Liver Wind from Extreme Heat    热极生风

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

Pattern Names
Liver Wind from Extreme Heat  • 热极生风 • Rè Jí Shēng Fēng
Classification
Category: Zang Fu Syndrome: Liver
Symptoms
Tongue: red with dry yellow coating Pulse: wiry, rapid, large, surging
Indications: Stiff neck, High fever, Convulsions, Tremors, Lockjaw, 4 Bigs, Delirium, Opisthotonos, Coma [34] • High fever, irritability, fidget, coma, spasm and convulsion, and stiff neck. Or opisthotonus, lock jaw, upward or straight staring eyes. A deep red tongue with dry yellow coating, and a wiry and rapid pulse [32]
Keywords
High temperature, convulsions, stiff tongue [35]   
Treatment 
drain heat, soothe Liver
Acupuncture 
DU8, DU14, GB20, GB34, LI4, LI11, LV2, LV3
Herb
Ling Jiao Gou Teng Tang
Etiology
Due to extreme heat consumes body fluid, leads sinews /tendons spasm because of lack of nourishment. Or extremely heat invade into the pericardium reversely during the course of exogenous febrile disease.[Qiao]
Notes
Falls under the umbrella Internal LIVER WIND. LV Wind Extreme Heat is pure excess. LV Wind Blood deficiency is pure deficiency. LV Wind LV Yang Rising is a mixture of both. Key for Extreme Heat is high fever and opisthotonus (cooked hot dog shape). Key for Blood deficiency is milder symptoms like limb numbness, tic, head shaking, limb tremors. Key for LV Yang Rising has no high fever or opisthotonus. Has tongue stiffness, aphasia, headache, vertigo, convulsion. [35]
Use Case 1
Use Case 2