Symptoms of Yang deficiency and internal heat

Everyone's physique is different, and physique is related to the geographical environment. People living in the south in particular will suffer from yang deficiency and internal heat, which is mainly manifested by heat and sweating in the chest when sleeping at night, and a bitter taste in the mouth, dry stools, etc. This yang deficiency and internal heat must be adjusted. In life, you can eat some coix seed to eliminate heat and toxins in the body. Only by persisting in the adjustment can there be results.

Internal heat is also called internal fire, which is a syndrome name in Traditional Chinese Medicine. It is also called "endogenous heat". Refers to the heat caused by the excessive yin and yang of the internal organs. It is advisable to distinguish the real from the fake. Common symptoms include chest heat, hot flashes in the afternoon, fever in the five hearts, bitter taste in the mouth, and red urine. There are two types of fever: yang deficiency and yin deficiency. For example, Volume 1 of Ming Yi Za Zhu states: "Fever caused by internal injury is caused by the self-injury of yang qi, which cannot rise, and descends to yin to cause internal heat. This is yang deficiency, so the pulse is large and weak, and it belongs to the lung and spleen. Fever caused by yin deficiency is caused by the self-injury of yin blood, which cannot control fire, and the yang qi rises to cause internal heat. This is yang excess, so the pulse is rapid and weak, and it belongs to the heart and kidney.

Clinical manifestations

Internal heat can be divided into real heat and false heat.

1. Excessive heat

Symptoms of excess heat include flushed face and ears, palpitations, irritability, thirst, preference for cold drinks, dry and hard stools, yellow and red urine, excessive appetite, easy hunger, bad temper, and weight loss.

2. Deficiency heat

Symptoms of deficiency heat include low fever, hot palms and soles, irritability and insomnia, dry mouth and eyes, dry and sore throat, flushed cheeks, etc.

diagnosis

For internal heat, its onset will be slow and there will be no external symptoms. Heat in the internal organs, seven orifices, triple burner, two yin meridians, tendons, bones, and muscles are all signs of internal heat.

Treat according to syndrome differentiation

Internal heat is the fire of the five internal organs. The heat is generated from within, and the disease is in the yin part. Therefore, those with internal heat should be cooled and not dispersed. If they disperse, the internal fire will become more intense, and the fire will erupt when it is empty. However, the symptoms of internal heat can be divided into deficiency and excess. Excessive ones should be treated with positive treatment, while deficiency ones should be treated with negative treatment.

1. Excessive heat in the five internal organs

For those with real heat inside the body, ancient method divides them into five internal organs and it is advisable to treat them from the positive side or to soothe the spleen.

(1) Heart heat symptoms: oral and tongue erosions, sores, red tip of tongue, hyperactivity, restlessness, irritability, etc. Treatment principle: Clear the heart and reduce fire. Main prescription: Xiexin Decoction, Daochi Powder, and Anshen Pills.

(2) Symptoms of liver heat: irritability, headache, dizziness, red eyes, tinnitus, deafness, bitter taste in the mouth, and dry throat. Pain in the flanks and red and astringent urine. Treatment principle: Clear the liver and reduce fire. Main prescription: Xieqing Pills, Chaihu Yinzi, and Longdan Xiegan Decoction.

(3) Symptoms of spleen heat: eye sores and bad breath, thirst and hunger, thirst and preference for cold drinks, dry mouth and lips, oral ulcers, constipation, red tongue and rapid pulse, and tongue rubbing due to spleen heat. Treatment principle: drain the hidden fire in the spleen and stomach. Main prescription: Xiehuangsan (also known as Xiepisan).

(4) Lung heat symptoms: coughing, dry and sore throat, vomiting of yellow phlegm, constipation and dark urine, and heat in the chest and diaphragm. Treatment principle: Clear the upper part and drain the lower part, purge heat and promote bowel movements. Main prescription: Xiebai San and Digupi San for mild cases, and Liangge San for severe cases.

(5) Kidney heat symptoms: hot flashes, night sweats, dry mouth and sore throat, tinnitus, spermatorrhea, short and dark urine, abdominal distension, and urinary retention. Treatment principle: Nourish the kidney, clear away heat and reduce fire. Main prescription: Zishen Pills and Ziyin Bawei Pills.