clinical picture
The clinical manifestations of "excessive internal heat" (heat syndrome) vary from mild to severe. Common severe diseases, such as heatstroke, are mostly due to high temperature, lack of water and long-term sultry environment, which may lead to fever and even coma. It is a typical exogenous heat syndrome. The so-called "excessive internal heat" is generally mild, belonging to the mild symptoms of heat syndrome in traditional Chinese medicine, such as red eyes, aphtha, yellow urine, toothache, sore throat, etc., without systemic heat symptoms. In this case, endogenous heat is much more than exogenous heat. If work and life are stressful, you often stay up late and eat spicy food. It is easy to make a fire from the inside.
Clinical manifestations of excess fire: red face and red eyes, chapped lips, bitter mouth and dry mouth, erosion of mouth and tongue, sore throat, gingival bleeding, epistaxis, tinnitus and deafness, furuncle, fever and irritability, short and red urine, bloody stool, red tongue with yellow coating and rapid pulse.
Clinical manifestations of deficiency fire: most of them are caused by internal injury and strain, which can be further divided into yin deficiency and qi deficiency and internal heat. Excessive fire due to yin deficiency is characterized by hot flashes, night sweats, emaciation, dry mouth and throat, vexation, restlessness, red tongue without coating, and rapid pulse. The common symptoms of qi deficiency and excessive fire are: low fever all over the body, especially before noon, fear of cold and wind, aversion to heat and cold, mental fatigue, shortness of breath and laziness, spontaneous sweating, loose urine, weak pulse, pale tongue with thin fur.
Common types of "excessive internal heat" in clinic:
1. Heart fire
There are two kinds: virtual and real. Deficiency fire is characterized by low fever, night sweats, upset and dry mouth. Excess fire is characterized by repeated oral ulcers, swollen gums, dry mouth, short and red urine, and irritability.
2. Lung fire
The main manifestations are dry cough with little phlegm, bloody sputum, sore throat and hoarseness, hot flashes and night sweats.
3. Stomach fire
There are two kinds: virtual and real. Deficiency fire is characterized by mild cough, less appetite, constipation, abdominal distension, red tongue and less fur. Excess fire is manifested as epigastric discomfort, dry mouth and bitter taste, dry stool and yellow greasy tongue coating.
4. liver fire
It is often said that some excitable people are "angry". In fact, the constitution commonly known as "liver fire" also has the following symptoms: dry mouth, bitter taste, bad breath, headache, dizziness, dry eyes, unstable sleep, sultry body and thick tongue coating.
5. Kidney fire
The main manifestations are dizziness, tinnitus and deafness, toothache, restless sleep, feverish five nerves, emaciation, lumbago and leg pain, etc.