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4 Blood heat Syndrome
Blood heat syndrome refers to syndrome caused by exuberance of fire and heat in the viscera that invades blood phase. This syndrome is usually caused by extreme emotional disorder which transforms into fire; or by excessive drinking of alcohol which transforms into heat and invades blood phase. Blood heat syndrome can be seen in miscellaneous disease due to internal impairment and exogenous febrile disease which are discussed in the section of syndrome differentiation of wei, qi, ying and blood.
Clinical manifestations: Hemoptysis, or hematemesis, bleeding, hematuria, hematochezia, advanced profuse menstruation, even metrorrhagia, dysphoria, thirst, deep reddish tongue and fast pulse.
Analysis of symptoms.. Internal exuberance of fire and heat impairs collaterals and causes various bleeding marked by sudden onset, profuse quantity and deep red colour; fire and heat may lead to different blood syndromes when they have impaired different viscera, impairment of lung collateral causes hemoptysis, impairment of stomach collaterals causes hematemesis, impairment of the kidney or bladder causes hematuria, impairment of the large intestine causes hematochezia and impairment of the thoroughfare and conception vessels causes advanced and profuse menstruation or even metrorrhagia; internal exuberance of fire and heat consumes fluid and causesthirst; heat disturbs heart spirit and causes dysphoria; exuberant heat promotes blood flow and drives blood to the vessels of
tongue and makes the tongue appear deep red; heat propels blood and leads to fast pulse.
Key points for syndrome differentiation. This syndrome is marked by various bleeding accompanied by symptoms of internal exuberant fire and heat, such as dysphoria, thirst, deep red tongue and fast pulse, etc.

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