hey there it's clarify market economy and today's video is all about TCM diagnosis we're gonna look at the kidney system specifically and the inquiry method of TCM diagnosis so asking question is one of the biggest part of the consultation in Chinese medicine and so I wanted to go in-depth into how we go about it knowing what's going on with the kidney system when we inquire last question to each of our patients so we're gonna start right away before we do if you need anything else there's tons tons of resources videos PDFs courses on my website a Q Pro Academy calm and you can definitely subscribe to my youtube channel if you like what you hear and see in this channel and also connect with me on Facebook and Instagram at Occupy Academy I'd love to connect to all the TCM rockstars that are out there in the world because Chinese medicine has no boundaries all right let's get started so before we start talking about the diagnosis we presenting the kidneys in Chinese medicine let's just review the foundation of the function of the kidneys in Chinese medicine because in TCM there is no wrong diagnosis only no sorry there is no wrong treatment only the wrong diagnosis but to have the right diagnosis we need to remember the basic the foundation of everything the foundation is where everything starts so let's remind ourselves the functions of the kidneys I see the kidney system in TCM as the aging system as the root DNA of who we are so the first thing is the kidney store essence as you can see I put a little DNA kind of little symbol because I think that essence is who we are at the root it's our DNA and it was given to us by our parents so that's the first thing the second thing is because it stores essence it's in charge of Aging so it's in charge of growth it governed birth growth reproduction development and basically the aging system right those stronger so a kidney the better we can age of course the lifestyle makes a huge difference as well to age us faster or not it is also of course going to manifest on the hair of the head so someone has gray hair very early in life that's gonna tell us that maybe kidney is not that strong in TCM perspective right or for men balding very quickly when they were younger it opens into the ears so for things like constant tinnitus which happens often in older people if it's constant or hearing difficulties which of course the aging population gets trouble with that as well it controls the lower orifices so that's to you it for the seminal the spermatic duct anything that has to do the anal area and the vagina or the vaginal I can al so all those are the lower orifices anything happening in those area means that the kidney is not able to close or open properly those offices so if there's incontinence maybe the kidneys is not strong enough to open or close the urethra for the bladder to be able to control or for us to control our bladder it also governs waters so it's in charge of water metabolism not by itself but usually you with the spleen the long and essential right all those are in charge of water metabolism but if there is a lot of water specifically pooling at the feet and the ankles so we deem out the feet and ankle and lower leg that's definitely more of a kidney issue governing water it is also in charge of producing marrow filling up the brain and controlling bones this is all essence related because the brain is related to essence marrow and bones as well right so anything happening to the brain the marrow the bones very difficult to treat because it is very deep into the kidney system and the kidney again is we need two essence DNA the root and the aging system it is in charge of receiving long Qi so when we breathe deep deep deep deep we exercise we breathe deep into our belly and we give excess oxygen to the kidneys so what it means really is that the kidney and along together when we do deep breathing exercise we actually strengthen our aging system or we preserve our aging system so deep breathing exercise allow us to age better right because it relaxes us it really brings us down and grounds us which the kidney is the grounding system of the whole Chinese medicine because it's the root of who we are the root is what grounds us makes sense it also is in charge of the willpower so determination willpower motivation all comes from the kidneys so if the willpower is very low or motivation is low then we have to look at the kidneys as well and the last but not least it is in charge of the minimum fire which is also called the gate of vitality so the ming mahn fire it is said in TCM that it resides between the two kidneys and this is what really fires or heats Assad so it's really important for of course staying warm but mostly for the reproductive system right our libido if we have a good libido that means we have good fire with passion right so it's fitted if someone has no libido they have no Ming man fire domain when fire is very depleted there's no fire right so the movement fire is definitely in charge of the reproductive system the libido the sexual drive and but also to be able to assist the spleen in cooking and digesting food for us to be able to process it so it's really important to be warm enough and not be cold or not have I lost the fire of the gate of I vitality right being vital you can be an older person that look vital look alive that's what you have when you have a great gate of vitality a great movement value you look vital you look healthy it doesn't matter what age you are all right so those are the function are reviewing for kidney in Chinese medicine let's look at I look at the kidneys what I wanna do or look at is of course the aging system right so like we said earlier if I see someone that has gray hair I want to ask them when did you start turning gray would say that 24 years old or was it at 60 that's a big difference right if someone is balding specifically a man very young very early hearing loss again we need to kidney tonight is so earring specifically constant with a low pitch because if it's high pitch coming goes that's more of a liver issue and gallbladder issue but if it's constant and low pitch like a lot of people get very difficult to treat right because it's a kidney issue and it's a kidney issue it's always hard to treat because the kidneys are the root and the DNA is not able to we can't change our DNA we can manage it preserve it and try to really secure it the best we can right with our lifestyle decreased vision same thing that's an aging problem for a lot of people specifically if people can't read weak bones so having tendency to have osteoporosis or bones are frail frailing or breaking easily and of course I like to ask people if they have beautiful teeth looking perfectly perfect I always ask did you have braces because if someone is embraced as a child that means that they did not grow with straight teeth that means that a kidney isn't as strong as someone that had straight teeth to start with make sense also memory lost of course if is short term is different short term memory if you forget where you put your keys ten minutes ago that's because probably the person is stressed or some liberty stagnation there is too much stress and the person has too many things enough in your head or in the brain to pay attention but memory lasts a long term so mostly long term you don't remember things that happen that people tell you ten years ago remember we did this justice and you don't remember that's a problem okay that's an aging system I remember the day my mom in her late 80s asked me a question that just floored me she said you know obviously I had you and your brothers and so I had you with someone but who is that she couldn't remember my dad at all and I tried to give her clues who he was and you know all how they met everything nothing literally my dad was wiped out of a memory so that was that was really you know something really shocking to me but that's what happened kidney depletes and the long-term memory loss is going obviously for most people but some people it can happen when they're younger so that's not good right that really tells us kidney essence is starting to slowly deplete the reproductive system so same thing if there's infertility so infertility means this person either never a woman I'd never ever ever had a period unless she's in a mid-20s that's definitely an infertility issue if a woman is not ovulating or doesn't have enough eggs right her ovarian reserve is very very low that means that she probably cannot conceive that's a kidney problem that's very hard to treat when you see fertility patients not everybody has a kidney deficiency if it's a kidney essence deficiency then it's very hard to treat and most of time is going to be very difficult but if someone is just blood deficient and the period is irregular they have PCOS or other issues it doesn't mean they're infertile okay so I want to make sure you understand that I have a whole course on fertility issues to really look at it in depth with treatment and everything on my website if you want more so let's not confuse the fertility problem but if it is someone that can't emulate them yes or for men if there is a problem with morphology the way the sperm is shaped if it's zero morphology it doesn't matter if they have 20 million sperm floating around if there's zero zero morphology that means that there's none of them that are viable to reproduce so that's infertility right so if the count is low specifically or the morphology is zero then we have a big problem because and the person cannot reproduce okay so that's a kidney issue and we can't really change that that's an essence deficiency erectile dysfunction is the same erectile dysfunction usually for men can be two things either it's our stress which is a liberty stagnation is to do pressure and and overwhelming and being stressed that's easy to treat or it's due to aging or a kidney essence deficiency and that's very difficult to change with Chinese medicine in particular seminal emissions so having meeting of the sperm that's a kidney deficiency not being able to open or close the lower gate that is a kidney Qi deficiency Kinichi deficiency can be addressed and it is easier to treat than essence like I said low sperm count low morphology obviously that's more of an essence deficiency no ovulation and affirmation or lower billion reason definitely give me essence deficiency very difficult soak in the essence deficiency like I said is something alike premature hair loss premature gray hair bone loss when specifically people are younger but of course as older our essence deplete memory lost specifically long-term for children slow growth slow development that in essence deficiency so that's always very very hard to treat and very difficult and no libido or fertility issues is a deficiency of essence and deficiency of essence is very difficult to treat compared to Kinichi deficiency which would be much more easy to treat so I don't like to see patients with an essence deficiency because that the outcome is not favorable to be positive right so that kind of sucks on the other hand with Kenichi deficiency we can absolutely do a lot with Chinese medicine acupuncture herbs diet etcetera etcetera so what do i want to ask people to see if they have chronic if they are sorry kidney Qi deficiency do you have chronic knee pain chronic low back pain or low back aching or having low back aches during the menstruation or prior to administration mostly during masturbation or after menstruation or during ovulation Dallas definitely a kidney Qi deficiency and that can definitely be addressed a girl that has her menarche or her first period after 15 years old that's a kidney Qi deficiency or someone that has first-degree a menorah meaning that they've never had a period ever yet that is a bit tricky and that could be a kidney essence deficiency as well so sometimes it's kidney Chi sometimes its essence if it's essence we can't do much about it more kidney Qi deficiency talking about the control of urine SS of urine sorry because of course the kidney and the bladder are very much connected right so anyway cysts which means getting up at night to pee I had a patient actually this week who told me that she has to get up at night to pee about five to six times and she's only in the thirties that's a guinea Qi deficiency right she's not old she shouldn't have to get up that much to go to the bathroom so that's an issue also post children for women when they had children that can also happen a lot more because there's a weakness of the bladder that is affected or for some women kidney Qi deficiency so bedwetting for kids that also is a Kenichi deficiency think of bedwetting as often the causes fear Sophia could related to kidney right so fear depletes the kidney phobias depletes the kid deplete the kidney right so irrational irrational fears deplete the kidney which means fear ages us faster which sucks so for children if there's bedwetting we should look at are they fearful of something or someone and they being bullied in school are they irrationally scared of something like we need to talk to them and try to figure it out because that's often the case incontinence same idea so if there's incontinence it could be due to bladder prolapse and after so bladder prolapse that's more of a spleen she sinking but if it's an issue with like more and the Gator not being able to close or open from Kenichi are not being able to do its job then when we cough then we have incontinence when we sneeze we have a continent that's usually more of a kidney Qi deficiency and that can be addressed for sure so a recap of all the kimchi deficiency symptoms incontinence bed wedding night and Nerissa so paying up getting up at night to pee a lot of time low backe I mean oh yes premature ejaculation is also a Kenichi deficiency and frequent urination right like we can't hold it we have to go all the time so let's look at just looking at kin-yuen deficiency which is quite common specifically with women can a young deficiency usually your gait of vitality your main man fire is not there so the person feels cold all the time they love warm they love warm drink warm food they just call all the time they want to put a scarf around her neck and a bit coat and a you know hat even when they're inside they want to be bundled up kidney Yan deficiency patients will have weak knees weak lower back specifically on cold base or when it's cold so they need ones on the back and knees all the time so I need to stay warm and on the feet as well they should not walk on a cold floor they usually have no libido no sexual drive a woman have tendency to have clear profuse bounden vaginal discharge it's like water coming out of the vagina it's clear water so it's very watery which a lot of women think oh my god did I pee in my pants but that's not what it is that's literally vaginal discharge that's coming out infertility so definitely having issue with fertility and reproductive system edema of the lower leg so that's the water metabolism function of kidney and when there's no fire it cannot metabolize the the water so it pulls at the leg or the ink iron collar off if I survive this issue of lung and kidney young that could be showing in asthma it's not always there of course no willpower a pale tongue and swollen because again there is no fire so the tongue is pale and it's swollen because the water is not metabolized the pulse going to be very deep because again there's no fire no strength to the pulse so it's weak and it's slow okay so as you can see points to do we can do for when for spleen 6 give me 3 give me 6 7 36 222 let the energy Marx is super important for young deficiency people specifically kidney young deficiency and great food is we need to avoid raw food cold food we need to avoid too much salt like specifically you know table salt to add up one food so walnuts almonds cinnamon cloves any really warm food like onion and garlic quinoa is really good for that lamb if you eat meat is the hardest meat out there so it's very warming salmon anything that's fatty is warming so trout is fatty fish as well black peppercorn anything that has really want into it is really important so spices are very good for those people write specifically cinnamon for women I would say so let's look at differentiating the kidney pattern we just talked about kin-yuen deficiency let's talk about Kenichi deficiencies Kenichi deficiency is also going to have tendency to have so lower back or sore knees easily but not cold like they won't be cold but can you cheat efficiently can lead or become Kinion deficiency so we want to prevent that right that's the idea I clear frequent urination we talked about this a lot during this whole video dribbling urination also like what you feel like you need to pee a lot but you just pee a little bit then 10 minutes later you need to be a lot and you just pee nothing like it's just not a lot and there's no infection or anything incontinence peeing at night of course getting up at night to pee on us is nocturnal emissions so that's seminal emissions so that's for men that have leakage of sperm during the night premature ejaculation chronic vaginal discharge and Lou Korea which is exactly the same thing but water Li right so the pulse is deep its weak specifically at the kidney position and the Tongass pale so you can see this can come worse and worse and become can a young deficiency with more issue right so the idea is to stop it before it gets worse kidney yin deficiency on the other hand we have the immune deficiency symptoms like red cheeks tendency to have night sweats dry mouth dry throat the low-grade fever is a translation from Chinese text they always translate it as low-grade fever but it's not a fever it's not like you have a fever it just means you feel over here it specifically at night or in the evening so sorry you feel reheated right so it's not like you have a B of fever and you're sick it just means you feel overheated so that's very common with women in menopause for example they feel really harder at night they have night sweats right that's but some people have done and not in menopause right tonight this is more of a Canadian deficiency so that's a constant low pitch tonight it the bones are gonna feel a t like I feel like my bones of a key I definitely sore back or achy back often tendency to have vertigo easily your dizziness easily specifically when they're tired at the end of the day when they're tired poor memory again that's a long-term poor memory nocturnal emission so again that can be a kidney Qi deficiency and or a Kenyan deficiency for men dark scanty UN so like the Uranus obviously those heat right so those we need to drink a lot more water but those people are usually very dehydrated and dry mouth there's a thin rapid pulse that's a typical Canadian deficiency symptoms and then the tongue is red with crack in the center and a dry coat no coat right so again that's a Yenta deficiency time the kidney essence deficiency we looked at it so it's pretty simple as well it's poor bone development in children maybe not growth late font and our closure in babies mental dullness of the the mind the brain is not developing so that's a kidney essence deficiency in children in adult softening of the bones or getting osteoporosis weak knees like having knee problem early in life poor memory again even worse than prior patterns and like it could be Alzheimer's right when you lose complete memory loose teeth so they're cheaper so until you to be loose in the mouth that is teeth and TCM is part of the bones so same idea right if those teeth as sure those born issue that's an essence deficiency premature hair loss of course a gray hair no sexual drive so we talked about this and can the essence deficiency tongue depends it can be read and peeled it's not always the case if there's a lot more young deficiency than onion but it's often more when there's essence deficiency and issue more with also yet so the pulse is weak very deep and empty so it's not a fun pattern to have what you have people with essence deficiency because we can't do much right Dominion deficiency with excess fire so this is the only kidney pattern where there's actually an excess right because all kidney patterns are deficient but this one is excess fire so we have the kidney and deficiency symptoms like red cheeks night sweats feeling hot at night or low-grade fever at night or in the evening insomnia so the insomnia is either toss and turn all night or really falls asleep wake up for a few hours maybe fall back asleep maybe not right if the fire is really strong deafie dry mouth dry smoked for sure and then so lower back that's a kidney issue and then the excess fire so the excess fire shows up it's blood in the urine without an infection okay as excessive sexual drive so it's like the person has really really everybody wants to have a healthy sexual drive right nobody does not want to have you don't want to have low libido but when it's very very high it creates issues as well the fire is burning too much so then we have dry stool very pebble-like stools and restlessness like agitated we can't calm down when you arrest us at night restless during the day we can't sit down psyche on fire basically so that also depletes the person eventually that is going to deplete the person right so it's really important to treat to bring the fire down at the same time to nourish the yen right so kidney one is a very good point for that by the way so the pulse is very rapid full but empty how's that for funny right so it means it feels big large but if you squish it or press it it's empty inside okay that's what it feels like it's a tongue that's gonna be read of course but because there's so much fire everything is dried so it's very cracked specifically at the root of the tongue and they may be some strawberry prickles as well to show the fire the last pattern is Canyon heart disharmony so the kidney in the heart of opposite right in TC on perspective the kidney is water it's winter it's cold the heart is fire it's summer it's hot right the very opposite it's north and south pole so they're opposite the heart is in charge of the mind right it's up in the head and the kidney is the root of who we are right so they're very much in need of connecting they're like two magnets south and north and they need to reach each other or attract each other when they repel they go opposite direction there's a disharmony that makes sense so kidney and heart this harmony we're gonna see kidney and heart symptoms right the heart symptoms or palpitation of course dream disturbed sleep right that is gonna be more heart insomnia that's more heart kidney on the other hand would be more nocturnal emission a scanty dark urine having low back pain having tinnitus having poor memory dizziness and then it is often when the skinny and hard - ceremony a yin deficiency so we will get something like night sweat or hot at night or dry mouth right because it is often a yin deficiency so the pulse is gonna be definitely thin and rapid but very weak okay because now two elements or two organ system are affected so it's very weak the tongue is read even letter at the tip and it's peeled right because it's very deep Ian deficiency affecting like I said two different organ so when I look at all this I think the kidney patterns are very easy to differentiate because it's very simple it's all deficiency except the one with the fire it all affects the reproductive system or obviously the urination system as well so it's pretty simple if you see so lower back or chronic low back and knees Bank kidney right so I think it's a it's a simple simpler you know system the kid needs to look at because of the aging perspective than the other system but it's also harder to treat right because we can't stop kidney essence from being deficient and as we age and get older our kidney both get depleted to me and Infineon gets to lower and lower and lower so we can't stop that we can just manage it preserve it with a great lifestyle so that's it I hope you enjoyed this this was very quick easy made easy video on TCM diagnosis in the TCM perspective of the kidney inquiry check out my facebook page connect there I post every day at 6 p.m. tons of graphics and videos that you may enjoy also connect with me on Instagram I use Instagram stories and I post again every day in there as well and answer questions all the time I'm really present and please subscribe to my youtube channel if you enjoy this go to my website occupy calamy comm for tons of resources I have online courses free one paid one I have PDF protocols you'll love it and no matter what keep rockin it using TCM have a fantastic day I'm Clara and I'll see you on the next video