Liver Wind agitating Internally due to extreme Heat

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Pattern factsheet

Chinese name: 肝风内动 - 热极生风

Pinyin name: Gān Fēng Nèi Dòng - Rè Jí Shēng Fēng

Associated TCM concepts: Liver Wind Heat/Fire evil

Diagnosis

Common symptoms: Coma Tics Tingling Numbness Dizziness and six other symptoms

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

Tongue description: Deep red stiff tongue with dry yellow coating

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.


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Diagnosing Liver Wind agitating Internally due to extreme Heat

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

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

Tongue description: Deep red stiff tongue with dry yellow coating

Possible symptoms: Coma Tics Tingling Numbness Dizziness Paralysis Convulsions Opisthotonos Tremor of limbs High temperature Rigidity of neck

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 Liver Wind agitating Internally due to extreme Heat will tend to exhibit rapid (Shu), wiry (Xian) or full (Shi) pulses as well as a red tongue with thick coating, yellow coating.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Liver Wind agitating Internally due to extreme Heat might experience symptoms like tingling, numbness, dizziness and paralysis (full list here above).

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 with Saiga Antelope's Horns (Ling Yang Jiao) and Gambir Stems And Thorns (Gou Teng) as principal ingredients. 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 with Gastrodia Rhizomes (Tian Ma) and Gambir Stems And Thorns (Gou Teng) as principal ingredients. 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 Liver Wind agitating Internally due to Liver Yang Rising.

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.