Empty-Heat caused by Yin Deficiency

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Pattern factsheet

Diagnosis

Common symptoms: Fatigue Insomnia Dry mouth Hair loss Emaciation and ten other symptoms

Pulse type(s): Rapid (Shu), Fine (Xi)

Tongue coating: Complete absence of coating

Tongue color: Red

Deficiency of Yin involves the excessive consumption of Body Fluids, Essence and Blood. The main cause of Yin deficiency is overwork. It usually develops very gradually and slowly over several years. The only exception to this is the Yin deficiency that can develop rapidly in febrile diseases when Pathological Heat consumes Body Fluids and Yin.

If Yin Deficiency persists for a long time (usually many years), it eventually leads to the development of Interior Heat of an Empty nature. The clinical manifestations will therefore involve Heat, such as a feeling of heat in the afternoon, a dry mouth with desire to drink in small sips, etc. The tongue reflects these situations very accurately. Deficiency of Yin manifests on the tongue with a lack of coating: that is, a tongue without coating but of a normal colour indicates Yin deficiency (without Empty-Heat). A Red tongue without coating indicates Yin deficiency with Empty-Heat.

Related conditions

Lupus Pulmonary tuberculosis Renal tuberculosis Chronic pyelonephritis

Diagnosing Empty-Heat caused by Yin Deficiency

'Heat' as a body pattern in Chinese Medicine is one of the so-called "Eight Principles". Learn more about Heat pattern in Chinese Medicine

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Empty-Heat caused by Yin Deficiency will tend to exhibit rapid (Shu) or fine (Xi) pulses as well as a red tongue with complete absence of coating.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Empty-Heat caused by Yin Deficiency might experience symptoms like feeling of heat in the afternoon, dry mouth, desire to drink in small sips and night fever (full list here above).

Herbal formulas used to treat Empty-Heat caused by Yin Deficiency

Qing Hao Bie Jia Tang

Source date: 1798 AD

Number of ingredients: 5 herbs

Key actions: Nourishes the Yin and clears Heat.

Formula summary

Qing Hao Bie Jia Tang is a 5-ingredient Chinese Medicine formula with Softshell Turtle Shells (Bie Jia) and Sweet Wormwood Herbs (Qing Hao) as principal ingredients. Invented in 1798 AD, it belongs to the category of formulas that clear Heat from Deficiency.

Read more about Qing Hao Bie Jia Tang

Special highlight: the link between lupus and Empty-Heat caused by Yin Deficiency

Softshell Turtle Shells (Bie Jia) is the key herb for Qing Hao Bie Jia Tang, a formula used for lupus caused by Empty-Heat caused by Yin Deficiency

Typical symptoms for lupus caused by Empty-Heat caused by Yin Deficiency: Fatigue Insomnia Hair loss Joint pain Tidal fever Night sweats Irritability Red skin eruptions Hot palms and soles Waist pain and soreness

Recommended herbal formula: Qing Hao Bie Jia Tang

In this case Yin-Deficiency occurs when Pathological Heat has consumed Body Fluids and Yin. This in turn leads to Empty-Heat, that is Heat due to an absence of Yin (cold in nature) and therefore a relative surplus of Yang (hot in nature). 

Read more about lupus

Most important herbs used to treat Empty-Heat caused by Yin Deficiency