Kidney Yin Deficiency With Empty-Heat Blazing

At a glance

Key attributes

Chinese name: 肾阴虚 虚热      Pinyin name: Shèn Yīn Xū Xū Rè

Pattern nature: Full/Empty combined pattern

Pattern(s) it combines from: Kidney Yin Deficiency Empty Heat

Causes

Precursor patterns: Kidney Yin Deficiency

Common causes: 1. Chronic anxiety and worry, 2. Overwork, 3. Excessive sexual activity, 4. Depletion of Body Fluids, 5. Blood loss, 6. Chronic illness, 7. Overdose of Kidney-Yang tonic herbs

Diagnosis

Common symptoms: Insomnia Tinnitus Dizziness Dry throat Dry stools and fourteen other symptoms

Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)

Tongue description: Red, cracked with a red tip, without coating

Treatment

Treatment principle: Nourish Kidney Yin, clear Empty Heat, calm the Mind

Common formulas: Liu Wei Di Huang Wan Zhi Bo Di Huang Wan

Pathology

This pattern is when Kidney Yin Deficiency, because of the depletion of Fluids and Essence (both Yin in nature), has given rise to pronounced Empty-Heat with symptoms such as night sweats, thirst, five palm heat, dry throat at night, scanty urine and dry stools.

The afternoon fever is typical of Empty-Heat; it can also simply be a feeling of heat in the afternoon, rather than an actual fever.

Heat rises in nature and may ascend to disturb the Mind housed in the Heart, creating symptoms of insomnia and mental restlessness. In this type of insomnia, patients fall asleep easily but wake up in the middle of the night several times, or early in the morning.

In severe cases, the Heat reaches the Blood which causes it to escape the vessels, resulting in blood in the urine.

The Deficiency of Essence (a Yin substance housed in the Kidneys) is what creates the nocturnal emissions. It is accompanied by strong sexual dreams because of the agitating effect of the Empty Heat on the Mind and creates a strong sexual desire.

There may also be an insufficiency of Marrow to fill the brain, causing memory weakness and forgetfulness.

Causes

Precursor patterns: Kidney Yin Deficiency With Empty-Heat Blazing can derive from Kidney Yin Deficiency

Chronic anxiety and worry:

Overwork: Working excessively long hours for many years weakens Kidney Yin and may lead to this pattern

Excessive sexual activity: Excessive sexual activity, especially masturbation, depletes Kidney Essence and Kidney Yin.

Depletion of Body Fluids: Depletion of Body Fluids, for instance if they are dried up by Heat after a febrile disease, may lead to Kidney Yin Deficiency.

Blood loss: Loss of blood over a long period of time (such as from chronic excessive menstrual bleeding) can cause Liver Blood Deficiency, which, in turn, can lead deplete Kidney Yin.

Chronic illness: A long chronic illness may lead to Kidney Yin Deficiency.

Overdose of Kidney-Yang tonic herbs: If Kidney Yang is overstimulated by the administration of hot herbal medicine, Kidney-Yin will be injured

Diagnosing Kidney Yin Deficiency With Empty-Heat Blazing

Pulse type(s): Rapid (Shu), empty (Xu) or floating (Fu)

Tongue description: Red, cracked with a red tip, without coating

Main symptoms: Insomnia Tinnitus Dizziness Dry throat Dry stools Malar flush Night sweats Bloody urine Restlnessness Five palm heat Lower back pain Diminished hearing Nocturnal emissions Scanty and dark urine Excessive sexual desire Feeling of heat in the evening Low-grade fever in the afternoon Feeling of heat in the afternoon Thirst with desire to drink in small sips

Diagnosis commentary: Only tinnitus and a Red tongue without coating are enough in and of themselves to diagnose Kidney Yin deficiency with Empty-Heat. Other key characteristics include the malar flush, dizziness, and feeling of heat in the afternoon.

Treating Kidney Yin Deficiency With Empty-Heat Blazing

Treatment principle

Nourish Kidney Yin, clear Empty Heat, calm the Mind

Herbal formulas used to treat Kidney Yin Deficiency With Empty-Heat Blazing

Liu Wei Di Huang Wan

Source date: 1119 AD

Number of ingredients: 6 herbs

Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).

Formula summary

Liu Wei Di Huang Wan is a 6-ingredient Chinese Medicine formula. Invented in 1119 AD, it belongs to the category of formulas that nourish Yin and tonify.

Besides Kidney Yin Deficiency With Empty-Heat Blazing, Liu Wei Di Huang Wan is also used to treat Blood Deficiency or Yin Deficiency.

Read more about Liu Wei Di Huang Wan

Zhi Bo Di Huang Wan

Source date: 1584 AD

Number of ingredients: 8 herbs

Key actions: Tonifies Yin. Drains Fire.

Formula summary

Zhi Bo Di Huang Wan is a 8-ingredient Chinese Medicine formula. Invented in 1584 AD, it belongs to the category of formulas that nourish Yin and tonify.

Besides Kidney Yin Deficiency With Empty-Heat Blazing, Zhi Bo Di Huang Wan is also used to treat Kidney and Liver Yin Deficiency or Kidney Yin Deficiency.

Read more about Zhi Bo Di Huang Wan

Diet recommendations

Eat plenty of whole grains with meat and cooked vegetables. Pork, duck, milk and congee are especially beneficial. Avoid coffee and other caffeinated foods and drinks, alcohol, sugar and tobacco smoking.

Lifestyle habits are very important in preserving Kidney health. Prolonged stress, staying up late, excessive sexual activity, excessive mental work, eating late at night, overwork and lack of rest all damage Kidney Yin. 

Rest is one of the best ways to replenish Yin. Exercise should be mild and gentle, such as swimming, walking, Yoga, Tai Chi and Qi Gong.