Heat in Nutritive Qi level

At a glance

Key attributes

Chinese name: 热入营气      Pinyin name: Rè Rù Yíng Qì

Pattern nature: Full

Causes

Precursor patterns: Lung Heat Bright Yang Stomach Heat Bright Yang Fire in Stomach and Intestines and two other possible precursors

Common causes: External pathogenic factor

Diagnosis

Common symptoms: Aphasia Macules Insomnia Delirium Restlnessness and three other symptoms

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

Tongue description: Red tongue without coating

Treatment

Treatment principle: Clear Nutritive Qi Heat, promote Fluids.

Common formulas: Qing Ying Tang

Pathology

This is one of the two patterns of the Nutritive Qi level, the third level of the Four Levels theory.

At this level, the Heat is deeper within the body and has begun to injure the Yin and obstruct the Mind, causing delirium, incoherent speech or aphasia (the loss of ability to understand or express speech).

A sign the Yin is injured is the absence of coating on the tongue. 

Although this is more pronounced at the next stage of the Four Levels, already at this stage Heat may affect the Blood and cause macules.

Causes

Precursor patterns: Heat in Nutritive Qi level can derive from Lung Heat Bright Yang Stomach Heat Bright Yang Fire in Stomach and Intestines Gallbladder Heat Damp-Heat in Stomach and Spleen

External pathogenic factor: The main original cause of Heat in Nutritive Qi level is an Exterior Pathogenic Factor (typically Wind-Heat) that has invaded the Interior and progressed to this level.

Diagnosing Heat in Nutritive Qi level

Pulse type(s): Rapid (Shu) or fine (Xi)

Tongue description: Red tongue without coating

Main symptoms: Aphasia Macules Insomnia Delirium Restlnessness Fever at night Incoherent speech Dry mouth with no desire to drink

Treating Heat in Nutritive Qi level

Treatment principle

Clear Nutritive Qi Heat, promote Fluids.

Herbal formulas used to treat Heat in Nutritive Qi level

Qing Ying Tang

Source date: 1798 AD

Number of ingredients: 9 herbs

Key actions: Clears the Nutritive level Heat. Relieves Fire Toxin. Removes Heat. Nourishes Yin.

Formula summary

Qing Ying Tang is a 9-ingredient Chinese Medicine formula. Invented in 1798 AD, it belongs to the category of formulas that clear nutritive-level Heat.

Besides Heat in Nutritive Qi level, Qing Ying Tang is also used to treat Heat in Pericardium or Toxic-Heat.

Read more about Qing Ying Tang

Consequence patterns

Heat victorious agitating Blood

If left untreated Heat in Nutritive Qi level can lead to Heat victorious agitating Blood

Heat victorious stirring Wind

If left untreated Heat in Nutritive Qi level can lead to Heat victorious stirring Wind

Empty-Wind agitating in the Interior

If left untreated Heat in Nutritive Qi level can lead to Empty-Wind agitating in the Interior

Collapse of Yang

If left untreated Heat in Nutritive Qi level can lead to Collapse of Yang

Collapse of Yin

If left untreated Heat in Nutritive Qi level can lead to Collapse of Yin