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

Pattern Names

Stomach Fire • 胃热炽盛 • Wèi Rè Chì Shèng

Classification
Category: Zang Fu	Syndrome: Stomach

Symptoms
Tongue: red, dry, yellow, dark, or black coat	Pulse: rapid, large, surging
Indications: Severe stomach pain with pressure and warmth. epigastric pain. Bleeding gums, swollen painful gum, Dry stools, Dry mouth, Pain after eating, Vomiting after eating, Severe thirst, Like cold liquid, Mental restlessness, Acid reflux, Toothache, Mouth ulcers, Fever, Constipation, excessive hunger, sour regurgitation, 4 Bigs, sensation-heat [Maciocia] • abdominal burning pain which resistant to pressure, thirst and desire to drink cold water, excessive appetite which EAT A LOT BUT STILL FEELS HUNGRY, or bad breath, or painful, swelling, bleeding of the teeth and gums, sores in the mouth, constipation with dry stool, scant yellow urine, a red tongue with yellow coating, a slippery and rapid pulse [32] • STOMACH PHLEGM FIRE: thick yellow sticky coat, yellow prickles inside a midline crack. P: rolling, rapid, full. Stuffiness of the epigastrium, less thirst, mental derangement, insomnia, mucus in stool.[35]

Keywords

severe epigastric or stomach pain, four breath, severe thirst [Maciocia] • acid regurgitation, thirst, preference for COLD drinks, excessive appetite, plus interior excess heat signs and symptoms [Qiao]

Treatment

clear heat, harmonize ST, transform phlegm, descend ST Qi

Acupuncture

LI4, LI11, PC6, REN12, REN13, SP15, ST21, ST34, ST44

Herb

Qing Wei San, Liang Ge San, Tiago Wei Chong Qi Tang

Etiology

1) Hot greasy food 2) Smoking 3) Alcohol 4) Anger and resentment [Maciocia] • exuberant stomach fire leads stomach function disorder [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

---