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肝 實 肺 虛 瀉 火 補 水 之 道 Tao of depleting fire and supplementing water 

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75th difficulty supplementing the water and depleting the fire
                        DEPLETE
                         SOUTH
           EXCESS EAST          WEST DEFICIENCY  
                         NORTH
​                       SUPPLEMENT 
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75th difficulty explains how to treat excess and deficiency. This difficulty is linked to difficulty 81 which also explains how to prevent disease produced by supplementing excess and depleting deficiency.
Difficulty 75 gives an example of excess of Liver and deficiency of Lungs. 
Depleting the heart means to treat the spleen. Spleen is a son of the heart, treatment of spleen will deplete heart and supplement Lung. Excess of the lung will put under control excess of liver, which excess will stop control over the spleen, mother of the lung, so deficiency of the lung will be supplemented. This example was already presented in difficulty 81.
Difficulty 75 gives additional step to treat deficiency of the lung and excess of the liver. Additional step is supplementing the kidney. Lung is the mother of kidney, treating the lung practitioner will supplement kidney. Strong kidney will get under control the heart which will stop it's depleting control over the lung. This additional treatment also supplement the lung and increase control of the lung over excess of liver. It is an example of treatment of deficiency of west and excess of east by depleting south and supplementing the north.
Practitioners of archaic acupuncture use this practice of moving disease into sheng cycle by controlling ko cycle which develops diseases as it also explained in difficulty 53 of NanJing

七 十 五 難   75TH difficult issue
Qī shí wǔ nán
論 肝 實 肺 虛 瀉 火 補水 之 道 dao of depleting of fire and supplementing of water when liver is excessive and lung is deficient
Lùn gān shí fèi xū xiè huǒ bǔ shuǐ zhī dào
七 十 五 難 曰 :75th difficulty says
Qī shí wǔ nán yuē
經 言 : tretises say
Jīng yán
東 方 實 , when east is in excess
Dōng fāng shí
西 方 虛 ,west is deficient
Xī fāng xū
瀉 南 方 ,deplete south
 Xiè nán fāng
補 北 方 。supplement the north
 Bǔ běi fāng
何 謂 也 ? 然 : How to explain this? Explanation
Hé wèi yě? Rán:
金 木 水 火 土 , metal, wood, water, fire and earth
Jīn mù shuǐ huǒ tǔ
當 更 相 平 。 must to balance each other
Dāng gèng xiàng píng
東 方 木 也, east belongs to wood
Dōng fāng mù yě
西 方 金 也 。 west belongs to metal
Xī fāng jīn yě
木 欲 實 ,wood wants to get stronger
Mù yù shí
金 當 平 之 ; metal balances it
Jīn dāng píng zhī
火 欲 實 , fire wants to get stronger
Huǒ yù shí
水 當 平 之 ;water balances it
Shuǐ dāng píng zhī
土 欲 實 , when eart wants to get stronger
Tǔ yù shí
木 當 平 之 ; wood balances it
Mù dāng píng zhī
金 欲 實 ,when metal wants to get stronger
Jīn yù shí
火 當 平 之 ; fire balances it
Huǒ dāng píng zhī
水 欲 實 , when water wants to get stronger
Shuǐ yù shí
土 當平 之 。 earth balances it
Tǔ dāng píng zhī
東 方 肝 也 ,liver belongs to the east
Dōng fāng gān yě
則 知 肝 實 ; so when liver get excessive
Zé zhī gān shí
西 方 肺 也 , and lung belongs to the west
Xī fāng fèi yě
則 知 肺 虛 。so lungs get deficient
Zé zhī fèi xū
瀉南 方 火 ,deplete fire which belongs to south
Xiè nán fāng huǒ
補 北 方 水 。 supplement the water which belongs to north
Bǔ běi fāng shuǐ
南 方 火 ,fire belongs to south
Nánfāng huǒ
火 者 , fire is a
Huǒ zhě
木 之 子 也 ; son of the wood
Mù zhī zi yě
北 方 水, water belongs to north
Běi fāng shuǐ
水 者 ,water is a
Shuǐ zhě
木 之 母 也 。 mother of wood
Mù zhī mǔ yě
水 勝 火 , water dominates fire
Shuǐ shèng huǒ
子 能 令 母 實 ,son may control mother in excess
Zǐ néng lìng mǔ shí
母 能 令 子 虛, mother may control son in deficiency
Mǔ néng lìng zǐxū
故 瀉 火 補 水 , so deplete fire and supplement the water
Gù xiè huǒ bǔshuǐ
欲 令 金 不 得 平 木 也 。managing that metal will not need to get control over the wood
Yù lìng jīn bù de píngmù yě
經 曰 : tretises say
Jīng yuē
不 能 治 其虛 , it is impossible manage the deficiency
Bù néng zhì qí xū
何 問 其 餘 。 when somewhere is an excess
Hé wèn qí yú
此 之 謂 也 。it is an explanation
Cǐ zhī wèi yě
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