Delirious speech according to Chinese Medicine

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Delirious speech can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like delirious speech here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here delirious speech is often associated with fever, irritability and black and tarry stools in the pattern “Heat in the Blood”. As you will see below, we have in record four patterns that can cause delirious speech.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of delirious speech we’ve identified four herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat delirious speech.

The four "patterns of disharmony" that can cause delirious speech

In Chinese Medicine delirious speech is a symptom for 4 patterns that we have on record. Below is a small explanation for each of them with links for more details.

Water Buffalo Horns (Shui Niu Jiao) is the king ingredient for Xi Jiao Di Huang Tang, a formula used for Heat in the Blood

Heat in the Blood

Pulse type(s): Rapid (Shu)

Tongue color: Red

Heat in the Blood (or Blood-Heat) refers to a condition whereby Heat, as a so-called "Pernicious Influence", entered the Blood. This invasion tends to accelerate Blood flow (leading to a faster pulse) and to manifest itself in various types of bleeding as well as other symptoms.

In addition to delirious speech, other symptoms associated with Heat in the Blood include fever, irritability and black and tarry stools.

From a Western Medicine standpoint Heat in the Blood is associated with health issues such as Early Menstruation, Abnormal Uterine Bleeding or Heavy Menstruation.

Heat in the Blood is often treated with Xi Jiao Di Huang Tang, a herbal formula made of 4 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Xi Jiao Di Huang Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats severe fevers and Heat in the Blood system".

Read more about Heat in the Blood here

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

Heat in Pericardium

Pulse type(s): Rapid (Shu), Fine (Xi)

In addition to delirious speech, other symptoms associated with Heat in Pericardium include convulsions, cold hands and feet and aphasia.

Heat in Pericardium is often treated with Qing Ying Tang, a herbal formula made of 9 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Qing Ying Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears the Nutritive level Heat".

Read more about Heat in Pericardium here

The Triple Burner is a so-called "Fu" Organ. Learn more about the Triple Burner in Chinese Medicine

Heat and Blood Stagnation in the Lower Burner

Pulse type(s): Choppy (Se), Full (Shi)

In addition to delirious speech, other symptoms associated with Heat and Blood Stagnation in the Lower Burner include irritability, amenorrhea and dysmenorrhea.

Heat and Blood Stagnation in the Lower Burner is often treated with Tao He Cheng Qi Tang, a herbal formula made of 5 herbs (including Peach Kernels - Tao Ren - as a key herb). Tao He Cheng Qi Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dispels Heat and".

Read more about Heat and Blood Stagnation in the Lower Burner here

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

Heat invading the Pericardium

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

Tongue color: Reddish-Purple

In addition to delirious speech, other symptoms associated with Heat invading the Pericardium include fever, irritability and general sensation of unease.

Heat invading the Pericardium is often treated with Niu Huang Qing Xin Wan, a herbal formula made of 6 herbs (including Ox Gallstones - Niu Huang - as a key herb). Niu Huang Qing Xin Wan belongs to the category of "formulas that clear heat and open sensory orifices", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and resolves Toxicity".

Read more about Heat invading the Pericardium here

Four herbal formulas that might help with delirious speech

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.

Why might Xi Jiao Di Huang Tang help with delirious speech?

Because it is a formula often recommended to treat the pattern 'Heat in the Blood' of which delirious speech is a symptom.

Other symptoms characteristic of Heat In The Blood include fever, irritability and black and tarry stools.

Read more about Xi Jiao Di Huang Tang here

Tao He Cheng Qi Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Dispels Heat and. Eliminates Blood Stagnation.

Why might Tao He Cheng Qi Tang help with delirious speech?

Because it is a formula often recommended to treat the pattern 'Heat and Blood Stagnation in the Lower Burner' of which delirious speech is a symptom.

Other symptoms characteristic of Heat And Blood Stagnation In The Lower Burner include irritability, amenorrhea and dysmenorrhea.

Read more about Tao He Cheng Qi Tang here

Niu Huang Qing Xin Wan

Source date: 1568 AD

Number of ingredients: 6 herbs

Key actions: Clears Heat and resolves Toxicity. Calms the Mind. Opens up the Orifices.

Why might Niu Huang Qing Xin Wan help with delirious speech?

Because it is a formula often recommended to treat the pattern 'Heat invading the Pericardium' of which delirious speech is a symptom.

Other symptoms characteristic of Heat Invading The Pericardium include fever, irritability and general sensation of unease.

Read more about Niu Huang Qing Xin Wan here

Qing Ying Tang

Source date: 1798 AD

Number of ingredients: 9 herbs

Key actions: Clears the Nutritive level Heat. Relieves Fire Toxin. Removes Heat. Nourishes Yin.

Why might Qing Ying Tang help with delirious speech?

Because it is a formula often recommended to treat the pattern 'Heat in Pericardium' of which delirious speech is a symptom.

Other symptoms characteristic of Heat In Pericardium include convulsions, cold hands and feet and aphasia.

Read more about Qing Ying Tang here

The five Chinese Medicinal herbs most likely to help treat delirious speech

Why might Water Buffalo Horn (Shui Niu Jiao) help with delirious speech?

Because it is both specifically indicated to treat delirious speech and also because it is an ingredient in herbal formulas known to treat delirious speech as a symptom (such as Xi Jiao Di Huang Tang for instance).

Water Buffalo Horns is a Cold herb that tastes Bitter and Salty. It targets the Stomach, the Heart and the Liver.

Its main actions are: Cools the Blood, drains Fire and stops reckless movement of Blood. Clears Heat and Fire and stops tremors and convulsions. Cools Fire and expels toxins.

Read more about Water Buffalo Horns here

Why might Ox Gallstone (Niu Huang) help with delirious speech?

Because it is both specifically indicated to treat delirious speech and also because it is an ingredient in herbal formulas known to treat delirious speech as a symptom (such as Niu Huang Qing Xin Wan for instance).

Ox Gallstones is a Cold herb that tastes Bitter and Sweet. It targets the Heart and the Liver.

Its main actions are: Clears Heat and Detoxifies. Calms Liver-Wind. As an aromatic it opens the cavities to expel phlegm.

Read more about Ox Gallstones here

Why might Rhubarb (Da Huang) help with delirious speech?

Because it is a key herb in Tao He Cheng Qi Tang, a herbal formula indicated to treat the pattern 'Heat and Blood Stagnation in the Lower Burner' (a pattern with delirious speech as a symptom)

Rhubarb is a Cold herb that tastes Bitter. It targets the Spleen, the Stomach, the Large intestine, the Liver and the Pericardium.

Its main actions are: Drains Excess Heat and eliminates Dampness, especially when in the Sunlight Yang stage. Cools the Blood and stops bleeding. Invigorates Blood, breaks up Stasis and relieves pain. Clears Heat and toxins from Excess. Applied topically for Hot sores and Blood Stasis.

Read more about Rhubarb here

Why might Peach Kernel (Tao Ren) help with delirious speech?

Because it is a key herb in Tao He Cheng Qi Tang, a herbal formula indicated to treat the pattern 'Heat and Blood Stagnation in the Lower Burner' (a pattern with delirious speech as a symptom)

Peach Kernels is a Neutral herb that tastes Bitter and Sweet. It targets the Heart, the Large intestine and the Liver.

Its main actions are: Moves Blood and breaks up Stasis. Moistens the Intestines. Relieves coughing.

Read more about Peach Kernels here

Why might Turmeric Tuber (Yu Jin) help with delirious speech?

Because it is a herb specifically indicated to treat delirious speech as can be seen on Turmeric Tuber's page.

Turmeric Tubers is a Cold herb that tastes Bitter and Pungent. It targets the Heart, the Liver and the Lung.

Its main actions are: Moves Blood, breaks Stasis and reduces associated pain. Regulates the Liver and relieves patterns of Stagnant Qi with pain. Clears the Heart and Cools the Blood. Relieves Stagnation and clears Heat in the Liver and Gallbladder. Relieves jaundice.

Read more about Turmeric Tubers here