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: 肾阴虚 蓄热
Pinyin name: Shèn Yīn Xū Xù Rè
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.
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Pulse type(s): Rapid (Shu), empty (Xu) or floating (Fu)
Tongue description: Red, cracked with a red tip, without coating
Possible 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
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 Kidney Yin Deficiency With Empty Heat Blazing will tend to exhibit rapid (Shu), empty (Xu) or floating (Fu) pulses.
Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Kidney Yin Deficiency With Empty Heat Blazing might experience symptoms like malar flush, restlnessness, insomnia and night sweats (full list here above).
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).
Liu Wei Di Huang Wan is a 6-ingredient Chinese Medicine formula with Prepared Rehmannia (Shu Di huang) as a principal ingredient. Invented in 1119 AD, it belongs to the category of formulas that nourish Yin and tonify.
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.