seen.Deficiency of the liver－qi is seldom encountered.
There may also be concurrent symptoms of the disorders of both the zang and fu
organs,such as insufficiency of both the heart－and lung－qi,of both the heart－and
spleen－qi,of both the spleen－and lung－qi,of both the spleen－and kidney－qi,of
both the lung－and kidney－qi,and of both the spleen－and stomach－qi.To sum up
in a word,qi－deficiency refers to hypofunction,i.e.hypofunction of the zang－fu
This case belongs to the type of qi－deficiency,mainly insufficiency of the lung－
qi accompanied with insufficiency of the spleen－qi.Hypofunction of the lung due to
its qi－deficiency may lead to failure of the superficial－qi to protect the body against
invasion by exogenous pathogenic factors which enter the body from the skin and
hair,and from the mouth and nose,leading to obstruction of the lung－qi characterized
by continuous sneezing,and dysfunction of the lung in distributing vital essence to all
parts of the body,manifested by rhinorrhea and lacrimation.In rainy days,the weather
tends to be cold and damp,the coldness may attack the defensive system which is
closely related with the lung,and the wind may attack the skin and hair,leading to
various symptoms of insufficiency of the lung－qi.Meanwhile,the excessive
dampness in rainy days may attack the spleen,leading to dysfunction of the spleen in
transporting the essence of water and grain to the lung,which,in turn,fails to distribute
the essence to all parts of the body.As a result,the skin fails to be nourished,hence the
symptom of lassitude.
From the above analysis,a conclusion can be drawn that this case is dominated by
insufficiency of both the lung－and spleen－qi.
One thing should be mentioned here that the commonly mentioned qi－deficiency
in clinical practice generally refers to insufficiency of the lung－and spleen－qi.The
lung,dominating qi of the whole body,and the spleen(earth),the mother of the
lung(metal),are closely related.The injury or flourishing of one of the two organs will
surdly involve the other.That's why in clinical practice,if no definite organ is
mentioned,qi－deficiency generally denotes insufficiency of both the lung－and
spleen－qi.Well,if you don't have any more questions,please give your principle of
treatment and prescription of points.
Dr.Wang:Prof.Hu's analyses have solved two problems,which I have been confused
about for a long time.In my clinical practice,I often come across many patients with a
definite modern medical diasgnosis,which may sometimes interfere with the making
of TCM differential diagnosis.Now,I've a nice feeling that a talk with a scholar is
better than ten years'reading.Thank you ,Prof.Hu.
Since TCM differential diagnosis for this case is now clear,the principle of
treatment should be regulating and reinforcing the lung－and spleen－qi combined
with elimination of the pathogenic factors of wind,cold and dampness.
The prescription:Baihui (GV 20),Fengchi (GB 20),Shangxing (GV 23),Yintang
(Extra 1),Yingxiang (LI 20),Lieque (LU 7),Hegu (LI 4),Zusanli (ST 36),and
Sanyinjiao (SP 6),in which the reducing method is used at the points Fengchi (GB
20),Lieque (LU 7),and Hegu (LI 4)for eliminating the pathogenic factors;the
reinforcing method is used at Zusanli (ST 36) and Sanyinjiao (SP 6) for strengthening
the earth to produce metal;and the uniform reinforcing－reducing method at the other
Dr.Li:I agree with Dr.Wang's principle of treatment and prescription of points.I'd
like to propose some Back－Shu points,such as Feishu (BL 13)and Pishu(BL 20),be