A 65-year-old woman has recurrent tinnitus, sore low back and knees, dry mouth at night, and occasional tidal heat with night sweating. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?
Four training angles
Tinnitus, Low-Back Weakness, and Tidal Heat: Pattern
Tinnitus, Low-Back Weakness, and Tidal Heat: Treatment Principle
Tinnitus, Low-Back Weakness, and Tidal Heat: Formula
Tinnitus, Low-Back Weakness, and Tidal Heat: Points
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Tinnitus, Low-Back Weakness, and Tidal Heat: Pattern
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Tinnitus, Low-Back Weakness, and Tidal Heat: Treatment Principle
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Tinnitus, Low-Back Weakness, and Tidal Heat: Formula
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Tinnitus, Low-Back Weakness, and Tidal Heat: Points
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Case-to-knowledge links
Scanty Coating
A scanty coating often suggests fluid or Yin deficiency and is an important clue to a deficiency-rooted pattern.
Tinnitus
Tinnitus often relates to the Liver, Kidney, or upward disturbance, but it should not be reduced to Kidney deficiency alone.
Kidney Yin Deficiency
Kidney yin deficiency gives rise to deficient heat and presents with low-back weakness, tinnitus, and night symptoms.
Yin Deficiency with Internal Heat
Deficient yin gives rise to internal heat, often with low-grade fever, night sweats, and five-center heat.