Heart Fire   心火亢盛

Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names
Heart Fire • 心火亢盛 • Xīn Huǒ Kàng Shèng
Classification
Category: Zang Fu Syndrome: Heart
Symptoms
Tongue: red, red prickles, yellow coat, midline crack to lips, sores Pulse: rapid, hasty
Indications: Mental restlessness, Vexation, Insomnia, Dream disturbed sleep, Red face, Thirst w/ desire to drink cold water, Ulceration and pain of mouth and tongue, Heat sensation in chest, Dark urine, Bloody urine, Hesitant painful urination if severe, Bitter taste after poor sleep [Maciocia] • Vexation and hot sensation in chest, irritability, agitated, insomnia, flushed face, thirst and preference of drinking water, yellow urine, dry stool, deep red tongue tip, or tongue ulcers, rapid and forceful pulse. Or manic behavior, delirium, or even hemtemesis, nose bleeding [Qiao] •
Keywords
Palpitation, vexation, ulcers, dark urine, painful urination, Lin syndrome [Maciocia] • insomnia, irritability, vexation, manic behaviors, red tongue tip or tongue ulcers, normal mental behaviors compared to HT Phlegm Fire[Qiao]   
Treatment 
Clear Heart fire, Calm shen
Acupuncture 
LI 4, LI 11, DU 14, RN 3, HT 7
Herb
Xie Xin Tang • Qing Xin Tang • Dao Chi San
Etiology
1) Prolonged mental depression 2) Long term pathogen invasion [Maciocia] • Excessive fire in the heart [Qiao]
Notes
Key differences: Heart fire - issues on the tongue and bitter taste in the morning, chest. Liver fire - eye problems, bitter taste the whole day, hypochondriac. Stomach Fire - gum swelling, epigastric ares. 3 kinds of thirst: Excess fire-drink lots of cold water at once; Yin Deficiency heat - sip little water; Damp-heat - thirst but no desire to drink. [35]
Use Case 1
Use Case 2