Excessive Yang, excessive heat - Chinese medicine

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http://www.mybodywisdom.net/pdf/Nutrition_for_Kidney_Yin.pdf
Kidney Yin Deficiency - Signs and Symptoms
(from The Foundations of Chinese Medicine by Giovanni Maciocia)
Dizziness Vertigo Tinnitus
Poor memory Deafness Night sweating
Dry mouth at night 5-palm heat Thirst
Sore back Ache in bones Nocturnal emissions
Dark-scanty urine Constipation
Tongue: Red, no coating, cracks Pulse: Empty and rapid
Key Symptoms: Dry mouth at night, night sweating, red-peeled tongue


Key Foods To Build Kidney Yin
The key piece of nutritional wisdom is to focus on tonifying foods that moisten, along with some
mildly cooling foods, and to resist a temptation to overdo cooling foods that may put out a fire
that’s not as strong as it seems.
A wide and varied diet – Kidney Yin is about the deep reserves in the body including nutritional
reserves. Suggest a varied diet that provides a broad array of vitamins, flavonoids, carotenes, trace
elements, minerals, and amino acids. This is not the time to eat the same foods over and over
again.

Water – Since Yin is about moisture, suggest ample water throughout the day.

Salty flavored foods: miso, sea salt, tamari, salted raw sauerkraut or kimchee (Korean cultured
vegetables). Each of the five elements in TCM has a flavor attributed to it, and the Water flavor
which governs Kidneys is salty. To support the Water element, recommend a healthy amount of
salt, as too much salt will have the opposite effect. Check to make sure your client is not getting
too much, and that she has replaced commercial table salt with sea salt.

Kidney shaped foods: black beans, kidney beans, most beans – Because beans are kidney shaped as
well as seeds with potential for new life, these foods have long been considered especially
nourishing to the Kidneys.

Blue and black foods: Blueberries, blackberries, mulberry, black beans – The colors blue and black
correspond to the Water element of the Kidneys. It is possible to strengthen the Water element by
eating blue/black foods.

Seafood: fish, shrimp, seaweeds – all support the Water element.
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 http://health.howstuffworks.com/wellness/natural-medicine/chinese/traditional-chinese-medicine-internal-organ-syndromes4.htm

Liver Syndromes

Liver syndromes are commonly seen in clinical practice, since the stress and toxicity of modern life (poor diet, chemicals in our food and environment, stress, overwork, etc.) take a toll on the liver. Since the liver plays the central role in the smooth flow of qi and emotion in the body, disharmony of the liver can affect any of the other organs. Typically, disorders of the menstrual cycle or stress-related ailments indicate a problem with the liver.
Liver Qi Stagnation: This is one of the most common diagnoses in traditional Chinese medicine. When the qi of the liver is stuck, symptoms of frustration, irritability, depression, anxiety, fullness in the chest, menstrual disorders, and indigestion can occur. This excess condition can also arise in a person who has experienced long-term depression or frustrations, creating a vicious cycle of cause and effect. Some Western conditions that fit this pattern are premenstrual syndrome, depression, hepatitis, or chronic fatigue. Treatment with acupuncture often has an immediate effect in relieving the symptoms. A classic formula known as Xiao Yao Wan ("Free and Easy Wanderer Pills") is also very effective in rectifying this liver syndrome.
Liver Fire Uprising: This excess heat pattern mainly affects the upper body, since heat rises naturally. The entire face is red, with additional signs and symptoms of red eyes, anger, headache, ringing in the ears (tinnitus), bitter taste in the mouth, insomnia, constipation, dark urine, red tongue with a yellow coat, and a full, rapid pulse. The condition can arise from long-term stagnation of qi due to anger, alcoholism, or chronic liver imbalances that develop into heat patterns. Some corresponding Western diagnoses are hypertension, alcoholism, hyperthyroidism, acute hepatitis, gallbladder infection, ear infection, and conjunctivitis. Treatment involves clearing heat and regulating the liver with acupuncture and herbal formulas such as Long Dan Xie Gan Wan.
Liver and Gallbladder Damp Heat: When dampness accumulates in the body and combines with heat in the liver and gallbladder, this excess syndrome develops. Its symptoms are jaundice and dark urine, which are caused by a stagnation of yellow bile that backs up and is excreted through the skin and urine. Additional symptoms include a lack of appetite, an aversion to greasy food, digestive problems, bitter taste in the mouth, nausea, vomiting, burning diarrhea, a red tongue with a thick, greasy yellow coat, and a slippery, rapid pulse. In Western medicine, most of these symptoms are typical of acute hepatitis or gallbladder infections, but this pattern can also correspond to herpes, vaginal discharges, testicular pain, and eczema. The treatment principle is to clear heat and drain dampness with herbs such as rhubarb root (da huang), gentian (long dan cao), and Artemisia (yin chen hao).
Liver Wind Moving Internally: Since the liver is in charge of the smooth flow of qi, any abnormal body movements are typically related to liver imbalances due to wind. This internal wind is considered an excess pattern, but it can arise from a variety of causes, such as blood deficiency, excess heat, or liver yin deficiency. The cardinal symptoms involve abnormal movements such as shaking, spasms, tics, rigidity, and convulsions. Dizziness, headache, and difficulty in speaking may also occur. The tongue and pulse signs depend on which underlying pattern has caused the stirring of wind, but the pulse is usually wiry, a typical sign of liver imbalance. This pattern is seen in stroke patients and those with Parkinson disease and cases of seizures associated with a high fever, tetanus, and hypertension. Acupunc­ture can be a very effective treatment, as are herbs that clear liver wind and heat, such as Gastrodia (tian ma), Uncaria (gou teng), and Chrysanthemum (jua hua). If the problem is caused by depletion, the underlying deficiency must be tonified. For example, if wind is due to deficient liver yin, treatment must both tonify the liver yin and subdue the wind.
Cold Stagnation in the Liver Channel: The liver meridian encircles the genital area, so localized disorders in the reproductive organs are often traced to a blockage in that meridian. This syndrome is characterized by pain in the groin, lower abdomen, and testicles and is relieved by application of heat. This pattern typically corresponds to a hernia but may also be present in cold-type menstrual disorders and infertility. Treatment involves warming with moxa and using herbs that regulate qi and warm the liver meridian, such as Galangal (gao liang jiang) and lychee seed (li zhi he).
Liver Blood Deficiency: This syndrome has the typical symptoms of blood deficiency: pale face and tongue, dizziness, dry skin, and thin pulse. The condition of the eyes and nails are clues to the state of the liver, so symptoms may include pale, cracked nails, blurred vision, itchy eyes, night blindness, and visual distortions such as spots and floaters. Menstrual flow may be scanty or nonexistent, and lack of nourishment to the tendons from liver blood deficiency can lead to pain, numbness, or cramping in the legs. Possible Western diagnoses are anemia, malnutrition, hypertension, menstrual disorders, and eye problems. Treatment involves tonifying the blood with standard blood tonics such as Angelica sinensis (dang gui), cooked Rehmannia (shu di huang), and Polygonum multiflorum (he shou wu), along with herbs that specifically nourish the liver such as Lycium fruit (gou qi zi).
Liver Yin Deficiency: This syndrome exhibits the usual signs of "five palm heat": red cheeks, night sweats, red tongue with no coat, and a thin, rapid pulse. Additional symptoms specific to the liver are dizziness, irritability, and dry, irritated eyes. Treatment involves tonifying liver yin and clearing heat with formulas such as Chrysanthemum, Lycium, and Rehmannia Pills (Qi Ju Di Huang Wan).
Liver Yang Rising: If liver yin deficiency continues without treatment, the deficiency heat rises to the head. Known as liver yang rising, it produces additional symptoms of headache and anger. It is an intermediate syndrome -- more severe than a simple yin deficiency but less severe than liver fire. Some Western diagnoses are anemia, chronic hepatitis, hypertension, eye problems, menopause, and menstrual disorders. Treatment involves sedating the excess liver yang with formulas such as Gastrodia and Uncaria Combination (Tian Ma Gou Teng Yin). If the yang rising symptoms are especially severe, heavy herbs that settle yang, such as oyster shell (mu li), are added.
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http://www.chinesenaturalherbs.com/bulkherbs/clear_heat.htm

a)    Herbs That Clear Heat and Reduce Fire

Herbs that clear heat and reduce fire are mainly indicated for syndromes of heat in the Qi level due to exogenous pathogenic heat invasion manifested as high fever, sweating, thirst, delirium, irritability, scanty and brown urine, yellow and dry tongue coating, surging and forceful pulse, excessive heat in the lungs, excessive heat in the stomach and excessive heat in the heart.

Gypsum (Shigao)
Anemarrhena rhizome (Zhimu)
Reed root (Lugen)
Trichosanthes root (Tianhuafen)
Bamboo leaf (Zhuye)
Lophatherum (Danzhuye)
Capejasmine (Zhizi)
Prunella spike (Xiakucao)
Pipewort (Gujingcao)
Butterflybush flower (Mimenghua)
Celosia seed (Qingxiangzi)

b)    Herbs That Clear Heat and Dry Dampness

Herbs which clear heat and dry dampness are characterized as bitter and cold.  They are indicated in damp-heat disorders manifested as fever, sticky tongue coating, scanty urine, jaundiced, dysentery and diarrhea, furuncles, eczema, abnormal vaginal discharge and turbid urine.  The herbs in this category are likely to weaken the stomach and consume Yin.  The should be used with caution in cases with weakness of spleen and stomach, or deficient body fluids.  If necessary, the herbs can be combined with herbs that nourish Yin.

Scutellaria root (Huangqin)
Coptis root (Huanglian)
Phellodendron bark (Huangbai)
Chinese gentian (Longdancao)
Flavescent sophora root (Kushen)

c)    Herbs That Clear Heat and Cool Blood

Herbs that clear heat and cool blood are indicated in syndromes due to excessive heat at the blood level.  The clinical manifestations are shown in various hemorrhagic diseases, including epistaxis, bloody stool, blood in the urine, functional uterine bleeding, vomiting or spitting up blood, coughing up blood and bleeding of the gums.  These herbs are also used for fever with loss of consciousness, deep red tongue and rapid pulse.  This category of herbs tends to be bitter and sweet-salty in taste and cold in property.

Rhinoceros horn (Xijiao)
Fresh rehmannia root (Shengdihuang)
Scrophularia (Xuanshen)
Moutan bark (Mudanpi)
Red peony (Chishao)
Arnebia (Zicao)

d)    Herbs That Clear Heat and Release Toxins

The category of herbs that clear heat and release toxins is indicated in syndromes caused by excessive toxic heat, including boils, carbuncles, furuncles, maculopapule, erysipelas sore throat and dysentery.  Some of these herbs may help arrest cancerous growth and release poison from snake bites.

Honeysuckle flower (Jinyinhua)
Honeysuckle stem (Rendongteng)
Forsythia fruit (Lianqiao)
Dandelion herb (Pugongying)
Viola (Ziguadiding)
Isatis leaf (Daqingye)
Ox gallstone (Niuhuang)
Houttuynia (Yuxingcao)
Dittany bark (Baixianpi)
Globethistle (Loulu)
Natural indigo (Qingdai)
Pullsatilla root (Baitouweng)
Portulaca (Machixian)
Green chiretta (Chuanxinlian)

e)    Herbs that Clear Heat Caused by Yin Deficiency

Herbs that clear heat caused by Yin deficiency are indicated in deficiency of Yin with heat syndrome manifested as fever, afternoon fever, feverish sensation in the palms, soles and chest, night sweating, red tongue proper with scanty coating and thready, rapid pulse. These herbs are often combined with herbs that nourish Yin to strengthen the function of clearing heat caused by Yin deficiency.  In addition, some of these herbs are indicated in the late stage of febrile disease caused by invasion of exogenous pathogenic heat, in which Yin and body fluids are damaged and pathogenic factors remain inside.  The commonly seen manifestations are fever, fever at night, and fever subsiding in the morning without presence of sweating. In general, these herbs are not suitable for fever due to common cold and cases of deficiency of Yin and blood without heat signs.

Sweet wormwood (Qinghao)
Swallowwort root (Baiwei)
Wolfberry bark (Digupi)
Stellaria root (Yinchaihu)