Full-Heat in the Small Intestine

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Pattern factsheet

Chinese name: 小肠实热

Pinyin name: Xiǎo Cháng Shí Rè

Associated TCM concepts: Heat pattern Small Intestine

Diagnosis

Common symptoms: Insomnia Deafness Throat pain Mouth ulcers Restlnessness and seven other symptoms

Pulse type(s): Overflowing (Hong), Rapid (Shu)

Tongue description: Red with redder and swollen tip, yellow coating.

This pattern is closely associated with Heart Fire Blazing since both Organs are associated at the channel level and they belong to the Fire element in the Five Phases theory

Heart Fire is transmitted to the Small Intestine and this interferes with its function of receiving and transforming as well as separating the Fluids. The Heat burns the Fluids, causing scanty and dark urine and pain on urination.

In severe cases the Heat reaches the Blood causing it to extravasate and resulting in blood in the urine.

Heart Fire causes the symptoms of mental restlessness, tongue ulcers, pain in the throat and thirst.

Deafness is caused by obstruction of Fire in the Small Intestine channel, which enters the ear.

Diagnosing Full-Heat in the Small Intestine

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

Pulse type(s): Overflowing (Hong) or rapid (Shu)

Tongue description: Red with redder and swollen tip, yellow coating.

Possible symptoms: Insomnia Deafness Throat pain Mouth ulcers Restlnessness Tongue ulcers Abdominal pain Blood in urine Burning urination Scanty and dark urine Thirst for cold drinks Unconfortable heat sensation in the chest

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 Full-Heat in the Small Intestine will tend to exhibit overflowing (Hong) or rapid (Shu) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Full-Heat in the Small Intestine might experience symptoms like restlnessness, insomnia, tongue ulcers and mouth ulcers (full list here above).

Herbal formulas used to treat Full-Heat in the Small Intestine

Dao Chi San

Source date: 1119 AD

Number of ingredients: 4 herbs

Key actions: Clears the Heart. Promotes urination.

Formula summary

Dao Chi San is a 4-ingredient Chinese Medicine formula with Akebia Stems (Mu Tong) as a principal ingredient. Invented in 1119 AD, it belongs to the category of formulas that clear Heat from the Organs.

Read more about Dao Chi San

Diet recommendations

Try to avoid hot-natured, spicy, fatty and greasy foods.

Do not overwork and try relaxing more as anxiety (especially over life direction and pressures) is a key cause for this pattern.

Most important herbs used to treat Full-Heat in the Small Intestine