» conventional diagnoses: neurosis; mania; hypertension; glossitis; hyperthyroidism; bladder infection
» etiology: progression of Heart Yin Xu (Deficiency); arises during some fevers by invasion of Pericardium by pathological Heat; arises from chronic anxiety, constant worrying and depression through consequent disturbance of the Shen and Qi Stagnation; often transmitted from Liver Fire
signs and symptoms
signs and symptoms:
restlessness
impulsiveness
irritability
unease
feverish sensation
insomnia
headache
flushed red face
bitter taste in the mouth
thirst
swelling, pain and ulceration of tongue and mouth
palpitations
reddening of tongue tip
cracking of tongue
sparse hot dark urine with dysuria.
» pulse: full rapid, overflowing, esp. at Heart position; can seem fine when combined with Kidney Yin Xu (Deficiency)
» tongue: red, esp. with red tip and possible ulceration at the tip, midline crack, thin yellow coating
course and prognosis
» principle of treatment: clear Heart Fire; pacify the Shen; tonify Heart and Kidney Yin
» therapeutic note: no moxa!
differential diagnosis
footnotes