Excessive thirst according to Chinese Medicine
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.
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Excessive thirst 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 excessive thirst 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 excessive thirst is often associated with irritability, dizziness and insomnia in the pattern “Yin Deficiency”. As you will see below, we have in record five patterns that can cause excessive thirst.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of excessive thirst we’ve identified five 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 excessive thirst.
The five "patterns of disharmony" that can cause excessive thirst
In Chinese Medicine excessive thirst is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Prepared Rehmannia (Shu Di huang) is the king ingredient for Liu Wei Di Huang Wan, a formula used for Yin Deficiency
Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu)
Tongue coating: Thin white coating
Tongue color: Red
In the case of Yin Deficiency, the body is short in the cooling, moistening and nurturing aspects. This leads to Heat and Dryness accompanied by weakness and lack of strength and resistance. Yin becomes Deficient by over-working, lack of sleep, over-exercising, overindulgence in sex, long-term chronic diseases, internal injury due to the seven emotions, and the over-eating of dry and hot-natured foods.
In addition to excessive thirst, other symptoms associated with Yin Deficiency include irritability, dizziness and insomnia.
Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Fire Blazing
Pulse type(s): Rapid (Shu), Wiry (Xian), Full (Shi)
In addition to excessive thirst, other symptoms associated with Liver Fire Blazing include irritability, dizziness and constipation.
Liver Fire Blazing is often treated with Long Dan Xie Gan Tang, a herbal formula made of 10 herbs (including Chinese Gentian - Long Dan Cao - as a key herb). Long Dan Xie Gan Tang belongs to the category of "formulas that clear heat from the organs", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and Fire from the Liver and Gallbladder".
Honeysuckle Flowers (Jin Yin Hua) is the king ingredient for Yin Qiao San, a formula used for Wind-Heat
Wind-Heat
Pulse type(s): Rapid (Shu), Floating (Fu)
In addition to excessive thirst, other symptoms associated with Wind-Heat include fever, headaches and coughing.
Wind-Heat is often treated with Yin Qiao San, a herbal formula made of 10 herbs (including Honeysuckle Flowers - Jin Yin Hua - as a key herb). Yin Qiao San belongs to the category of "external formulas for external disorders", which might be why it is often recommended for this pattern. Its main action as a formula is: "Disperses Wind Heat".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.
In addition to excessive thirst, other symptoms associated with Kidney Yin Deficiency include irritability, dizziness and constipation.
From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.
Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
Stomach Yin Deficiency causes Dryness and Heat, which harms the Organ's ability of receiving and ripening foods and drinks. It is the result of prolonged unbalanced diet and irregular eating habits.
In addition to excessive thirst, other symptoms associated with Stomach Yin Deficiency include constipation, dry stools and dry mouth.
Stomach Yin Deficiency is often treated with Mai Men Dong Tang, a herbal formula made of 6 herbs (including Dwarf Lilyturf Roots - Mai Dong - as a key herb). Mai Men Dong Tang belongs to the category of "formulas that enrich yin and moisten dryness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Stomach".
Five herbal formulas that might help with excessive thirst
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).
Why might Liu Wei Di Huang Wan help with excessive thirst?
Because it is a formula often recommended to treat the pattern 'Yin Deficiency' of which thirst is a symptom.
Long Dan Xie Gan Tang
Source date: 1682 AD
Number of ingredients: 10 herbs
Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.
Why might Long Dan Xie Gan Tang help with excessive thirst?
Because it is a formula often recommended to treat the pattern 'Liver Fire Blazing' of which thirst is a symptom.
Zuo Gui Wan
Source date: 1624 AD
Number of ingredients: 8 herbs
Key actions: Nourishes the Yin. Strengthens the Kidneys. Fills the Essence. Augments the marrow.
Why might Zuo Gui Wan help with excessive thirst?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which thirst with desire to drink in small sips is a symptom.
Shen Ling Bai Zhu San
Source date: 1107 AD
Number of ingredients: 10 herbs
Key actions: Augments the Qi. Strengthens the Spleen. Leaches out Dampness. Stops diarrhea.
Why might Shen Ling Bai Zhu San help with excessive thirst?
Because it is a formula often recommended to treat the pattern 'Stomach Yin Deficiency' of which thirst is a symptom.
Acupuncture points used for excessive thirst
The five Chinese Medicinal herbs most likely to help treat excessive thirst
Why might Liquorice (Gan Cao) help with excessive thirst?
Because Liquorice is an ingredient in several formulas indicated to treat excessive thirst as a symptom, like Liu Yi San or Tiao Wei Cheng Qi Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Poria-Cocos Mushroom (Fu Ling) help with excessive thirst?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat excessive thirst as a symptom, like Er Chen Tang or Shen Ling Bai Zhu San for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might White Peony Root (Bai Shao) help with excessive thirst?
Because White Peony Root is an ingredient in several formulas indicated to treat excessive thirst as a symptom, like Xuan Yu Tong Jing Tang or Xiao Yao San for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Dong Quai (Dang Gui) help with excessive thirst?
Because Dong Quai is an ingredient in several formulas indicated to treat excessive thirst as a symptom, like Dang Gui Long Hui Wan or Xiao Yao San for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Unprepared Rehmannia (Di Huang) help with excessive thirst?
Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat excessive thirst as a symptom, like Liang Di Tang or Yi Wei Tang for instance.
Unprepared Rehmannia is a Cold herb that tastes Sweet. It targets the Heart, the Kidney and the Liver.
Its main actions are: Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes.
Other symptoms often associated with excessive thirst
Fever Irritability Dizziness Constipation Red face Insomnia Feeling of heat Dry stools Anxiety Dry mouth