Heat in the Large Intestine

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Pattern factsheet

Chinese name: 大肠实热

Pinyin name: Dà Cháng Shí Rè

Associated TCM concepts: Large Intestine Heat pattern

Diagnosis

Common symptoms: Dry stools Dry tongue Constipation Anus swelling Scanty and dark urine and two other symptoms

Pulse type(s): Rapid (Shu), Full (Shi)

Tongue description: thick dry coating and the color might be yellow, brown or black

Generally speaking, this pattern happens more as acute condition. The Full Heat burns the Body Fluids in the Large Intestine and give rises to Dryness, hence the symptoms of dry stools, burning and swelling of anus, thick yellow dry coating and a Rapid pulse. 

The Stomach is closely related to the Large Intestine through the Bright Yang. Therefore the Heat normally co-exists in both Organs and it leads to dry mouth and dry tongue. 

Finally, the Large Intestine is located in the Lower Burner and the Heat condenses the Body Fluids there, so that there is less urine and the color is rather dark. 

Diagnosing Heat in the Large Intestine

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

Pulse type(s): Rapid (Shu) or full (Shi)

Tongue description: thick dry coating and the color might be yellow, brown or black

Possible symptoms: Dry stools Dry tongue Constipation Anus swelling Scanty and dark urine Burning sensation in the anus Burning sensation in the mouth

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 Large Intestine will tend to exhibit rapid (Shu) or full (Shi) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Heat in the Large Intestine might experience symptoms like anus swelling, constipation, burning sensation in the mouth and burning sensation in the anus (full list here above).

Herbal formulas used to treat Heat in the Large Intestine

Ma Zi Ren Wan

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Moistens the Intestines. Invigorates Qi. Unblocks the bowels. Drains Heat.

Formula summary

Ma Zi Ren Wan is a 7-ingredient Chinese Medicine formula with Hemp Seeds (Huo Ma Ren) as a principal ingredient. Invented in 220 AD, it belongs to the category of formulas that moisten Intestines and unblock bowels.

Besides Heat in the Large Intestine, Ma Zi Ren Wan is also used to treat Large Intestine Dryness.

Read more about Ma Zi Ren Wan

Diet recommendations

Eat less hot foods such as lamb, beef and alcohol. Try other cooking method than broiling or baking. 

Most important herbs used to treat Heat in the Large Intestine