Bright Yang Fire in Stomach and Intestines

At a glance

Key attributes

Chinese name: 肠胃生火      Pinyin name: Yáng Míng Cháng Wèi Shēng Huǒ

Pattern nature: Full combined pattern

Pattern(s) it combines from: Stomach Heat

Causes

Diagnosis

Common symptoms: Thirst Delirium Dry stools Dark Urine Constipation and seven other symptoms

Pulse type(s): Deep (Chen), Rapid (Shu), Slippery (Hua), Full (Shi)

Tongue description: Red tongue with thick yellow dry coating

Treatment

Treatment principle: Drain Fire from the Stomach and Intestines, move downward.

Common formulas: Tiao Wei Cheng Qi Tang

Pathology

Within the framework of the Six Stages theory, this is one of the two patterns of the Bright Yang stage (the second of the six stages). Within the Four Levels theory, this is one of the five patterns of the Qi level (the second of the four levels).

It corresponds to a penetration of an External Pathogen that has transformed into Heat in the Stomach and Intestines.

This pattern is more severe than the other pattern of the Bright Yang stage, the so-called "channel" pattern of Stomach Heat, because there is Dryness, a sign that the Heat has become Fire.

Signs of Dryness include the constipation, the dry stools and the dark urine. It also indirectly causes the abdominal fullness and pain due to the accumulation of dried-up faeces from constipation.

Other symptoms are more classic of Heat: the fever, sweating and thirst.

Causes

Precursor patterns: Bright Yang Fire in Stomach and Intestines can derive from Greater Yang Attack of Wind Greater Yang Accumulation of Water Greater Yang Accumulation of Blood Lesser Yang stage Dry-Heat or Dry-Fire

External pathogenic factor: The main cause of this pattern is when an external pathogen, typically Wind-Cold, has invaded the Exterior

Diagnosing Bright Yang Fire in Stomach and Intestines

Pulse type(s): Deep (Chen), rapid (Shu), slippery (Hua) or full (Shi)

Tongue description: Red tongue with thick yellow dry coating

Main symptoms: Thirst Delirium Dry stools Dark Urine Constipation Irritability Abdominal pain Profuse sweating Sweating on limbs Abdominal fullness Burning sensation in the anus High fever that is worse in the afternoon

Treating Bright Yang Fire in Stomach and Intestines

Treatment principle

Drain Fire from the Stomach and Intestines, move downward.

Herbal formulas used to treat Bright Yang Fire in Stomach and Intestines

Tiao Wei Cheng Qi Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Removes Heat and Dryness in the Lower Burner. Removes constipation.

Formula summary

Tiao Wei Cheng Qi Tang is a 3-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that purge Heat accumulation.

Besides Bright Yang Fire in Stomach and Intestines, Tiao Wei Cheng Qi Tang is also used to treat Stomach Heat or Fire.

Read more about Tiao Wei Cheng Qi Tang

Consequence patterns

Lesser Yang stage

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Lesser Yang stage

Greater Yang Attack of Wind

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Greater Yang Attack of Wind

Greater Yang Attack of Cold

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Greater Yang Attack of Cold

Greater Yang Accumulation of Water

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Greater Yang Accumulation of Water

Greater Yang Accumulation of Blood

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Greater Yang Accumulation of Blood

Heat in Nutritive Qi level

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Heat in Nutritive Qi level

Heat in Pericardium

If left untreated Bright Yang Fire in Stomach and Intestines can lead to Heat in Pericardium