tang is also used to treat Heart Qi Deficiency or Kidneys And Heart Not Harmonized.
The top herbs in Qi Bao Mei Ran Dan are Fleeceflower Roots (He Shou Wu), Achyranthes Roots (Niu Xi) and Goji Berries (Gou Qi Zi)
Source date: 1590 AD
Number of ingredients: 9 herbs
Key actions: Enriches the Kidney Yin. Nourishes the Liver Blood.
Qi Bao Mei Ran Dan is a 9-ingredient Chinese Medicine formula. Invented in 1590 AD, it belongs to the category of formulas that tonify Yin and Yang.
Besides Kidney Yin Deficiency, Qi Bao Mei Ran Dan is also used to treat Kidney Essence Deficiency or Liver Blood Deficiency.
Same as for the Kidney Essence Deficiency pattern, it is recommended to eat a lot of whole grains with protein supplements such as legumes or meat, cooked vegetables and greens to support the Kidneys. Pork, duck, milk and congee are especially useful. Avoid coffee and other caffeinated foods and drinks, alcohol, sugar and tobacco smoking.
Rest is one of the best and most important ways to replenish Yin. Any exercises evolving sweating such as aerobics, should be avoided. Try mild and gentle sports such as swimming, walking, Yoga, Tai Chi or Qi Gong. It is also recommended to try cupping over the back and breathing exercises.
Adopt a balanced lifestyle and avoid late eating or sleep, overwork, mental-exertion and excessive sexual activities. Avoid sauna and hot tubs.
Please keep in mind that a Western Medicine condition can be caused by several Chinese Medicine patterns of disharmony and vice versa. As such a patient suffering from one of the conditions below will not necessarily be suffering from Kidney Yin Deficiency, it is just one pattern that's commonly associated with the condition. Click on a condition to learn what other patterns it's associated with.
Abnormal vaginal discharge Irregular menstruation Prolonged periods Menopausal syndrome Trigeminal neuralgia Stomatitis Periodontitis Glossitis Diabetes Viral myocarditis
Prepared Rehmannia (Shu Di huang) is the key herb for Zuo Gui Yin, a formula used for menopausal syndrome caused by Kidney Yin Deficiency
Typical symptoms for menopausal syndrome caused by Kidney Yin Deficiency: Itching Tinnitus Dry hair Dry skin Dizziness Sore back Dry mouth Sore knees Weak knees Dry throat Dry tongue Malar flush Night sweats Constipation Irritability Weak lower back Hot palms and soles
Recommended herbal formulas: Zuo Gui Yin, Qi Ju Di Huang Wan, Dang Gui Di Huang Yin, Dan Zhi Xiao Yao San
Decreasing of Kidney Essence is the fundamental cause for all menopause-related ailments. It can take the form of Kidney Yin Deficiency, Kidney Yang Deficiency or a combination of these two patterns.
The Kidneys govern the bones and generate the marrow. In case of Kidney Yin Deficiency, the Yin and Essence fails to nourish the lower parts of the body properly, therefore the lower back and knees become weak and sore. It can even result in some atrophy of the lower extremities the most severe...Read more about menopausal syndrome
Unprepared Rehmannia (Di Huang) is the key herb for Liang Di Tang, a formula used for prolonged periods caused by Kidney Yin Deficiency
Typical symptoms for prolonged periods caused by Kidney Yin Deficiency: Dry throat Dry stools Malar flush Night sweats Scanty periods
Recommended herbal formulas: Liang Di Tang, Er Zhi Wan
Having too many children too close to each other or prolonged overwork without proper rest can harm Kidney Yin. It can lead to Empty Heat if the Deficient condition is not addressed for a long time. Then the Blood get agitated by the Heat and leaks out of vessels continuously even when the periods should have ended.
The treatment principle is to nourish Yin, consolidates the Kidneys, clear Empty Heat, stop bleeding and regulates the periods.
Read more about prolonged periodsKidney Yin Deficiency With Empty Heat Blazing
Kidney Yin Deficiency With Empty Heat Blazing always derives from Kidney Yin Deficiency
Kidneys And Heart Not Harmonized
If left untreated Kidney Yin Deficiency can lead to Kidneys And Heart Not Harmonized
Kidney and Lung Yin Deficiency
If left untreated Kidney Yin Deficiency can lead to Kidney and Lung Yin Deficiency
Kidney Yin Deficiency facilitates the development of Liver Yin Deficiency on top of Liver Blood Deficiency. The Liver stores the Blood and the Kidneys stores the Essence. Both elements are interdependent. Prolonged Kidney Yin Deficiency can lead to lack of Liver Yin.
The Liver and the Kidneys are closely related. Kidney Deficiency, especially the Yin of the Kidneys, can easily effect Liver Yin. If it is not treated for a while, Liver Yang Rising happens.
Kidney Essence (Jing 精) Deficiency usually involves Deficiency of Kidney Yin and, to some extent, Kidney Yang as well. Vice versa, Yin or Yang Deficiency of the Kidneys can also cause the lacking of Essence.
Kidney Yin Deficiency can cause general Yin Deficiency as well as in other Organs, especially the Liver, Heart, Lungs and Stomach.
According to the Five Phases Theory, the Kidneys are water while the Heart is Fire. In case of Kidney Yin Deficiency, the water fails to rise to control and cool the Fire, resulting in flaring up of the Empty-Heat of the Heart.
Kidney Yin Deficiency can cause general Yin Deficiency as well as in other Organs, especially the Liver, Heart, Lungs and Stomach.
Kidney Yin Deficiency can cause general Yin Deficiency as well as in other Organs, especially the Liver, Heart, Lungs and Stomach.