Yang YANG_DEF_WITH_COLD

Yang Deficiency with Cold

💊 Treatment principle: Warm and tonify Yang

Description

Lack of Yang leading to cold symptoms

Clinical features

Cold limbs, sensitivity to cold, fatigue, pale complexion, profuse clear urine, loose stools, pale tongue

🏥 Scientific research

Western understanding:

Clinical understanding of YANG_DEF_WITH_COLD. This pattern is recognized in Traditional Chinese Medicine. Consultation with TCM literature recommended for detailed clinical application.

Research evidence:

Research evidence for these complex patterns is developing. Systematic reviews show acupuncture benefits for chronic disease management, autoimmune conditions, and supportive care. Studies demonstrate efficacy for rheumatoid arthritis, ulcerative colitis, COPD, and chronic kidney disease. Meta-analyses support acupuncture for fatigue, pain, and quality of life improvement. Large-scale RCTs recommended for complex pattern differentiation.

⚠️ Cautions

Long-term management required. Regular follow-up recommended.

📚 References

Zhang Y, et al. Acupuncture for rheumatoid arthritis. Arthritis Rheumatol. 2019. Wang L, et al. Acupuncture for ulcerative colitis. Inflamm Bowel Dis. 2020. Li M, et al. Acupuncture for chronic fatigue syndrome. Fatigue. 2018. Chen X, et al. Acupuncture for organ prolapse. Obstet Gynecol. 2019. WHO Standard Acupuncture Point Locations. 2008.

✅ Cupping advice

Highly effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping is effectief bij koude syndromen

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

ST36 Secondary
Zusanli 足三里
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BL23 Secondary
Shenshu 肾俞
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🔥 Moxa advice

strongly recommended
Recommended moxa points:
ST36 indirect moxa (ginger)
Zusanli 足三里
⏱️ Duration: 600 seconds
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📜 Herbal formulas

Qili Qiangxin 芪苈强心胶囊
🧠 TCM pattern:

Qi-yang deficiency with blood stasis and fluid retention

📋 Indications:

Chronic heart failure (NYHA II-IV) with left ventricular ejection fraction <40%

📖 Classical source: Modern (QUEST trial 2013)
🚫 Contraindications:

Hypersensitivity, acute severe heart failure

⚠️ Safety warnings:

Monitor potassium levels; avoid in pregnancy