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Effulgent heart-liver fire
心肝火旺 〔心肝火旺〕 xīn gān huǒ wàng
A disease pattern chiefly characterized by insomnia; distension and fullness in the chest and rib-side; and generalized heat effusion.
Description: Insomnia; distension and fullness in the chest and rib-side; generalized heat effusion; red face and red eyes; thirst; bitter taste in the mouth; vexation and agitation; irascibility; reddish urine. There may also be mania, vomiting of blood, or spontaneous external bleeding.
Pathogenesis: The main factors are
- impaired free coursing due to excesses among the seven affects, giving rise to depressed liver qì that transforms into fire; and
- excessive consumption of deep-fried foods, hot spicy food, sweet fatty foods, pickles, processed foods.
Analysis of signs
- Heart fire: Insomnia; vexation and agitation.
- Liver fire: Red eyes; bitter taste in the mouth; irascibility.
- Frenetic movement of hot blood: Vomiting of blood; spontaneous external bleeding.
- Tongue: Red with yellow fur.
- Pulse: Stringlike and rapid.
Comparison: Liver fire flaming upward is also characterized by heat effusion, red eyes, thirst, reddish urine, and dry stool. Effulgent heart-liver fire differs by the additional presence of signs of heart fire flaming upward, such as insomnia, mania, vomiting of blood, and spontaneous external bleeding.
Treatment
Medicinal therapy: Clear the liver, drain fire, and quiet the heart. Use
Comparison: Effulgent heart-liver fire is similar to liver fire flaming upward. Both have heat effusion, red eyes, thirst, yellow urine, and dry stool. Effulgent heart-liver fire differs by the additional presence of signs of heart fire flaming upward such as insomnia, mania, and blood ejection or spontaneous external bleeding.
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