Heat victorious agitating Blood
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
At a glance
Preliminary reading: What is a pattern? The concept of The four levels theory The concept of Heat The concept of Blood
Key attributes
Chinese name: 热盛动血 Pinyin name: Rè Shèng Dòng Xuè
Pattern nature: Full
Causes
Precursor patterns: Heat in Pericardium Heat in Nutritive Qi level
Common causes: External pathogenic factor
Diagnosis
Common symptoms: Epistaxis High fever Dark macules Restlnessness Bloody stools and three other symptoms
Pulse type(s): Rapid (Shu), Wiry (Xian)
Tongue description: Dark-Red tongue without coating
Treatment
Treatment principle: Clear Blood Heat, stop bleeding.
Common formulas: Xi Jiao Di Huang Tang
Pathology
This is one of the five patterns of the Blood level, the fourth and last level of the Four Levels theory. This means this is a very serious pattern where an External Pathogen has penetrated deeply within the body.
At this level, the Heat had reached the Blood and is agitating it, much like heat makes water boil. This makes the Blood go out of the vessels, which is visible via various bleeding symptoms.
Heat in the Blood also disturbs the Mind since the Heart governs Blood and houses the Mind at the same time. This gives rise to symptoms such as mental restlessness and manic behavior.
Causes
Precursor patterns: Heat victorious agitating Blood can derive from Heat in Pericardium Heat in Nutritive Qi level
External pathogenic factor: The main original cause of Heat in Nutritive Qi level is an Exterior Pathogenic Factor (typically Wind-Heat) that has invaded the Interior and progressed to this level.
Diagnosing Heat victorious agitating Blood
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Rapid (Shu) or wiry (Xian)
Tongue description: Dark-Red tongue without coating
Main symptoms: Epistaxis High fever Dark macules Restlnessness Bloody stools Manic behavior Blood in urine Vomiting of blood
Treating Heat victorious agitating Blood
Treatment principle
Clear Blood Heat, stop bleeding.
Herbal formulas used to treat Heat victorious agitating Blood
Xi Jiao Di Huang Tang
Source date: 650 AD
Number of ingredients: 4 herbs
Key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.
Formula summary
Xi Jiao Di Huang Tang is a 4-ingredient Chinese Medicine formula. Invented in 650 AD, it belongs to the category of formulas that clear nutritive-level Heat.
Besides Heat victorious agitating Blood, Xi Jiao Di Huang Tang is also used to treat Loss of Blood or Heat in the Blood.