Heat invading the Channels joints and muscles

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Pattern factsheet

Chinese name: 热痹

Pinyin name: Rè Bì

Diagnosis

Common symptoms: Fever Thirst Anxiety Joints pain Joint stiff and three other symptoms

Pulse type(s): Rapid (Shu), Slippery (Hua)

Tongue description: Red tongue with yellow and dry coating

It is a type of the Painful Obstruction Syndrome (Bi Syndrome 痹证). 

When Pernicious Influences such as Wind, Damp or Cold penetrates the Defensive Qi and obstructs the Channels, they disturb the normal Qi and Blood circulation of the Channels and give rise to pain and swollen. 

If the patients happens to have Yang Excess or Yin Deficiency, the excessive Interior Heat then gets combined with the external Wind, Damp or Cold and transforms to Exterior Heat, which then settles down in the joints.

The manifestation of the Heat are the red and hot joints in additional to pain, stiffness and swollen. The conditions often happen in several joints instead of a single local area. The patients also experience other symptoms such as thirst or anxiety. 

Diagnosing Heat invading the Channels joints and muscles

'Heat' as a body pattern in Chinese Medicine is one of the so-called "Eight Principles". Learn more about Heat pattern in Chinese Medicine

Pulse type(s): Rapid (Shu) or slippery (Hua)

Tongue description: Red tongue with yellow and dry coating

Possible symptoms: Fever Thirst Anxiety Joints pain Joint stiff Swollen joints Aversion to wind Joints red and hot

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 invading the Channels joints and muscles will tend to exhibit rapid (Shu) or slippery (Hua) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Heat invading the Channels joints and muscles might experience symptoms like joints pain, joints red and hot, fever and thirst (full list here above).

Herbal formulas used to treat Heat invading the Channels joints and muscles

Xuan Bi Tang

Source date: 1798 AD

Number of ingredients: 9 herbs

Key actions: Clears and resolves Damp-Heat. Unblocks the meridians. Disbands painful obstruction.

Formula summary

Xuan Bi Tang is a 9-ingredient Chinese Medicine formula with Stephania Roots (Fang Ji) as a principal ingredient. Invented in 1798 AD, it belongs to the category of formulas that dispel Wind-Damp.

Besides Heat invading the Channels joints and muscles, Xuan Bi Tang is also used to treat Painful Obstruction due to Damp Heat in Channels.

Read more about Xuan Bi Tang

Most important herbs used to treat Heat invading the Channels joints and muscles