See: Kidney Syndromes, Spleen Syndromes.

The most common cause is a Spleen-Yang deficiency (due to inadequate diet, excessive worry...) that in the long term affects Kidney-Yang. It can also originate from Kidney-Yang deficiency (weak constitution) that affects Earth. The transported fluids are affected.

Symptoms:

• Interior Cold, aversion to cold, chilling of the four limbs
• Pale face,
• Mental fatigue
• Emaciation
• Pain and cold in the abdomen
• Diarrhea with undigested food (Spleen)
• Diarrhea at dawn or all day (Kidney-Yang deficiency)
• Pain with sensation of cold in the lower back and knees
• Frequent or difficult urination
• Face and limbs swollen (or ascites)
• Impotence, sterility, clear leukorrhea
• Pale, swollen tongue with tooth marks
• Deep, slow, fine, weak pulse, ,