Heat Bi syndrome or Re Bi has two possible causes:
- By attack of Wind and/or Dampness and/or Heat (external pathogenic energy)
- In Yang-type people who already have internal Heat, an attack of Cold-Dampness arrives. This facilitates the transformation of pathogenic energy into Heat.
Symptoms
Typical picture we see in significant inflammatory phases.
- There is pain, redness, heat and swelling.
- The pain rejects palpation. Massage inflames more.
- There is limitation of mobility and there may be Ma Mu.
- There is thirst, dry mouth, fear of heat. Wants cold drinks.
- The Heart absorbs this Heat and manifests with agitation at the level of the shen. Irritability, insomnia.
- Red tongue with dry yellow coating.
- Rapid pulse, if there is Dampness it would be rapid and slippery (and the tongue coating could be seborrheic).
Arthritic crisis and rheumatoid arthritis may have this Heat Bi during flare-ups. Gout also has the same type of Heat crisis.
Gout is difficult to treat with needles. They already have an important metabolic symptom. Colchicine is the drug that helps eliminate uric acid.
Diet is important to improve.
Treatment
Eliminate Heat:
- Disperse Heat: GV-14, LI-4 (eliminate Heat), LI-11 (eliminate Heat)
- Disperse Yangming (fire and water): ST-44, ST-41, LI-2, LI-5
- Cool the Blood: SP-10,
- Bleed the Jing and Xi points
- Ba Xie and Ba Feng (needling disperses)
- With gout, local points: SP-2, LR-2, SP-5
Eliminate Dampness (if present)
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