Pattern Full/Empty

Liver Wind agitating Internally due to extreme Heat

Gān Fēng Nèi Dòng - Rè Jí Shēng Fēng 肝风内动 - 热极生风
Affects: Liver

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Tongue

Deep red stiff tongue with dry yellow coating

Pulse

Rapid (Shu), Wiry (Xian), Full (Shi)

Diagnostic Considerations

Key characteristic symptoms of this pattern are the high temperature, convulsions, tremor of limbs and stiff neck.

Causes & Pathology

Common Causes

Pathological Mechanism

The most typical manifestation of Internal Wind is tremor, tic, numbness and tingling, dizziness, convulsions and paralysis.

Other symptoms are depends on the causes of this Internal Wind. When it is derived from extreme Heat, there are additional manifestation of high temperature.

The invasion of external Wind-Heat leads to this pattern. It then turns into Interior Heat and penetrates deep into the Blood according to the four levels theory.

Once the Heat is in the Blood, it can stir up the Wind, causing an Excess amount of Internal Wind. The underlying mechanic is that it injures the Yin (since Blood is Yin in nature) and the resulting Yin deficiency gives rise to Internal Wind.

It is more seen in children with febrile diseases such as measles, encephalitis and meningitis.

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Treatment Approach

Treatment Principle

Extinguish Wind, cool Blood and nourish Yin

Diet & Lifestyle Recommendations

Better consume just very simple and bland foods during this period, such as rice cereal and soups. Fasting on fruit or vegetable juices can also be considered.

Avoid other types of food especially iced and refrigerated drinks, because these can create more Heat.

Get  appropriate medical attention since it is an Excess and acute pattern. Bet resting is the most recommended.