Fire in Stomach and Intestines

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Pattern factsheet

Chinese name: 肠胃生火

Pinyin name: Cháng Wèi Shēng Huǒ

Associated TCM concepts: Heat pattern Stomach Large Intestine Small Intestine

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

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.

Diagnosing Fire in Stomach and Intestines

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

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

Tongue description: Red tongue with thick yellow dry coating

Possible 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

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 Fire in Stomach and Intestines will tend to exhibit deep (Chen), rapid (Shu), slippery (Hua) or full (Shi) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Fire in Stomach and Intestines might experience symptoms like high fever that is worse in the afternoon, profuse sweating, sweating on limbs and abdominal fullness (full list here above).

Herbal formulas used to treat 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 with Rhubarb (Da Huang) as a principal ingredient. Invented in 220 AD, it belongs to the category of formulas that purge Heat accumulation.

Read more about Tiao Wei Cheng Qi Tang

Most important herbs used to treat Fire in Stomach and Intestines