Evening Heat Sensationaccording to TCM

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Symptom family: Heat Sensations and Intolerance

Parent symptom: Feeling Of Heat

Did you mean? Afternoon Heat Sensation

What is Evening Heat Sensation?

Evening heat sensation, medically known as a feeling of heat, is characterized by an unusual warmth experienced predominantly in the evenings. This symptom is often described as an overwhelming sense of heat or warmth in the body, which tends to intensify as the day progresses. While it can be a standalone condition, evening heat sensation is commonly associated with underlying health issues and can significantly impact an individual's comfort and well-being.

How Does TCM View Evening Heat Sensation?

In Traditional Chinese Medicine (TCM), evening heat sensation is viewed through the lens of balance and harmony within the body's energy systems. Unlike Western medicine, which might attribute this symptom to hormonal changes or metabolic issues, TCM considers it a manifestation of internal disharmony. Identifying the right pattern of disharmony is crucial for effective treatment.

Root Causes of Evening Heat Sensation in TCM

One common cause of evening heat sensation in TCM is Kidney Yin Deficiency. This pattern is characterized by a lack of nourishing Bodu Fluids in the Kidneys, leading to symptoms such as excessive sweating, back pain, dry mouth and throat at night, and a general feeling of heat, especially in the evening.

Another prevalent cause is Kidney Yin Deficiency With Empty-Heat Blazing. This condition is marked by flushed cheekbones, restlessness, insomnia, night sweats, and a distinct low-grade fever that rises in the afternoon and evening.

Explore below more details about what might cause Evening heat sensation according to TCM.

  • By Syndrome
  • By Organ
  • Yin Deficiency
  • Heat
  • Kidney
  • Heart
Detailed description of the cause

Yin Deficiency

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

Yin Deficiency Patterns That Can Lead to Evening Heat Sensation

Common Symptoms: Dizziness Tinnitus Flushed Cheekbones Night Sweats Restlessness Scanty Menstruation Back Pain Knee Weakness

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency Feeling of heat in the evening, Excessive sweating, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Constipation, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Zuo Gui Wan | Ba Wei Di Huang Wan | Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan | Bai Zi Yang Xin Tang | Qi Bao Mei Ran Dan
Kidney Yin Deficiency With Empty-Heat Blazing Feeling of heat in the evening, Flushed cheekbones, Restlessness, Insomnia, Night sweats, Low grade fever in the afternoon, Heat sensation in palms, Afternoon heat sensation, Evening heat sensation, Scanty and dark urine, Hematuria, Dry throat, Preference for sipping, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emission, Hypersexuality, Dry stools... see more Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan
Kidney-Deficiency Feeling of heat in the evening, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more You Gui Wan | Zuo Gui Wan | Er Zhi Wan | Liang Di Tang
Detailed description of the cause

Heat

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

Heat Patterns That Can Lead to Evening Heat Sensation

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency With Empty-Heat Blazing Feeling of heat in the evening, Flushed cheekbones, Restlessness, Insomnia, Night sweats, Low grade fever in the afternoon, Heat sensation in palms, Afternoon heat sensation, Evening heat sensation, Scanty and dark urine, Hematuria, Dry throat, Preference for sipping, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emission, Hypersexuality, Dry stools... see more Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Evening Heat Sensation

Common Symptoms: Dizziness Tinnitus Night Sweats Restlessness Flushed Cheekbones Hearing Loss Lower Back Pain Scanty And Dark Urine

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yin Deficiency Feeling of heat in the evening, Excessive sweating, Back pain, Hearing loss, Dry mouth and throat at night, Lower back pain, Constipation, Scanty and dark urine, Infertility, Premature ejaculation, Generalized fatigue, General weakness, Depression, Anxiety, Heat sensation in palms, Evening heat sensation, Flushed cheekbones, Menopausal hot flashes, Preference for sipping, Evening anxiety... see more Zuo Gui Wan | Ba Wei Di Huang Wan | Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan | Bai Zi Yang Xin Tang | Qi Bao Mei Ran Dan
Kidney Yin Deficiency With Empty-Heat Blazing Feeling of heat in the evening, Flushed cheekbones, Restlessness, Insomnia, Night sweats, Low grade fever in the afternoon, Heat sensation in palms, Afternoon heat sensation, Evening heat sensation, Scanty and dark urine, Hematuria, Dry throat, Preference for sipping, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emission, Hypersexuality, Dry stools... see more Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan
Kidneys And Heart Not Harmonized Feeling of heat in the evening, Palpitations, Restlessness, Insomnia, Vivid dreaming, Anxiety, Poor memory, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emissions with dreams, Evening heat sensation, Dry mouth and throat at night, Preference for sipping, Night sweats, Heat sensation in palms, Scanty and dark urine, Dry stools... see more Bai Zi Yang Xin Tang | Tian Wang Bu Xin Dan | Jiao Tai Wan | Qing Xin Lian Zi Yin
Kidney-Deficiency Feeling of heat in the evening, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Frequent urination, Late menstruation, Chills, Cold extremities... see more You Gui Wan | Zuo Gui Wan | Er Zhi Wan | Liang Di Tang
Detailed description of the cause

Heart

In TCM the Heart is considered the "emperor" of all organs, primarily responsible for governing Blood and housing the mind, known as "Shen." It plays a crucial role in maintaining mental-emotional equilibrium and controlling the circulation of Qi and blood throughout the body. When the Heart is imbalanced or malfunctions in TCM, it can lead to a range of issues like heart palpitations, insomnia, dream-disturbed sleep, anxiety, and a flushed complexion. Emotional disturbances such as excessive joy or lack of joy are also seen as signs of Heart disharmony. These symptoms reflect not just physical heart conditions but also the state of one's Shen, indicating the interconnectedness of physical and emotional well-being in TCM.... see more

Heart Patterns That Can Lead to Evening Heat Sensation

Pattern Name Relevant Symptoms Relevant Formulas
Kidneys And Heart Not Harmonized Feeling of heat in the evening, Palpitations, Restlessness, Insomnia, Vivid dreaming, Anxiety, Poor memory, Dizziness, Tinnitus, Hearing loss, Lower back pain, Nocturnal emissions with dreams, Evening heat sensation, Dry mouth and throat at night, Preference for sipping, Night sweats, Heat sensation in palms, Scanty and dark urine, Dry stools... see more Bai Zi Yang Xin Tang | Tian Wang Bu Xin Dan | Jiao Tai Wan | Qing Xin Lian Zi Yin

TCM Herbal Formulas for Evening Heat Sensation

For addressing evening heat sensation, TCM utilizes specific herbal formulas tailored to the individual's pattern of disharmony. For Kidney Yin Deficiency, Zuo Gui Wan is a fundamental formula that nourishes Yin and supports overall Kidney health. Another effective formula is Ba Wei Di Huang Wan, which also targets Yin Deficiency but includes additional herbs to enhance the formula's nourishing effects.

When dealing with Kidney Yin Deficiency With Empty-Heat Blazing, Liu Wei Di Huang Wan is often prescribed. This formula, which includes Prepared Rehmannia, helps nourish Yin and alleviate the feeling of heat. Zhi Bo Di Huang Wan, containing Anemarrhena Rhizomes, is also used to clear internal heat and provide relief from the intense evening warmth.

For those with a pattern of Kidneys And Heart Not Harmonized, Bai Zi Yang Xin Tang is recommended. This formula nourishes the Heart and calms the mind, addressing symptoms like palpitations, restlessness, and insomnia. Tian Wang Bu Xin Dan, which cools the blood and calms the spirit, is another suitable option for restoring harmony and reducing evening heat sensations.

Explore below some TCM herbal formulas used to address evening heat sensation, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Yin Deficiency
  • Heat
  • Formulas that nourish yin and tonify
  • Formulas that nourish the heart and calm the mind
  • Formulas that warm yang and tonify
  • Formulas that tonify yin and yang
  • Formulas that clear heat from the organs

All Formulas Recommended for Evening Heat Sensation Caused by Yin Deficiency

Formula Patterns Suitable For
Zuo Gui Wan Kidney-Deficiency, Kidney Yin Deficiency
Liu Wei Di Huang Wan Kidney Yin Deficiency, Kidney Yin Deficiency With Empty-Heat Blazing
Zhi Bo Di Huang Wan Kidney Yin Deficiency, Kidney Yin Deficiency With Empty-Heat Blazing
Bai Zi Yang Xin Tang Kidney Yin Deficiency
You Gui Wan Kidney-Deficiency
Er Zhi Wan Kidney-Deficiency
Liang Di Tang Kidney-Deficiency
Ba Wei Di Huang Wan Kidney Yin Deficiency
Qi Bao Mei Ran Dan Kidney Yin Deficiency

All Formulas Recommended for Evening Heat Sensation Caused by Heat

Formula Patterns Suitable For
Liu Wei Di Huang Wan Kidney Yin Deficiency With Empty-Heat Blazing
Zhi Bo Di Huang Wan Kidney Yin Deficiency With Empty-Heat Blazing

All "formulas that nourish yin and tonify" recommended for evening heat sensation

Formula Patterns Suitable For (if applicable)
Zuo Gui Wan Kidney-Deficiency, Kidney Yin Deficiency
Liu Wei Di Huang Wan Kidney Yin Deficiency, Kidney Yin Deficiency With Empty-Heat Blazing
Zhi Bo Di Huang Wan Kidney Yin Deficiency, Kidney Yin Deficiency With Empty-Heat Blazing
Er Zhi Wan Kidney-Deficiency
Liang Di Tang Kidney-Deficiency
Ba Wei Di Huang Wan Kidney Yin Deficiency

All "formulas that nourish the heart and calm the mind" recommended for evening heat sensation

Formula Patterns Suitable For (if applicable)
Bai Zi Yang Xin Tang Kidney Yin Deficiency, Kidneys And Heart Not Harmonized
Tian Wang Bu Xin Dan Kidneys And Heart Not Harmonized
Jiao Tai Wan Kidneys And Heart Not Harmonized

TCM Herbs for Evening Heat Sensation

Explore below some TCM herbs used to address evening heat sensation, organized by herb category.

  • By Herb Category
  • Herbs that warm the interior and/or expel cold
  • Tonic herbs for blood deficiency
  • Tonic herbs for yin deficiency
  • Herbs that clear heat and dry dampness
  • Tonic herbs for yang deficiency
  • Herbs that cool the blood
  • Herbs that clear heat and purge fire and/or clear summer heat
  • Herbs that nourish the heart and calm the spirit
  • Herbs that stabilize and bind

"Herbs that warm the Interior and/or expel Cold" recommended for evening heat sensation

Herb Formulas they belong to (if applicable)
Prepared Aconite (Zhi Fu Zi) You Gui Wan
Cinnamon Bark (Rou Gui) You Gui Wan

"Tonic herbs for Blood Deficiency" recommended for evening heat sensation

Herb Formulas they belong to (if applicable)
Prepared Rehmannia (Shu Di huang) Zuo Gui Wan | Ba Wei Di Huang Wan | Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan
Fleeceflower Roots (He Shou Wu) Qi Bao Mei Ran Dan

"Tonic herbs for Yin Deficiency" recommended for evening heat sensation

Herb Formulas they belong to (if applicable)
Glossy Privet Fruits (Nu Zhen Zi) Er Zhi Wan
Eclipta Herbs (Mo han lian) Er Zhi Wan

"Herbs that clear Heat and dry Dampness" recommended for evening heat sensation

Herb Formulas they belong to (if applicable)
Phellodendron Bark (Huang Bo) Zhi Bo Di Huang Wan
Goldthread Rhizomes (Huang Lian) Jiao Tai Wan