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This pattern reflects Kidney yang deficiency with decline of the fire at the gate of vitality. The weakened Kidney yang fails to warm and support the body, leading to aversion to cold, cold limbs, impotence, spermatorrhea, infertility, weak lower back and knees, incontinence, and leg edema. Because the Spleen and Stomach are also weakened by lack of yang, loose stools with undigested food may occur. In essence, this condition represents exhaustion of the body’s primal yang and decline of both Kidney and Spleen functions.