Malar flush according to Chinese Medicine

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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 “Heat in the Blood”. As you will see below, we have in record five 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 five "patterns of disharmony" that can cause malar flush

In Chinese Medicine malar flush 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.

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 malar flush, other symptoms associated with Heat in the Blood include dizziness, night sweats and insomnia.

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

Kidney and Liver Yin Deficiency

Pulse type(s): Empty (Xu), Floating (Fu)

Tongue coating: Partial absence of coating

Tongue color: Red

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

From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.

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

Read more about Kidney and 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 low-grade fever.

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

Bupleurum Roots (Chai Hu) is the king ingredient for Xiao Yao San, a formula used for Qi and Blood Stagnation

Qi and Blood Stagnation

Pulse type(s): Choppy (Se), Wiry (Xian)

Tongue color: Normal (light red), Red, Red sides

In addition to malar flush, other symptoms associated with Qi and Blood Stagnation include dizziness, insomnia and depression.

From a Western Medicine standpoint Qi and Blood Stagnation is associated with health issues such as Menstrual Cramps, Absence Of Menstruation or Menopausal Syndrome.

Qi and Blood Stagnation is often treated with Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".

Read more about Qi and Blood Stagnation here

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

Liver Blood and Kidney Essence Deficiency

Pulse type(s): Deep (Chen), Weak (Ruo)

Tongue color: Pale

In addition to malar flush, other symptoms associated with Liver Blood and Kidney Essence Deficiency include dizziness, night sweats and depression.

From a Western Medicine standpoint Liver Blood and Kidney Essence Deficiency is associated with health issues such as Absence Of Menstruation.

Liver Blood and Kidney Essence Deficiency is often treated with Dang Gui Di Huang Yin, a herbal formula made of 7 herbs (including Dong Quai - Dang Gui - as a key herb). Dang Gui Di Huang Yin belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes Blood".

Read more about Liver Blood and Kidney Essence Deficiency here

Five herbal formulas that might help with malar flush

Jia Wei Xiao Yao San

Source date: Ming dynasty

Number of ingredients: 10 herbs

Key actions: Clears Liver and Spleen Qi Stagnation. Tonifies Spleen. Clears Deficient Heat. Nourishes the blood.

Why might Jia Wei Xiao Yao San help with malar flush?

Because it is a formula often recommended to treat the pattern 'Qi and Blood Stagnation' of which malar flush is a symptom.

According to Chinese Medicine, Qi and Blood Stagnation can contribute to many health issues, including Absence Of Menstruation.

Read more about Jia Wei Xiao Yao San here

Qing Jing San

Source date: 1826 AD

Number of ingredients: 7 herbs

Key actions: Clears Blood-Heat. Stops bleeding.

Why might Qing Jing San help with malar flush?

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

According to Chinese Medicine, Heat in the Blood can contribute to many health issues, including Early Menstruation.

Read more about Qing Jing San here

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 'Kidney and Liver Yin Deficiency' of which malar flush is a symptom.

According to Chinese Medicine, Kidney and Liver Yin Deficiency can contribute to many health issues, including Absence Of Menstruation.

Read more about Liu Wei 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.

Other symptoms characteristic of Collapse Of Yin include night sweats, constipation and low-grade fever.

Read more about Da Bu Yin Wan here

Dang Gui Di Huang Yin

Source date: 1640 AD

Number of ingredients: 7 herbs

Key actions: Nourishes Blood. Tonifies Kidney and Liver Yin. Regulates the menstrual cycle.

Why might Dang Gui Di Huang Yin help with malar flush?

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

According to Chinese Medicine, Liver Blood and Kidney Essence Deficiency can contribute to many health issues, including Absence Of Menstruation.

Read more about Dang Gui Di Huang Yin here

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

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 Jia Wei Xiao Yao San or Qing Jing San for instance.

White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Spleen and the Liver.

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 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 Da Bu Yin 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 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 Spleen, the Heart and the Liver.

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 Liquorice (Gan Cao) help with malar flush?

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

Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.

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 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