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.
Chinese name: 血热
Pinyin name: Xuè Rè
The most common cause of Heat in the Blood is a Heat Pernicious Influence that has invaded the body and agitates the Blood. This results in accelerated blood flow which manifests itself in a rapid pulse, expanded and damaged Blood vessels and often heavy bleeding. The Blood will be fresh red or dark colored.
Note that bleeding episodes aren't always a sign of Blood Heat: it can also be caused by the Qi unable to hold the Blood in its pathways. The Blood will be pale in this case, with prolonged bleeding and heavy loss of Blood.
Blood Stagnation can also cause Heat in the Blood and consequent bleeding. The Blood in this case will be very dark colored with clots.
If the Heart is affected by Heat in the Blood, this will result in a range of emotional symptoms since Heart houses the Mind (Shen). In that case patients will feel anxious, restless and may suffer from insomnia.
If the Liver is most affected by Blood Heat, then symptoms will tend to be skin-related: patients will feel itchiness and will see read skin eruptions appear.
If Blood Heat affects the Uterus, patients may suffer exceedingly heavy periods.
Lastly if Blood Heat affects the Intestines, there will be Blood in the stools.
Please keep in mind that a Western Medicine condition can be caused by several Chinese Medicine patterns of disharmony and vice versa. As such a patient suffering from one of the conditions below will not necessarily be suffering from Heat in the Blood, it is just one pattern that's commonly associated with the condition. Click on a condition to learn what other patterns it's associated with.
Blood (Xue) is one of Chinese Medicine's vital subtances. Learn more about Blood in Chinese Medicine
Pulse type(s): Rapid (Shu)
Tongue color: Red
Possible symptoms: Fever Thirst Eczema Anxiety Itching Insomnia Red face Tinnitus Dizziness Headaches Dark Urine Dry stools Dry throat Malar flush Irritability Restlessness Night sweats Constipation Restlnessness Heavy periods Bloody stools Early periods Abdominal pain Scanty periods Feeling of heat Delirious speech Red skin eruptions Dark colored blood Pale color periods Thick menstrual blood Black and tarry stools Thin and watery periods Bitter taste in the mouth Frequent bleeding episodes Trickling blood after period Dark clots in menstrual blood Pre-menstrual breast distention Abdominal distention and fullness Flooding suddenly before schedule Thirst with an inability to swallow Frequent bleeding episodes (blood in stools urine or vomit)
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 Heat in the Blood will tend to exhibit rapid (Shu) pulses as well as a red tongue.
Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Heat in the Blood might experience symptoms like frequent bleeding episodes, fever, feeling of heat and red skin eruptions (full list here above).
Source date: 1682 AD
Number of ingredients: 10 herbs
Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.
Long Dan Xie Gan Tang is a 10-ingredient Chinese Medicine formula with Chinese Gentian (Long Dan Cao) as a principal ingredient. Invented in 1682 AD, it belongs to the category of formulas that clear Heat from the Organs.
Source date: Ming dynasty
Number of ingredients: 10 herbs
Key actions: Clears Liver and Spleen Qi Stagnation. Tonifies Spleen. Clears Deficient Heat. Nourishes the blood.
Jia Wei Xiao Yao San is a 10-ingredient Chinese Medicine formula with Bupleurum Roots (Chai Hu) as a principal ingredient. Invented in Ming dynasty, it belongs to the category of formulas that harmonize Liver-Spleen.
Source date: 1826 AD
Number of ingredients: 6 herbs
Key actions: Nourishes Yin. Cools Blood. Stop bleeding.
Liang Di Tang is a 6-ingredient Chinese Medicine formula with Unprepared Rehmannia (Di Huang) as a principal ingredient. Invented in 1826 AD, it belongs to the category of formulas that nourish Yin and tonify.
Typical symptoms for early menstruation caused by Heat in the Blood: Anxiety Red face Tinnitus Dizziness Dark Urine Dry stools Dry throat Malar flush Restlessness Irritability Night sweats Early periods Heavy periods Abdominal pain Scanty periods Dark colored blood Bitter taste in the mouth Dark clots in menstrual blood Pre-menstrual breast distention
When early menstruation is caused by Heat in the Blood, the excessive Heat agitates the Blood and it leaks out of the vessels and therefore, periods come before the right time. There are two types of Blood Heat: Full or Empty.
For the first one, living or working in a hot environment may accumulate Heat in the body. Also, excessive amount of hot-spicy foods or alcohol can also...Read more about early menstruation
Typical symptoms for abnormal uterine bleeding caused by Heat in the Blood: Thirst Red face Dark Urine Dry stools Malar flush Constipation Restlessness Heavy periods Scanty periods Feeling of heat Dark colored blood Pale color periods Thick menstrual blood Thin and watery periods Trickling blood after period Flooding suddenly before schedule
There are two types of Heat in the Blood that cause abnormal uterine bleeding: Full or Empty. Full Heat in the Blood often derives from Liver Fire or an external Heat Evil invasion, while the Empty type is mainly due to a prolonged lack of Yin which is a naturally cooling, its absence therefore leading to Heat.
The typical symptoms of the Full Heat type are heavy menstruations as well as a dark or bright red blood color. It can lead to sudden flooding before the periods and/or a trickling of...Read more about abnormal uterine bleeding