Pattern Full

Full-Heat in the Small Intestine

Xiǎo Cháng Shí Rè 小肠实热
Affects: Small Intestine

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Diagnostic Signs

Diagnostic Considerations

Abdominal pain, tongue ulcers and scanty, dark painful urination are enough in and of themselves to diagnose Full Heat in the Small Intestine.

Causes & Pathology

Common Causes

Pathological Mechanism

This pattern is closely associated with Heart Fire Blazing since both Organs are associated at the channel level and they belong to the Fire element in the Five Phases theory.

Heart Fire is transmitted to the Small Intestine and this interferes with its function of receiving and transforming as well as separating the Fluids. The Heat burns the Fluids, causing scanty and dark urine and pain on urination.

In severe cases the Heat reaches the Blood causing it to extravasate and resulting in blood in the urine.

Heart Fire causes the symptoms of mental restlessness, tongue ulcers, pain in the throat and thirst.

Deafness is caused by obstruction of Fire in the Small Intestine channel, which enters the ear.

Treatment Approach

Treatment Principle

Drain Heart Fire and Small Intestine Fire.

Diet & Lifestyle Recommendations

Try to avoid hot-natured, spicy, fatty and greasy foods.

Do not overwork and try relaxing more as anxiety (especially over life direction and pressures) is a key cause for this pattern.

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Pattern Relationships

Can Develop Into

Related TCM Concepts

Heat Small Intestine