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Symptom family: Appetite Disorders
Excessive hunger, also known as hyperphagia, is characterized by an abnormally intense desire to eat, often without the usual physical triggers of hunger. Individuals experiencing excessive hunger might feel the need to eat frequently or consume large quantities of food, even after a meal. This condition can arise due to various factors, including metabolic imbalances, psychological conditions, or underlying health issues.
Medically, excessive hunger is often linked to conditions like diabetes, hyperthyroidism, or even stress and anxiety, highlighting the complex interplay between the body's physical and mental health.
Traditional Chinese Medicine (TCM) offers a different perspective on excessive hunger compared to Western medicine. In TCM, excessive hunger is seen as a manifestation of internal imbalances, particularly related to the body's vital energies, or Qi. Rather than viewing hunger solely as a physical or psychological response, TCM considers the overall harmony of the body's organs and systems.
Excessive hunger can result from various patterns of disharmony, such as excess heat, Qi stagnation, or Yin deficiency. Identifying the correct underlying pattern is essential in TCM, as treatment must be tailored to address the specific imbalance causing the symptom.
One common cause of excessive hunger in TCM is the presence of Stomach Heat or Fire. This pattern is characterized by an overabundance of Heat in the Stomach, leading to intense hunger, a craving for cold beverages, and other symptoms such as upper abdominal burning pain, dry stools, and mouth ulcers. The excessive Heat dries up Body Fluids, creating a false sense of hunger that compels the individual to eat more.
Another potential cause is Qi Stagnation in the Gallbladder and Stomach, often accompanied by Phlegm Heat. This pattern can present with symptoms like indeterminate gnawing hunger, nausea, vomiting, and a bitter taste in the mouth. The stagnation of Qi disrupts the normal digestive process, leading to irregular hunger signals and digestive discomfort. Other patterns, such as Stomach Yin Deficiency, may also cause excessive hunger, though each requires a distinct approach to treatment.
Explore below more details about what might cause Excessive hunger according to TCM.
In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more
Common Symptoms: Upper Abdominal Burning Pain Excessive Thirst Craving For Cold Beverages Restlessness Dry Stools Dry Mouth Mouth Ulcers Acid Reflux
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Stomach Heat or Fire | Constant hunger, Excessive hunger, Upper abdominal burning pain, Excessive thirst, Craving for cold beverages, Restlessness, Dry stools, Dry mouth, Mouth ulcers, Acid reflux, Nausea, Vomiting after eating, Bad breath, Feeling of heat, Acne... see more | Tiao Wei Cheng Qi Tang | Qing Wei San | Xie Huang San | Fei Er Wan | Hua Ban Tang |
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat | Indeterminate gnawing hunger, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more | Wen Dan Tang |
Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Stomach Yin Deficiency | Feeling of hunger, Loss of appetite, Preference for sipping, Slight abdominal distension after eating... see more | Mai Men Dong Tang | Yi Wei Tang | Shen Ling Bai Zhu San |
Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat | Indeterminate gnawing hunger, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more | Wen Dan Tang |
In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat | Indeterminate gnawing hunger, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more | Wen Dan Tang |
In TCM the Stomach is regarded as the "sea of nourishment," pivotal for digesting food and transforming it into Qi and blood. It works closely with the Spleen to distribute these essential nutrients throughout the body. When the Stomach is out of balance or malfunctions in TCM, it often leads to digestive problems such as bloating, nausea, vomiting, poor appetite, or a feeling of fullness. There may also be issues like acid reflux or a sour taste in the mouth. Emotionally, an imbalanced Stomach can contribute to excessive worry and overthinking, reflecting the TCM belief that physical and emotional well-being are deeply interconnected.... see more
Common Symptoms: Dry Stools Dry Mouth Bleeding Gums Constipation Slight Thirst Chronic Bronchitis Asthma Hypertension
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Stomach Heat or Fire | Constant hunger, Excessive hunger, Upper abdominal burning pain, Excessive thirst, Craving for cold beverages, Restlessness, Dry stools, Dry mouth, Mouth ulcers, Acid reflux, Nausea, Vomiting after eating, Bad breath, Feeling of heat, Acne... see more | Tiao Wei Cheng Qi Tang | Qing Wei San | Xie Huang San | Fei Er Wan | Hua Ban Tang |
Stomach Yin Deficiency | Feeling of hunger, Loss of appetite, Preference for sipping, Slight abdominal distension after eating... see more | Mai Men Dong Tang | Yi Wei Tang | Shen Ling Bai Zhu San |
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat | Indeterminate gnawing hunger, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more | Wen Dan Tang |
In TCM the Gallbladder has a unique role in storing and excreting bile, but more importantly, it's seen as crucial for decision-making and courage. It's closely connected to the Liver, assisting in the smooth flow of Qi (vital energy) and supporting the Liver's role in maintaining emotional balance. When the Gallbladder malfunctions or is imbalanced in TCM, it can lead to physical symptoms like gallstones, jaundice, or a bitter taste in the mouth. There might also be digestive disturbances, particularly related to fat metabolism. On an emotional level, a Gallbladder disorder can manifest as indecisiveness, timidity, or a tendency to easily succumb to stress. These symptoms highlight the TCM view of the Gallbladder as integral to both physical processes and emotional resilience.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat | Indeterminate gnawing hunger, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more | Wen Dan Tang |
In TCM, the treatment of excessive hunger is tailored to the underlying pattern. For Stomach Heat or Fire, the formula Tiao Wei Cheng Qi Tang may be recommended, with Rhubarb (Da Huang) as a key herb to purge heat accumulation.
For cases involving Qi Stagnation in the Gallbladder and Stomach with Phlegm Heat, Wen Dan Tang is often used. This formula, featuring Crow-Dipper Rhizomes (Ban Xia), helps dry Dampness and transform Phlegm, addressing both the Heat and Stagnation that contribute to the symptom. In all cases, the choice of formula and herbs will depend on the specific imbalance diagnosed by the practitioner.
Explore below some TCM herbal formulas used to address excessive hunger, organized by cause and by formula type.
Suitable for Heat patterns that may cause excessive hunger, such as Stomach Heat or Fire
Learn moreFormula | Patterns Suitable For |
---|---|
Tiao Wei Cheng Qi Tang | Stomach Heat or Fire |
Qing Wei San | Stomach Heat or Fire |
Xie Huang San | Stomach Heat or Fire |
Fei Er Wan | Stomach Heat or Fire |
Hua Ban Tang | Stomach Heat or Fire |
Wen Dan Tang | Qi Stagnation in Gallbladder and Stomach with Phlegm Heat |
Suitable for Yin Deficiency patterns that may cause excessive hunger, such as Stomach Yin Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Mai Men Dong Tang | Stomach Yin Deficiency |
Yi Wei Tang | Stomach Yin Deficiency |
Shen Ling Bai Zhu San | Stomach Yin Deficiency |
Suitable for Qi Stagnation patterns that may cause excessive hunger, such as Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
Learn moreSuitable for Phlegm patterns that may cause excessive hunger, such as Qi Stagnation in Gallbladder and Stomach with Phlegm Heat
Learn moreThese formulas are suitable for some excessive hunger-causing patterns like Stomach Heat or Fire.
One such formula is Qing Wei San, with goldthread rhizome as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Qing Wei San | Stomach Heat or Fire |
Xie Huang San | Stomach Heat or Fire |
These formulas are suitable for some excessive hunger-causing patterns like Stomach Heat or Fire.
One such formula is Tiao Wei Cheng Qi Tang, with rhubarb as a key herb.
These formulas are suitable for some excessive hunger-causing patterns like Stomach Heat or Fire.
One such formula is Fei Er Wan, with quisqualis fruit as a key herb.
These formulas are suitable for some excessive hunger-causing patterns like Stomach Heat or Fire.
One such formula is Hua Ban Tang, with gypsum as a key herb.
These formulas are suitable for some excessive hunger-causing patterns like Stomach Yin Deficiency.
One such formula is Mai Men Dong Tang, with dwarf lilyturf root as a key herb.
These formulas are suitable for some excessive hunger-causing patterns like Stomach Yin Deficiency.
One such formula is Yi Wei Tang, with unprepared rehmannia as a key herb.
These formulas are suitable for some excessive hunger-causing patterns like Stomach Yin Deficiency.
One such formula is Shen Ling Bai Zhu San, with ginseng as a key herb.
These formulas are suitable for some excessive hunger-causing patterns like Qi Stagnation in Gallbladder and Stomach with Phlegm Heat.
One such formula is Wen Dan Tang, with crow-dipper rhizome as a key herb.
Acupuncture plays a crucial role in TCM’s approach to managing excessive hunger. Specific acupoints are targeted to help restore balance and alleviate symptoms. One such point is Lidui ST-45, located on the lateral side of the second toe. This acupoint is known for its ability to clear Heat and calm the Mind. By stimulating this point, TCM practitioners aim to reduce the excessive heat that contributes to constant hunger, helping to rebalance the body's energies and alleviate the compulsion to eat excessively.
See more details below about Lidui ST-45, an acupoint used to address excessive hunger.