Heat in Pericardium

At a glance

Key attributes

Chinese name: 热入心包      Pinyin name: Rè Rù Xīn Bāo

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: Delirium Fever at night Mental confusion Incoherent speech Cold hands and feet

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

Tongue description: Dry and red tongue without coating

Treatment

Treatment principle: Clear Heat at the Nutritive Qi Level.

Common formulas: Qing Ying Tang

Pathology

According to the Four Levels theory, pathogenic Heat can penetrate four levels of depth in the human body: Wei (卫,the defensive Qi level), Qi (气), Ying (营,Nutritive Qi) and the deepest level Blood. The deeper Heat penetrates within the levels, the more severe the condition.

As for the pattern of Heat in Pericardium, its the Heat entering the third severe level of Ying. It can also be called Heat at the Upper Burner stage. 

At this level, the pathologic Heat starts to harm Yin and dry up the Body Fluids. Therefore, the tongue is dry without coating. The Heat mists the Mind which then lose its residence at the Heart and it cause delirium, mental confusion and incoherent speech. One other key characteristic symptom is the severe night fever. 

Despite of the intense Heat invading the body, the hands and feet are cold. It is because the Qi circulation to the limbs are damaged due to the true Heat itself. Therefore, the cold of hands and feet is empty in nature. 

Causes

Precursor patterns: Heat in Pericardium 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: Wind-Heat invades the body and penetrates the first two level of Wei and Qi, arriving at the Ying level. In this process it gets transformed into Interior Heat.

Diagnosing Heat in Pericardium

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

Tongue description: Dry and red tongue without coating

Main symptoms: Delirium Fever at night Mental confusion Incoherent speech Cold hands and feet

Diagnosis commentary: Key characteristic symptoms of this pattern are fever at night, delirium and red tongue without coating.

Treating Heat in Pericardium

Treatment principle

Clear Heat at the Nutritive Qi Level.  

Herbal formulas used to treat Heat in Pericardium

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

Read more about Qing Ying Tang

Consequence patterns

Heat in the Blood

When Exterior Heat invades the Pericardium, it can then develop and enter the Blood. As a result, Internal Wind may occur and lead to symptoms like convulsions. 

Heat victorious agitating Blood

If left untreated Heat in Pericardium can lead to Heat victorious agitating Blood

Heat victorious stirring Wind

If left untreated Heat in Pericardium can lead to Heat victorious stirring Wind

Empty-Wind agitating in the Interior

If left untreated Heat in Pericardium can lead to Empty-Wind agitating in the Interior

Collapse of Yin

If left untreated Heat in Pericardium can lead to Collapse of Yin

Collapse of Yang

If left untreated Heat in Pericardium can lead to Collapse of Yang