Full Heat Yin Deficiency
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
At a glance
Preliminary reading: What is a pattern?
Key attributes
Chinese name: 实热亏阴 Pinyin name: Shí Rè Kuī Yīn
Pattern nature: Full/Empty
Pattern hierarchy: Specific pattern under Yin Deficiency
Causes
Common causes: 1. chronic illness, 2. prolonged exposure to heat
Diagnosis
Common symptoms: No sweat Fever at night Emaciation with no loss of appetite
Pulse type(s): Fine (Xi), Rapid (Shu)
Tongue coating: Complete absence of coating
Tongue color: Red
Treatment
Treatment principle: Nourishes Yin, clear Heat
Common formulas: Qin Jiao Bie Jia San
Pathology
This pattern is characterized by Heat accumulating in the body's Yin (cooling) aspects, often during the later stages of a warm-heat pathogen disease. This condition arises when prolonged exposure to Heat pathogens depletes the body's Yin and Body Fluids.
Key manifestations include night fevers that diminish by morning, reflecting the Heat's concealment within the Yin aspects. A lack of sweating as fevers recede, despite the Heat, indicates depleted Yin and Body Fluids. The patient's maintained appetite suggests that the Qi level, particularly the digestive system, remains relatively unscathed.
The pattern is further indicated by general emaciation due to the overall loss of nourishment from Yin and Blood. This pattern is typically a result of extended illness or chronic exposure to heat, leading to a profound imbalance between the body's Heating and cooling elements.
Causes
chronic illness: it depletes the body's yin fluids and essential moisture.
prolonged exposure to heat:
Diagnosing Full Heat Yin Deficiency
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 as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Fine (Xi) or rapid (Shu)
Tongue coating: Complete absence of coating
Tongue color: Red
Main symptoms: No sweat Fever at night Emaciation with no loss of appetite
Diagnosis commentary: night fevers that diminish in the morning, emaciation, and a red tongue with a fine, rapid pulse.
Treating Full Heat Yin Deficiency
Treatment principle
Nourishes Yin, clear Heat
Herbal formulas used to treat Full Heat Yin Deficiency
Qin Jiao Bie Jia San
Source date: Yuan dynasty
Number of ingredients: 6 herbs
Key actions: Enriches the Yin. Nourishes the Blood. Clears Heat. Alleviates steaming bone disorder .
Formula summary
Qin Jiao Bie Jia San is a 6-ingredient Chinese Medicine formula. Invented in Yuan dynasty, it belongs to the category of formulas that clear Heat from Deficiency.