Vexing heat in the five hearts

Palpable heat in the palms of the hand, soles of the feet, and subjective feeling of heat in the chest. Vexing heat in the five hearts is observed in vacuity detriment and consumption, and arises from yīn vacuity with effulgent fire, vacuity heat failing to clear after illness, or internally depressed fire-heat.

Medicinal therapy: Nourish yīn and abate heat effusion; clear heat and nourish yīn; clear the liver and rectify the spleen. Use formulas such as Bone-Clearing Powder (清骨散 qīng gǔ sǎn) or Free Wanderer Powder (逍遥散 xiāo yáo sǎn). For depressed fire, treat by upbearing and effusing with Fire Depression Decoction (火郁汤 huǒ yù tāng).