Pattern Full

Liver Fire Blazing

Gān Huǒ Shàng Yán 肝火上炎
Affects: Liver

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Diagnostic Considerations

The main characteristic symptoms of Liver Fire Blazing are the temporal headaches, the irritability, the red face and eyes and the Red tongue with yellow coating. A Red tongue with redder sides and a dry yellow coating is enough in and of itself to diagnose Liver Fire.

Causes & Pathology

Common Causes

Pathological Mechanism

Many of these symptoms are located in the upper-parts of the body because the nature of Fire is to flare upwards. As such we have the red face and eyes, the temporal headache, dizziness, etc. The headache is typically very intense, throbbing in character and located on the temples or felt in the eyes.

Liver-Fire also ascends to the ears and causes sudden onset tinnitus and deafness. The tinnitus will be experienced as a high-pitched whistle.

Fire also tends to agitate the Mind, located in the Heart. This gives rise to relatively strong mental–emotional symptoms such as the outbursts of anger. In Liver Fire Blazing, those symptoms are typically more pronounced than those of Liver Yang rising or Liver Qi stagnation.

The bitter taste in the mouth is caused by Liver Fire rising to the throat and mouth. It can also be caused by Heart Fire but if that's the case it's only present in the morning after waking up. Bitter taste in the mouth caused by Liver Fire Blazing is there for the whole day.

Liver Fire Blazing doesn't only affect the upper-parts of the body. It also dries up Body Fluids, resulting in constipation with dry stools and a concentrated, dark urine.

More rarely it may cause Heat in the Blood so much that it causes it to leave the vessels, much like earth's "fluid", lava, is pushed out of a volcano when heated. When this happens it gives rise to bleeding symptoms such as epistaxis (nosebleed), haemoptysis (coughing of blood) or haematemesis (vomiting of blood).

The Red tongue body reflects the Heat and the redder color of the sides reflects its location in the Liver. The dry yellow coating confirms that it is Full Heat (as opposed to Empty).

Treatment Approach

Treatment Principle

Clear the Liver, drain Fire.

Diet & Lifestyle Recommendations

Avoid excessive intake of alcohol, drugs, caffeinated foods and drinks (including coffee, black tea, cocoa, colas and chocolate), hot natured foods such as lamb and beef and fried and greasy foods, chips of all kinds, nuts and nut butters, avocados, cheese and dairy, turkey and red meats, hot and spicy foods, drugs and stimulants.

The foods which help reduce Liver Fire include vegetables, bitter foods, dark leafy greens, such as kale, collards, dandelion, mustard, beet and mustard greens, lemon, watermelon, cucumber and mung beans.

Emotionally it is extremely important to find constructive ways to express and release the pent up anger, frustration, irritability and resentment. Find work which is satisfying and enjoyable. Discover creative outlets and actively pursue them.