Insomnia- Heart Fire – YTS

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Original Case by: Ye Tian-Shi (叶天士)

[Patient] Ni had lots of pain and ascending yang. The yin fluids were endlessly pouring out from the upper part of the body. The tongue was dried-up and red-crimson colored. There was irritability and inability to sleep. It was suitable to augment the Kidney water in order to control Heart fire.

xian sheng di (fresh Rehmanniae Radix)
xuan shen (scrophularia, ningpo figwort root)
mai men dong (Ophiopogonis Radix)
lu dou pi (Phaseoli Radiati Testa)
jin yin hua (Lonicerae Flos)
zhu ye xin (Lophatheri Folium Immaturum)

Translated by: Jason Blalack

Original Chinese: 倪 多痛阳升。阴液无以上注。舌涸赤绛。烦不成寐。当益肾水以制心火。(心火)鲜生地 元参 麦冬 绿豆皮 银花 竹叶心

Source: Case from the Insomnia chapter of Case Records as a Guide to Clinical Practice (Lín zhèng zhî nán yï àn) 《临证指南医案》.


lu dou pi (Phaseoli Radiati Testa) is cold and sweet. It resolves heat toxin, clears wind-heat, eliminates eye screen (目翳), transforms maculopapular eruption, and disperses swelling and distention. From: 《纲目》& 《随息居饮食谱》


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  • Dr. Eric

    What does yǐn fluids endlessly pouring out from the upper part of the body mean to you? Severe runny nose? Profuse sweating?

  • Huang Qi

    I would guess that this is referring to sweating from the upper part of the body. -Jason Blalack

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