Heart Fire; The kind of Heat your Heart doesn’t need!

Heart Fire upsets the Mind, perturbs normal sleep patterns and often wakes you with disturbing dreams. And it’s dangerous.
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Key Learning Points

  • Heart Fire is difficult to spot in its early stages
  • Mental and emotional symptoms
  • Its underlying cause is emotional tension …
  • … often backed up by the wrong diet

Heart Fire is an ‘excess’ condition. That means that the sufferer is often ‘over the top’. However, he might not seem like that when you first meet him (or her –  women get this too!)  

This is because the Fire doesn’t flare up all the time, so the individual’s demeanour and appearance may need your careful attention for a while before you begin to suspect it.

For some people, romantic tension can produce this condition, but more commonly it comes from other kinds of tension, see below.

Bit of technical stuff! There is some similarity to Heart Yin deficiency with Empty Heat. It is important to carefully distinguish Heart Fire from Empty Heat in the Heart, because they require absolutely different treatments: the wrong treatment could, theoretically, make the patient worse.

For more on that, read Yin deficiency.

Causes of Heart Fire

If you’re new to this website, some of the terms used will seem a bit strange. Usually, by reading the linked page (which should be in red) what we’re talking about will make more sense. These descriptive words, like ‘Heart Fire’, ‘Liver Qi stagnation‘, ‘Liver Fire‘, are syndromes in Chinese medicine.

These syndromes are the names given to disease conditions as defined by Chinese medicine. They are a kind of short-hand which, when you start to get to grips with the different terms used, make immediate sense, unlike the sometimes very clinical – often Latin-based – terms used in Western Medicine.

On this page, you’ll read how Fire – a word used to describe a condition – in the wrong place or in excess can disrupt health. 

The advantage of Chinese medicine is that it sees a link from the earliest stage of this Fire right through to serious disease. That doesn’t mean everyone with a bit too much Fire will get sick – not at all!

In fact, for many, a bit of Heart Fire in the right place is exciting, invigorating and ‘heady’. But of course, for some people it goes too far and they don’t recover from it properly. They can’t or don’t come down to earth again. Then you get trouble.


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1/ The ‘Fire’ arises here not from external factors but from internal energies not flowing smoothly. Liver Qi stagnation over a long period builds up frictional tension from which the heat rises up and enters the Heart.

2/ Heart Fire can also build up when Liver Fire continues over a long time. Liver Fire arises mainly from unresolved emotional tension extending over a long period. In other words, you can get it from prolonged Liver Qi stagnation if the latter becomes Liver Fire.

So in both cases, the underlying factor is emotional tension. The most common emotion is anger, with frustration, leading to resentment. Long periods of depression may also eventually become Fire in the Heart.

Other Factors that make you more likely to get Heart Fire:

Other factors that can incline you towards Heart Fire or which can increase its likelihood include


3/ Heat in the Small Intestine, which can arise from eating too many hot, spicy foods. 


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4/ More importantly, it can arise from persisting in pursuit of too many projects in life at the same time. The Small Intestine (in Chinese medicine)  has the ‘job’ of taking decisions (along with the Gall-Bladder). Push it too hard and Heat builds up, leading to manic behaviour. Then you get ‘Small Intestine Heat’. That’s like a small engine forced to rev too high for too long which then begins to overheat.

This Heat in the Small Intestine can ‘transmit’ to the Heart or encourage Heart Fire when there are other predisposing factors.

5/ Too much thinking! A text by Cheng Xing Gan says that because the brain is made of what translates as ‘Marrow’, which comes from the Kidneys, ‘too much thinking’ burns the brain, causing Heart Fire and symptoms of dizziness, blurred vision and tinnitus.

Remember, Chinese medicine goes back 2500 years at least. They were smarter surgeons and investigators than we like to imagine, but they lacked our modern scientific apparatus. They made up for it with careful observation and the development of a highly sophisticated theory. That theory seems very foreign to us, until you realise how smart and practicable it is.

Heart Fire; The kind of Heat your Heart doesn’t need! Video

Heart Fire Symptoms

Heart Fire symptoms appear mentally, emotionally and physically, all of them reflecting the Heart’s areas of control.

But don’t expect to see all the following symptoms appearing at once!

Often it starts after a long period of stress with increased anxiety, palpitations and dream-disturbed sleep, usually a slightly rapid wrist pulse possibly ‘overflowing’ at the left, front position. And? Well, that’s all you may see.

There may not be much redness, except perhaps near the tip of the tongue, where eventually – much later on – there may be ulcers, with increased thirst. Only as the condition deteriorates do these other symptoms begin to appear.

As the condition progresses you get towards …


  • severe anxiety with agitation, 
  • mental restlessness, and 
  • tendency to be somewhat ‘hyper’,
  • bursts of inappropriate laughter, 
  • easily startled, 
  • then irritable, 
  • loud-voiced,
  • talking lots, even stuttering.

Appearance of Heart Fire

  • can lie on a range from merely feeling hot, to 
  • red nose
  • red complexion,
  • mouth open (and sometimes tongue extended depending on other factors), and/or … 
  • when speaking, unconsciously extends the tongue out of the mouth
  • hot flushes or ‘hot and bothered’, 
  • hot, red, dry, itchy skin (often in the arm-pit or along the Heart meridian)
  • Sleep: insomnia, dream-disturbed, sleep-talking. Although if you are at the ‘high’ stage it may be hard to get to sleep in the first place, people with Heart Fire tend more to keep waking up, often from dreams. The Heart is too hot to let the Shen, the Mind, settle and remain quiet while asleep.For more about the Chinese theory of sleep, click Insomnia.
  • Chest and Heart: tightness; palpitations.
  • Appetite: constant hunger, always picking at food, likes sweets.
  • Circulation: feels and look hot, with hot hands, especially the back of the hands, and sweaty palms.
  • Sexual: nocturnal emissions with dreams, tendency to premature ejaculation.
  • Mouth and throat
  • bitter taste in the morning after a bad night’s sleep, 
  • thirst, 
  • may tend to keep mouth open, and may often stick out the tongue
  • red throat; 
  • tongue and mouth ulcers, 
  • tongue sensation is of burning and itching: Heart Fire symptoms often concentrate towards the tongue-tip which may be redder and swollen.


  • staring, fixed …
  • possibly protruding, 
  • painful, 
  • yellow discharge,
  • red or inflammation at inner canthus and of sclera, 
  • red veins in the eyes, 
  • eyes may lachrimate easily.


Urine: dark urine, may contain blood, urination is painful.


  • Tongue: red, with redder tip which may be swollen or with red points on it. Tongue ulcers, often at the tip, painful with raised edges. Yellow coating. As the condition becomes more chronic a crack appears in the mid-line of the tongue, extending towards the tip.
  • Pulse: rapid, overflowing, especially at the left front position. As the condition worsens, the pulse may be not merely rapid by stop at irregular intervals (‘Hasty’).



  • premenstrual tension, (but note, there are other reasons why a woman might have pmt, breast distension and heavy periods)
  • breast distension, 
  • periods tend to be heavy.
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As Heart Fire flares, it goes upwards and outwards, mentally and onto the skin, causing anxiety and mental agitation.

That leads to lack of control (easily startled, laughs immoderately and at the wrong time).

Later come palpitations, a feeling of heat and signs of inflammation and dryness. It appears on the tongue as ulcers or swelling towards the tip, and on the skin as redness and rashes. 

It upsets the Mind, perturbing normal sleep patterns. Sometimes this makes it hard to get to sleep. More often disturbing dreams wake you frequently. 

[Bit of theory here: skip if it makes no sense! … The Heart Fire is said to transmit to the Small Intestine (Heart and Small Intestine have what is called an Interior-Exterior relationship) and from there to the Bladder, which is paired with the Small Intestine as together they form the Tai Yang: hence the dark urine and painful urination.

Heart Fire can thicken the fluids in the body, producing Phlegm-Fire that Harasses the Mind. This usually occurs when the diet and digestion have been not quite right – often from too many rich, spicy or ‘heating’ foods – see Nutrition. Then you get a situation which is rather like Bipolar disease: Manic-Depression. However, this doesn’t happen overnight. The syndrome has to be there for a while before it moves to this further stage.]

Treatment for Heart Fire


Calming Heart Fire


The aim is to clear the Heat and pacify the Mind. 

Points include those towards the end of the meridian at HE-7, HE-8 and HE-9: the front-mu point Ren-15LI-11, Sp-10, Du-24 and Du-19. These points help clear Heat. Sp-6 and Kid-6 regulate Yin. Also points on the Small Intestine meridian such as Si-2 (water point), Si-5 (Fire point), St-39 (lower He-sea point of the Small Intestine). 

Of course, later on, treatment should help the patient cope with the emotional tension and issues surrounding it. One possible (acupuncture) way of helping to do this is to release what is called aggressive energy on the back, a technique known to some acupuncturists. 

Also, your acupuncturist would treat Liver Qi stagnation and give advice on diet and exercise, with counselling if appropriate. 

Sometimes the patient must just walk away from the problem, find another job, do less, back off from the relationship … whatever is causing the emotional tension. 

If the patient can’t or won’t make changes, then any treatment can only be palliative, because the continuing pathogenic factor remains in the patient’s life. Prognosis is then not so good.

Overall, acupuncture can be very successful here, by reducing the symptoms and returning the patient to a calmer state, all the better to deal with the situation that started it all off.

The beauty of this approach is that it is methodical, starting with a diagnosis and then using two thousand years (probably much more) of experience to deal with the condition in a practical, reliable way.

It doesn’t require drugs, although Chinese herbal recipes have often been adapted for it, and often it doesn’t require counselling because, once the patient has calmed down, he (she) can see what to do.

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