Five palm heat 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.
Five palm heat 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 five palm heat 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 five palm heat is often associated with night sweats, malar flush and insomnia in the pattern “Yin Deficiency”. As you will see below, we have in record four patterns that can cause five palm heat.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of five palm heat 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 five palm heat.
The four "patterns of disharmony" that can cause five palm heat
In Chinese Medicine five palm heat 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.
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 five palm heat, other symptoms associated with Yin Deficiency include night sweats, malar flush 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 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 five palm heat, other symptoms associated with Kidney Yin Deficiency include night sweats, malar flush and insomnia.
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 Heart is a so-called "Zang" Organ. Learn more about the Heart in Chinese Medicine
Heart Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Fine (Xi), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
This pattern developed from Heart Blood Deficiency. It shares similar symptoms as the latter one, such as insomnia, dream-disturbed sleep, easily to be scared, poor memory and anxiety, but it also has additional empty Heat symptoms. It can be caused by Kidney Yin Deficiency or other factors such as bad diet, overwork or long term exposure to stress or hot environment.
In addition to five palm heat, other symptoms associated with Heart Yin Deficiency include night sweats, malar flush and insomnia.
From a Western Medicine standpoint Heart Yin Deficiency is associated with health issues such as Absence Of Menstruation or Postpartum Depression.
Heart Yin Deficiency is often treated with Tian Wang Bu Xin Dan, a herbal formula made of 14 herbs (including Unprepared Rehmannia - Di Huang - as a key herb). Tian Wang Bu Xin Dan belongs to the category of "formulas that nourish the heart and calm the mind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic: Nourishes Yin, Blood and Vital Essence of the Heart and Kidney".
Prepared Rehmannia (Shu Di huang) is the king ingredient for Da Bu Yin Wan, a formula used for Collapse of Yin
Collapse of Yin
Pulse type(s): Rapid (Shu), Fine (Xi)
In addition to five palm heat, other symptoms associated with Collapse of Yin include night sweats, malar flush and constipation.
Collapse of Yin is often treated with Da Bu Yin Wan, a herbal formula made of 4 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Da Bu Yin 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: "Enriches the Yin".
Five herbal formulas that might help with five palm heat
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 five palm heat?
Because it is a formula often recommended to treat the pattern 'Yin Deficiency' of which five palm heat 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 five palm heat?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which five palm heat is a symptom.
Tian Wang Bu Xin Dan
Source date: 16th century
Number of ingredients: 14 herbs
Key actions: Nutritive tonic: Nourishes Yin, Blood and Vital Essence of the Heart and Kidney. Clears away pathogenic Heat, clears Deficient Heat. Sedative.
Why might Tian Wang Bu Xin Dan help with five palm heat?
Because it is a formula often recommended to treat the pattern 'Heart Yin Deficiency' of which five palm heat is a symptom.
Zhi Bo Di Huang Wan
Why might Zhi Bo Di Huang Wan help with five palm heat?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which five palm heat is a symptom.
Da Bu Yin Wan
Source date: 1481 AD
Number of ingredients: 4 herbs
Key actions: Enriches the Yin. Directs fire downward.
Why might Da Bu Yin Wan help with five palm heat?
Because it is a formula often recommended to treat the pattern 'Collapse of Yin' of which five palm heat is a symptom.
Acupuncture points used for five palm heat
The five Chinese Medicinal herbs most likely to help treat five palm heat
Why might Prepared Rehmannia (Shu Di Huang) help with five palm heat?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat five palm heat as a symptom, like Liu Wei Di Huang Wan or Zuo Gui Wan for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might Poria-Cocos Mushroom (Fu Ling) help with five palm heat?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat five palm heat as a symptom, like Liu Wei Di Huang Wan or Zhi Bo Di Huang Wan 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 Cornelian Cherry (Shan Zhu Yu) help with five palm heat?
Because Cornelian Cherry is an ingredient in several formulas indicated to treat five palm heat as a symptom, like Liu Wei Di Huang Wan or Zuo Gui Wan for instance.
Cornelian Cherries is a Warm herb that tastes Sour. It targets the Kidney and the Liver.
Its main actions are: Preserves and tonifies the Kidney, Liver and Essence. Stops sweating and benefits the Yang and Qi. Assists menstruation and stops bleeding.
Why might Anemarrhena Rhizome (Zhi Mu) help with five palm heat?
Because Anemarrhena Rhizome is an ingredient in several formulas indicated to treat five palm heat as a symptom, like Zhi Bo Di Huang Wan or Yu Nu Jian for instance.
Anemarrhena Rhizomes is a Cold herb that tastes Bitter and Sweet. It targets the Kidney, the Lung and the Stomach.
Its main actions are: Clears Heat and Fire from the Qi level. Clears Heat and Fire from the Lung and Stomach. Clears Heat and tonifies the Yin.
Why might Water Plantain (Ze Xie) help with five palm heat?
Because Water Plantain is an ingredient in several formulas indicated to treat five palm heat as a symptom, like Liu Wei Di Huang Wan or Zhi Bo Di Huang Wan for instance.
Water Plantain is a Cold herb that tastes Sweet. It targets the Bladder and the Kidney.
Its main actions are: Causes urination and removes Damp-Heat
Other symptoms often associated with five palm heat
Night sweats Malar flush Insomnia Anxiety Poor memory Dizziness Tinnitus Nocturnal emissions Diminished hearing Lower back pain