Heat victorious agitating Blood

At a glance

Key attributes

Chinese name: 热盛动血      Pinyin name: Rè Shèng Dòng Xuè

Pattern nature: Full

Causes

Precursor patterns: Heat in Pericardium Heat in Nutritive Qi level

Common causes: External pathogenic factor

Diagnosis

Common symptoms: Epistaxis High fever Dark macules Restlnessness Bloody stools and three other symptoms

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue description: Dark-Red tongue without coating

Treatment

Treatment principle: Clear Blood Heat, stop bleeding.

Common formulas: Xi Jiao Di Huang Tang

Pathology

This is one of the five patterns of the Blood level, the fourth and last level of the Four Levels theory. This means this is a very serious pattern where an External Pathogen has penetrated deeply within the body.

At this level, the Heat had reached the Blood and is agitating it, much like heat makes water boil. This makes the Blood go out of the vessels, which is visible via various bleeding symptoms. 

Heat in the Blood also disturbs the Mind since the Heart governs Blood and houses the Mind at the same time. This gives rise to symptoms such as mental restlessness and manic behavior.

Causes

Precursor patterns: Heat victorious agitating Blood can derive from Heat in Pericardium Heat in Nutritive Qi level

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 victorious agitating Blood

Pulse type(s): Rapid (Shu) or wiry (Xian)

Tongue description: Dark-Red tongue without coating

Main symptoms: Epistaxis High fever Dark macules Restlnessness Bloody stools Manic behavior Blood in urine Vomiting of blood

Treating Heat victorious agitating Blood

Treatment principle

Clear Blood Heat, stop bleeding.

Herbal formulas used to treat Heat victorious agitating Blood

Xi Jiao Di Huang Tang

Source date: 650 AD

Number of ingredients: 4 herbs

Key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.

Formula summary

Xi Jiao Di Huang Tang is a 4-ingredient Chinese Medicine formula. Invented in 650 AD, it belongs to the category of formulas that clear nutritive-level Heat.

Besides Heat victorious agitating Blood, Xi Jiao Di Huang Tang is also used to treat Toxic-Heat or Loss of Blood.

Read more about Xi Jiao Di Huang Tang