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Yin deficiency with excess heat is a condition in Traditional Chinese Medicine (TCM). It primarily refers to a fast metabolism and the presence of internal heat. Additionally, yin deficiency with excess heat can lead to poor skin condition, oral ulcers, and constipation, which are typical symptoms of this condition. When experiencing yin deficiency with excess heat, timely regulation is necessary; a light diet is recommended, along with sufficient rest and moderate exercise for improvement.
How to regulate yin deficiency with excess heat
What are the symptoms of yin deficiency with excess heat?
Common symptoms: irritability, flushed cheeks, increased sexual desire.
Symptoms of yin deficiency with excess heat: Yin deficiency fails to restrain Yang, leading to relative excess of Yang and the development of yin deficiency with excess heat syndrome. This syndrome can affect different organs, primarily the heart, lungs, liver, and kidneys.
(1) Main symptoms: dry throat, dry mouth, irritability, and a red tongue.
(2) Clinical manifestations: dry throat, irritability, red tongue, thin and rapid pulse. Symptoms may include vivid dreams at night, palpitations, a cracked tongue, short and red urine (heart fire), headaches, facial flushing, dry and painful eyes, bitter mouth, dry stools, and wiry pulse (liver fire), or dry cough with little phlegm, blood-streaked phlegm (lung fire), or bone steaming heat, flushed cheeks, nocturnal emissions in men, and in women, dreams of sexual intercourse (kidney fire). The excess heat can manifest in various organs.
(3) Symptom analysis: The mechanism behind the various symptoms is that yin deficiency generates heat; yin deficiency leads to dryness, and yin deficiency results in less stillness and more activity, along with one or several organs exhibiting excess heat.
(4) Development and impact of this syndrome: This syndrome often presents as a chronic process. As yin continues to weaken, heat becomes more pronounced, and as heat intensifies, yin is further damaged, creating a vicious cycle that exacerbates the condition, often leading to depletion of kidney yin and essence, and even a crisis of yin exhaustion and yang excess.
Clinical manifestations of yin deficiency with excess heat: afternoon tidal fever, or night sweats, fever with aversion to clothing, heat in the palms and soles, or bone steaming heat, irritability, insomnia, vivid dreams, flushed cheeks, night sweats, dry mouth and throat, dry stools, scant yellow urine, dry red tongue or cracks, little or no coating, and thin rapid pulse. Symptoms may also include recurrent oral ulcers, pain, dizziness, and fatigue.
The occurrence of oral ulcers is due to “heat in the heart and spleen,” which is closely related to yin deficiency with excess heat, especially recurrent and habitual oral ulcers, which are generally caused by kidney yin deficiency and heart-spleen heat. In other words, regulating yin deficiency with excess heat can also cure oral ulcers.
What causes yin deficiency with excess heat?
Causes of yin deficiency with excess heat: This refers to the deficiency of yin essence, such as semen and tangible body fluids, leading to pathological changes of excess fire. Main symptoms include increased sexual desire, irritability, flushed cheeks, dry mouth, and hemoptysis.
Yin deficiency with excess heat indicates an imbalance of yin and yang, where yin deficiency leads to yang excess and the generation of heat (fire). In addition to the phenomenon of internal heat due to yin deficiency, there are also symptoms such as facial flushing, red eyes, dry throat, sore throat, bleeding, irritability, little coating, a thin red tongue, and thin rapid pulse.
Yin deficiency with excess heat indicates that the yin of the organs is deficient, failing to nourish, resulting in the manifestation of internal heat. The heart, liver, lungs, spleen, and kidneys can all exhibit this condition, with kidney yin deficiency being the most common, presenting symptoms such as tidal fever, night sweats, irritability, insomnia, or premature ejaculation and nocturnal emissions in men, scant menstruation or amenorrhea in women, or bone steaming heat, weakness in the lower back and knees, and tinnitus.
The main function of yin is to nourish and moisten the organs and tissues, as well as to restrain yang energy to prevent it from becoming excessive. Yang energy is characterized by heat, movement, and rising, while yin corresponds to cold, stillness, and descending. If yin is deficient and unable to restrain yang, the body will exhibit a state of excess yang heat, known as “yin deficiency leads to internal heat.” As stated in the “Inner Canon”: “After the age of forty, yin energy is halved,” as one ages, or after febrile diseases, or due to irregular sexual activity, true yin is easily depleted.
Yin deficiency with excess heat is not a specific disease but is commonly seen in various conditions such as menopausal syndrome, hyperthyroidism, hypertension, diabetes, post-stroke sequelae, tinnitus, and insomnia. Patients are generally more often female, as women easily deplete yin blood during menstruation. If women in menopause primarily exhibit tidal fever, night sweats, irritability, and insomnia, they have obvious symptoms of yin deficiency with excess heat.
Sometimes, during the course of illness and treatment, changes in constitution may occur. A few years ago, I treated a patient with blood cancer who originally had a deficiency of righteous qi. After chemotherapy, he exhibited symptoms of night sweats, subjective heat, heat in the palms and soles, and insomnia, indicating yang excess and yin deficiency.
Yin deficiency with excess heat is often caused by internal yin deficiency, with excess heat manifesting as virtual heat. Yin deficiency usually presents several symptoms, such as irritability, heat sensation, dry mouth, and night sweats. Depending on the specific condition, it is necessary to conduct symptomatic treatments such as nourishing yin and draining fire. Generally, it is advisable to avoid spicy, greasy, and irritating foods, drink plenty of water, and maintain a light diet. Under the guidance of a physician, one can choose treatments such as Chinese herbal medicine and decoctions.
What are the symptoms of yin deficiency with excess heat?
1. Weight loss: A person in a state of yin deficiency with excess heat may appear very thin. Even if they eat and drink normally, they may look frail. For those with yin deficiency with excess heat, the metabolic rate is relatively fast, and the food consumed is easily digested but poorly absorbed, leading to insufficient nutritional supply, resulting in weight loss and muscle relaxation.
2. Easily irritable and insomnia: As the saying goes, excessive heat attacks the heart. If the heat is too strong and yin is too weak, people’s emotions can become very irritable, and they may often feel chest tightness, restlessness, emotional fluctuations, and bad temper. These negative emotions can easily affect sleep, leading to insomnia and vivid dreams, waking up for no reason at night. These adverse symptoms may be caused by yin deficiency with excess heat.
3. Dry and peeling skin: Yin deficiency with excess heat is also very harmful to the skin. Due to excessive internal heat, the skin becomes dry and the complexion poor. In severe cases, various inflammatory manifestations may occur, such as a red tongue, thick oral ulcers, skin peeling, and a series of symptoms of excessive internal heat.
4. Poor mental state: If the heat is too strong, the body’s energy consumption will be faster. Even slight movement can lead to fatigue, exhaustion, and collapse. Moreover, the person may seem to lack spirit and vitality, and their mental state may be very poor.
These are all symptoms that appear in the state of yin deficiency with excess heat. If you find that your body exhibits one or more of the above symptoms, you should pay more attention to regulating your body. This may be due to yin and yang imbalance leading to yin deficiency with excess heat, and you should seek diagnosis and regulation from a TCM practitioner to recover your health as soon as possible.
What to do about yin deficiency with excess heat? A simple five-ingredient formula to help you regulate
Ingredients: Shu Di Huang (Rehmannia glutinosa), Ba Ji Tian (Morinda root), Fu Ling (Poria), Mai Dong (Ophiopogon), Wu Wei Zi (Schisandra).
Shu Di Huang in the formula can nourish kidney yin and guide fire downward; Mai Dong is sweet and slightly bitter, slightly cold in nature, entering the stomach, lung, and heart meridians, with effects of nourishing yin, moistening the lungs, benefiting the stomach, generating fluids, and clearing the heart to relieve irritability; Wu Wei Zi can astringe the lungs and nourish the kidneys, generate fluids, astringe sweat, stop diarrhea, and calm the mind; Fu Ling has the effect of strengthening the spleen, draining dampness, and clearing turbidity; Ba Ji Tian can tonify kidney yang, nourish kidney yin, and benefit essence and fill marrow.
Therefore, adding some kidney yang tonics to the yin-nourishing herbs can achieve a synergistic effect of assisting yang and nourishing yin.
What to do about yin deficiency with excess heat? A simple five-ingredient formula to help you regulate
So, who is the best candidate for this formula?
1. Those with kidney yin deficiency, symptoms include weakness in the lower back and knees, tidal fever, dry mouth and thirst, dark red tongue with little fluid, and thin rapid pulse.
2. Those with yin deficiency with excess heat, symptoms include swollen and painful gums, oral ulcers, dry cough, dry eyes, migraines, irritability, and insomnia.
Note: The above formula should be used after proper diagnosis and dosage selection; do not take it blindly.
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