With Heat in your Ying or Nutritive level, the disease process has penetrated past the Wei and Qi levels (the initial and secondary immune response levels) into what is called this Nutritive level.
What is the pathology behind heat in the ying or nutritive level?
Taken on their own, you might not think these symptoms of Heat in the Nutritive level were serious. But as a development from the wei and qi levels, as a hot disease penetrates, they point to a weakened immune system backed into a corner with few ways out.
With its nutritive level under attack your body’s ability to feed itself, to nourish itself, is under attack. What should be restful, yin-type, activities are disturbed.
A red tongue points to Heat: its lack of coating shows the Stomach has lost the fluids it needs to digest food and to protect itself, so it cannot absorb nutrition.
Your pulse lacks force (thin or fine) and its speed again points to Heat.
So here, the yin qualities of the body have been hurt by the Heat. (That means a yang force, the Heat, has overcome your yin resources, your fluids and ability to manufacture more fluids.)
Aims of treatment
Points to clear this kind of heat are at the distal ends of the most affected acupuncture channels, for example those of the Pericardium and Heart. They might be bled: sore but often very effective.
Points on the Pericardium level for clearing or regulating heat include P 9, P8, P3. Because the Mind is often affected here, points on the Heart channel would also be used such as H9; also general points for Heat, such as L.I.11 and perhaps Sp 10 (to cool Blood). Points at the very tips of the fingers also help clear the excess nature of the condition (shixuan points). Other points might include Du14. To nourish Yin, think of K3, K6, K10.
Qing ying tang is appropriate here. Note: in the original, classic formulation, this includes rhinoceros horn for which we would now substitute other ‘herbs’: perhaps bai wei or bai xian pi.
As the patient’s disease-process proceeds deeper, what the average helper can do grows more limited.
Remember, that your symptoms show your body’s best attempt at dealing with the invasive force.
If you are able to suppress them, you’ll get its next best attempt. Read more under suppression.
That tends to be at a deeper level, associated with less energy overall.
It might reduce the night fever, but probably there would be no improvement in how refreshed the patient was by sleep.
The mind would probably become even less coherent.
The pulse would probably remain fine, but less fast, showing less energy overall.
Most likely, suppression here would hasten descending the invading Heat down to the next level, the Blood level, a still more serious situation…
If the invading pathogen overcomes defences at this Ying or Nutritive level it proceeds to the deepest level, your Blood level:
… where it leads to one of the following:
How did your disease process get here?
It probably came from the Qi level where it overcame one of the following defences:
Another response at this ying level:
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