TCM Schools of Thought | Acupuncture CEU Course
Fire Heat Pathology | Treating Infection and Inflammation
A one hour CEU Video course. Infection and inflammation is the field of battle that most internists and physicians will fight on. Traditional Chinese Medicine has for centuries been developing the body of knowledge known as Fire-Heat Pathology. This class explores the TCM understanding of how “Fire” originates in our bodies, and elaborates on the concept that fire and heat is actually an adaptive mechanism that allows the body to navigate through inflammation and infections. The participant will learn diagnostic principles for different types of Fire-Heat pathology and their respective treatments. Upon completion of this class, the practitioner will gain a deeper insight into innovative methods in treating infection and inflammation.
With: Dr. Daoshing Ni, co-founder of Yo San University
1 ½ CEU/PDA Free to audit this course
$15 Payment includes CEU/PDA certificate of completion, online quiz and download .pdf course file. Access: unlimited
First Time User?
Approved for CEU/PDA by:
NCCAOM Details: Core Competencies: AOM/Biomedicine: 1 ½ PDA
California Details: California Category 1: 1 ½ CEU
Course Sections and Notes (Click any title to expand)
Song – Jin –Yuan Dynasties, 960-1368 AD
Establishment of specialties such as pediatrics and gynecology
Establishment of special topics or approach to diseases
|Liu, Wan Su||He Jian Xue Pai|
He Jian Doctrine
|Zhang, Cong Zheng||Gong Xie Xue Pai|
|Li, Gao (Li, Dong Yuan)||Pi Wei Xue Pai|
Part of Yi Shui Xue Pai
|Zhu, Zhen Heng (Zhu, Dan Xi)||Dan Xi Xue Pai|
Dan Xi Doctrine
Centered around Fire-Heat Pathology
Dry Climate and tough weather
Intake of Beef, lamb, wheat, alcohol.
Tough terrain, tough people.
Even with wind-cold, frequently transforms into heat or dryness.
During Song Dynasty – Tai Ping Hui Min He Ji Ju Fang 太平惠民和剂局方 – mostly warming and tonifying, cannot be used well in heat conditions.
At Song Dynasty, emphasis was on formulas and less on the understanding of pathogenesis.
Dr. Liu, Wan Su, based on the foundations from Neijing and spent 35 years perfecting the Fire-Heat theories.
1.Frequency of Fire-Heat Pathology 火热广泛
2.“Six Qi can all transform to Fire” Doctrine 六气皆能化火
3.Extreme of Five Emotions create Heat 五志过极皆为热
4.Treatment of Fire-Heat Pathology 火热病的治法
5.Yang Qi Stagnancy 阳气怫郁
6.Wu Yun Liu Qi Pathology 五运六气病机
7.Kang Hai Cheng Zhi Discussion 亢害承制论
8.Elaboration of Za Bing 杂病的发挥
Originates from chapter 74 of Neijing Suwen Essentials of Disease and Therapy
Neijing 19 Etiologies (Neijing Bing Ji Shi Jiu Tiao 内经病机十九条)
Huang Di inquired, “Can you please describe the pathology for each organ system and its connection with the atmospheric influences?”
Qi Bo responded,” Symptoms of tremors and shaking of the limbs, dizziness, and vertigo are usually caused by wind and associated with liver. Many conditions of contraction and spasms are usually due to cold and associated with the kidneys.”………
|All Wind Vertigo||Liver|
|All Cold contractures||Kidney|
|All Qi asthma/congestion||Lung|
|All Damp swelling fullness||Spleen|
|All pain, itch, rash||Heart|
Fainting and seizure, lockjaw and shivers, acute vomiting, manic and restlessness, edema and pain are due to fire. (5)
Abdominal distension and swelling, borborygmus and tympani, vomiting of foul matter and acid regurgitation and acute dysentery with bloody stools, body torsion and turbid secretions are usually due to heat (4)
5 belongs to zang, 1 wind, 1 damp, 1 cold, 1 upper, 1 lower
Eventually expanded to 56 types of Fire-Heat Etiology occupying 80% of all etilogies.
Asthma, vomiting, acid regurgitation, acute diarrhea, body torsion, turbid urination, ascites with tympani, rash, hives, open sores, tumor, nodules, fainting, swelling, nasal congestion, epistaxis, hematemesis, bloody stools, fever and chill, shivers, fright, confusion, sadness, manic, restlessness, throat pain, tinnitus, hearing loss, blurry vision, sneezing, acute disorders, delirium, etc.
Wind, damp, dryness, and cold can all transform to fire.
Wind originates from heat, heat is ben 本 and wind is biao 标, wind cannot exists without heat.
In general pathology, wind tends to combine with heat.
Damp disease does not occur on its own.
It is due to fire-heat stagnancy causing body fluid to stagnant creating water-damp
Most clinical manifestations are swelling.
Most swelling is due to damp-heat combination creating sluggish urination.
The herbs should be pungent bitter and cold
Dryness consumes yin fluid and frequently transforms to fire-heat.
Body fluid deficiency, blood deficiency, yin deficiency can all cause hyperactivity of yang creating internal heat.
Winter is cold and contracting and stagnant in nature. There is actually more dryness than Summer months.
Nourish yin to cool heat
Liu, Wan Su is recognized of his work in exogenous fire-heat discussions, but
He has also did some work in understandings of internal heat through the “extreme of five emotions creat heat”.
Five emotional imbalances can cause heat and heat can cause five emotional imbalances.
Pungent cooling or sweet cold
Ma Huang and Gui Zhi are not suitable
Frequently use Gan Cao甘草, Hua Shi 滑石, Cong Bai 葱白, Dou Chi 豆豉.
Biao Zheng with Nei Re, use Fang Feng Tong Sheng San 防风通圣散, Shuang Jie San 双解散.
Or use Tian Shui San 天水散 + Liang Ge San 凉膈散
Purgation of Fire-Heat
◦Biao Zheng gone, Nei Re with abdominal distention, restlessness, pulse deep excess.
◦Deep heat toxin creating dry throat, asthma, abdominal pains, pulse deep thready.
Da Cheng Qi Tang大承气汤 or San Yi Cheng Qi Tang 三一承气汤
Huang Lian Jie Du San 黄连解毒散
Small dose of Huang Lien Jie Du San 黄连解毒散 or Liang Ge San 凉膈散
Liu, Wan Su’s focus is not only on Fire-Heat pathology, but also the patency flow of Qi.
The great Dao has no shape or form. Without Qi, no life can exists; transformation of Qi gives birth of all lives; changes of Qi creates changes in lives; abundance of Qi strengthen the organism; deficiency of Qi weakens the organism; normal Qi promotes harmonious lives; deranged Qi creates diseases; termination of Qi causes the death of life.
If Yang Qi is stagnant, Fire-Heat develops creating many different pathologies.
Xuan, Qing, Tong 宣清通三法
Disperse, Cleanse, Open methodologies
Pungent, Bitter, Cold Herbs
◦Xuan – to clear biao, not sweating, to clear stagnancy – pungent cool herbs
◦Qing – to clear stagnant heat – bitter cold herbs
◦Tong – mainly purging – pungent, bitter, cold herbs
Even though human beings can master their environment and creates a micro-climate for herself, climate, weather, and environmental changes are still very influential in causing or triggering diseases and imbalances.
Five Cycles – five elemental or five zang influences
Wu Yun Liu Qi inter-supporting and inter-controlling.
To ensure seeking for balance in constant imbalance.
Huang Di Su Wen Xuan Ming Lun Fang
◦Also known as Xuan Ming Lun Fang
15 chapters, 348 formularies
Fang Feng Tong Sheng San 防风通圣散
Di Huang Yin Zi 地黄饮子
Gui Ling Gan Lu Yin 桂苓甘露饮
66% combination of warming and cooling herbs
21% warming, 13% cooling
Tonify Kidney Benefit Essence, Nourish Heart Open Orifice
Stroke, Loss of Speech, especially Kidney Yin and Kidney Yang Deficiency types
Locomotor Ataxia – syphilis of the spinal cord characterized by degeneration of sensory neurons and stabbing pains in the trunk and legs and unsteady gait and incontinence and impotence
Meniere’s Syndrome, Hyperthyroidism, Neurasthenia, Chronic Nephritis, Infertility
生地 Sheng Di 3 liang
巴戟天 Ba Ji Tian 1 liang
山茱萸 Shan Zhu Yu 1 liang
肉蓯蓉 Rou Cong Rong 1 liang
石斛 Shi Hu 1 liang
炮附子 Fu Zi 1 liang
茯苓 Fu Ling 1 liang
石菖蒲 Shi Chang Pu 1 liang
遠志 Yuan Zhi 1 liang
肉桂 Rou Gui 1 liang
麥冬 Mai Dong 1 liang
五味子 Wu Wei Zi .5 liang
生薑 Sheng Jiang
大棗 Da Zao
薄荷 Bo He
Established foundations for
◦Pathogen Attacking Doctrine
◦Dan Xi Doctrine
◦Warmth Disease Doctrine
An adaptive mechanism, fever is the body’s reaction to pathogens; it attempts to raise core body temperature to levels which will denature, debilitate, or kill the pathogen. Most fevers are caused by infections and almost all infectious diseases can cause fever. When a patient has or is suspected of having a fever, that person’s body temperature is measured using a thermometer. If successful in ridding the body of an invasive pathogen, fever is an important protective immune mechanism and should generally not be suppressed. However, there are instances when fever escalates to temperatures where the body is at risk of destroying its own cells and must be brought under control with suppressive medication.
An infection is the detrimental colonization of a host organism by a foreign species. An infection is, in effect, a war in which the infecting organism seeks to utilize the host’s resources in order to multiply at the expense of the host. The infecting organism, or pathogen, interferes with the normal functioning and perhaps the survival of the host. Colloquially, a pathogen is usually considered a microscopic organism though the definition is broader, including bacteria, parasites, fungi, viruses, prions, and viroids. The branch of medicine that focuses on infections and pathogens is infectious diseases
Inflammation is the first response of the immune system to infection or irritation and may be referred to as the innate cascade. Inflammation is characterized by the following quintet: redness (rubor), heat (calor), swelling (tumor), pain (dolor) and dysfunction of the organs involved (functio laesa).