Malar flush according to Chinese Medicine

Malar flush 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 malar flush 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 malar flush is often associated with dizziness, night sweats and insomnia in the pattern “Yin Deficiency”. As you will see below, we have in record four patterns that can cause malar flush.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of malar flush 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 malar flush.

The four "patterns of disharmony" that can cause malar flush

In Chinese Medicine malar flush 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 malar flush, other symptoms associated with Yin Deficiency include dizziness, night sweats 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)".

Read more about Yin Deficiency here

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 malar flush, other symptoms associated with Kidney Yin Deficiency include dizziness, night sweats 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)".

Read more about Kidney Yin Deficiency here

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

Liver Yin Deficiency

Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Floating (Fu)

Tongue coating: Complete absence of coating

Tongue color: Red points on the sides

This is a type of empty Fire pattern arising out of Liver Blood Deficiency or Kidney Yin Deficiency. It shares similar symptoms as Liver Blood Deficiency, but with extra signs of Dryness and Yin-Deficient Heat. It can be caused by excessive activity, overwork, 'burning the candle at both ends' without sufficient rest, and poor and irregular diet.

In addition to malar flush, other symptoms associated with Liver Yin Deficiency include dizziness, night sweats and insomnia.

Liver Yin Deficiency is often treated with Qi Ju Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Qi Ju 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: "Nourishes Kidney and Liver Yin".

Read more about Liver Yin Deficiency here

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 malar flush, other symptoms associated with Collapse of Yin include night sweats, constipation and five palm heat.

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".

Read more about Collapse of Yin here

Five herbal formulas that might help with malar flush

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 malar flush?

Because it is a formula often recommended to treat the pattern 'Yin Deficiency' of which malar flush is a symptom.

Read more about Liu Wei Di Huang Wan here

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 malar flush?

Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which malar flush is a symptom.

Read more about Zuo Gui Wan here

Qi Ju Di Huang Wan

Source date: 1350 AD

Number of ingredients: 8 herbs

Key actions: Nourishes Kidney and Liver Yin. Improves vision.

Why might Qi Ju Di Huang Wan help with malar flush?

Because it is a formula often recommended to treat the pattern 'Liver Yin Deficiency' of which malar flush is a symptom.

Read more about Qi Ju Di Huang Wan here

Zhi Bo Di Huang Wan

Source date: 1584 AD

Number of ingredients: 8 herbs

Key actions: Tonifies Yin. Drains Fire.

Why might Zhi Bo Di Huang Wan help with malar flush?

Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which malar flush is a symptom.

Read more about Zhi Bo Di Huang Wan here

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 malar flush?

Because it is a formula often recommended to treat the pattern 'Collapse of Yin' of which malar flush is a symptom.

Read more about Da Bu Yin Wan here

Acupuncture points used for malar flush

The five Chinese Medicinal herbs most likely to help treat malar flush

Why might Prepared Rehmannia (Shu Di Huang) help with malar flush?

Because Prepared Rehmannia is an ingredient in several formulas indicated to treat malar flush 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.

Read more about Prepared Rehmannia here

Why might Liquorice (Gan Cao) help with malar flush?

Because Liquorice is an ingredient in several formulas indicated to treat malar flush as a symptom, like Mai Men Dong Tang or Jia Wei Xiao Yao San 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.

Read more about Liquorice here

Why might White Peony Root (Bai Shao) help with malar flush?

Because White Peony Root is an ingredient in several formulas indicated to treat malar flush as a symptom, like Bu Gan Tang or Qing Jing 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.

Read more about White Peony Roots here

Why might Dong Quai (Dang Gui) help with malar flush?

Because Dong Quai is an ingredient in several formulas indicated to treat malar flush as a symptom, like Dang Gui Di Huang Yin or Ren Shen Dang Gui Tang 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.

Read more about Dong Quai here

Why might Mudan Peony Bark (Mu Dan Pi) help with malar flush?

Because Mudan Peony Bark is an ingredient in several formulas indicated to treat malar flush as a symptom, like Dan Zhi Xiao Yao San or Qing Jing San for instance.

Mudan Peony Bark is a Cool herb that tastes Bitter and Pungent. It targets the Heart, the Kidney and the Liver.

Its main actions are: Cools the Blood, activates Blood circulation and resolves Blood stasis.

Read more about Mudan Peony Bark here