Liver Wind agitating Internally due to extreme Heat

At a glance

Key attributes

Chinese name: 肝风内动 - 热极生风      Pinyin name: Gān Fēng Nèi Dòng - Rè Jí Shēng Fēng

Pattern nature: Full/Empty

Causes

Precursor patterns: Wind-Heat

Common causes: External Wind and Heat

Diagnosis

Common symptoms: Convulsions Opisthotonos Tremor of limbs High temperature Rigidity of neck

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

Tongue description: Deep red stiff tongue with dry yellow coating

Treatment

Treatment principle: Extinguish Wind, cool Blood and nourish Yin

Common formulas: Tian Ma Gou Teng Yin Ling Jiao Gou Teng Tang

Pathology

The most typical manifestation of Internal Wind is tremor, tic, numbness and tingling, dizziness, convulsions and paralysis. 

Other symptoms are depends on the causes of this Internal Wind. When it is derived from extreme Heat, there are additional manifestation of high temperature. 

The invasion of external Wind-Heat leads to this pattern. It then turns into Interior Heat and penetrates deep into the Blood according to the four levels theory

Once the Heat is in the Blood, it can stir up the Wind, causing an Excess amount of Internal Wind. The underlying mechanic is that it injures the Yin (since Blood is Yin in nature) and the resulting Yin deficiency gives rise to Internal Wind.

It is more seen in children with febrile diseases such as measles, encephalitis and meningitis.


.

Causes

Precursor patterns: Liver Wind agitating Internally due to extreme Heat can derive from Wind-Heat

External Wind and Heat: During acute febrile diseases such as measles, encephalitis and meningitis, external Heat can invade and penetrate deeply into the Blood level and stir up the Wind. It is more common among children.

Diagnosing Liver Wind agitating Internally due to extreme Heat

Pulse type(s): Rapid (Shu), wiry (Xian) or full (Shi)

Tongue description: Deep red stiff tongue with dry yellow coating

Main symptoms: Convulsions Opisthotonos Tremor of limbs High temperature Rigidity of neck

Diagnosis commentary: Key characteristic symptoms of this pattern are the high temperature, convulsions, tremor of limbs and stiff neck.

Treating Liver Wind agitating Internally due to extreme Heat

Treatment principle

Extinguish Wind, cool Blood and nourish Yin

Herbal formulas used to treat Liver Wind agitating Internally due to extreme Heat

Ling Jiao Gou Teng Tang

Source date: Qing dynasty

Number of ingredients: 10 herbs

Key actions: Cools the Liver. Extinguishes Wind. Increases Fluids. Relaxes the sinews.

Formula summary

Ling Jiao Gou Teng Tang is a 10-ingredient Chinese Medicine formula. Invented in Qing dynasty, it belongs to the category of formulas that pacify and extinguish Internal Wind.

Besides Liver Wind agitating Internally due to extreme Heat, Ling Jiao Gou Teng Tang is also used to treat Liver Yang Rising or Liver Wind agitating Internally due to Liver Fire.

Read more about Ling Jiao Gou Teng Tang

Tian Ma Gou Teng Yin

Source date: 1958 AD

Number of ingredients: 11 herbs

Key actions: Calms the Liver. Extinguishes wind. Invigorates the blood. Clears heat. Tonifies the Liver and Kidneys.

Formula summary

Tian Ma Gou Teng Yin is a 11-ingredient Chinese Medicine formula. Invented in 1958 AD, it belongs to the category of formulas that pacify and extinguish Internal Wind.

Besides Liver Wind agitating Internally due to extreme Heat, Tian Ma Gou Teng Yin is also used to treat Liver Yang Rising or Interior Wind.

Read more about Tian Ma Gou Teng Yin

Diet recommendations

Better consume just very simple and bland foods during this period, such as rice cereal and soups. Fasting on fruit or vegetable juices can also be considered.

Avoid other types of food especially iced and refrigerated drinks, because these can create more Heat.

Get  appropriate medical attention since it is an Excess and acute pattern. Bet resting is the most recommended.