When the weather is hot, the palms of your hands are hot, and when the weather is cold, your palms are cold? But I'm not sweating, I just feel hot all the time

I feel that your symptoms are similar to mine, so I will write you the answer to my question: Five heart upsets and heat refers to the feeling of fever in the palms and soles of the feet and the conscious feeling of upset and hotness in the chest and chest, and the body temperature may rise. High, sometimes not elevated, is a symptom of fatigue and fever. "Su Wen" has a discussion of "less Yin Qi and more Yang Qi, so heat leads to fullness of irritability" and "Yin deficiency generates internal heat", which attributes the symptoms of irritation and heat at the same time to Yin deficiency. Yin deficiency with five upset fevers: five upset fevers, severe fever in the afternoon, often wanting to hold cold objects, and stretching hands and feet out of the quilt when lying down, night sweats, spermatorrhea, red cheeks, soreness and weakness in the waist and knees, dry mouth and throat, bright red tongue, and flaking Less coating, slow and thready pulse. Blood deficiency and five upset and hot symptoms: Feeling hot in the hands, feet and heart in the afternoon, aggravated by minor irritability, mental fatigue and body sluggishness, eating less and being lazy to talk, palpitations, dizziness, pale tongue, weak or stringy pulse. Evil Fu Yin is divided into five categories: upset heat: heat in the hands, feet, and heart, upset, and poor sleep. There is low-grade fever, which is hot in the evening and cool in the early morning. The fever subsides without comment. The patient is thin and can eat, has a red tongue with less coating, and a stringy and thready pulse. Fire stagnation with five upset-heat symptoms: Five upset-heat symptoms, chest tightness, emotional discomfort, irritability, bloated head, bitter mouth, and red urine. In women, menstruation is not smooth, red tongue, yellow coating, and heavy and rapid pulse. Yin deficiency and five heart upsets and heat: Yin deficiency in the five internal organs can cause five heart upsets and heat, especially yin deficiency in the lungs, spleen and kidneys. Among them, lung yin deficiency is usually caused by "lung fatigue" that cannot be cured after long-term treatment and the consumption of lung yin. Symptoms include bone steam, hot flashes, night sweats, cough, shortness of breath, and even hemoptysis, red tongue, and thready pulse. The treatment is suitable for nourishing yin and nourishing blood, clearing away heat and removing steam, and Qin Genji Biejia Powder is used. Deficiency of liver yin is caused by overwork, or long-term treatment of liver disease, resulting in blood consumption and damage to yin. As liver yin is deficient, liver and gallbladder fire is relatively strong. Symptoms include heat in the hands, feet, heart, and chest, thirst without drinking, little sleep, and body weakness and fatigue. Red tongue with little coating, stringy and thready pulse. It should be treated by nourishing yin, nourishing the blood and nourishing the blood, and use Qinggu Powder with added flavor. Kidney yin deficiency can be caused by yin deficiency in other organs, which is the so-called "poverty must reach the kidneys", or due to improper sexual intercourse, excessive sexual indulgence, and loss of kidney essence, kidney yin is also deficient. Symptoms include five upsets, heat, tinnitus, spermatorrhea, and night sweats. The waist is the home of the kidneys. Kidney deficiency causes soreness and weakness in the waist and knees, and a slow and thready pulse. Treatment should nourish kidney essence, clear away heat and remove steam. Use Zuogui Pills and add Digupi, Baiwei, etc. Clinically, yin deficiency in the lungs, liver, and kidneys often occurs simultaneously and affects each other. It is always advisable to nourish yin, clear away heat, and eliminate troubles. Use Qinggu Powder to add or subtract according to the syndrome. Use Qinggu Powder to add or subtract according to the syndrome. Blood deficiency, five upset stomachs and heat: often caused by liver and spleen deficiency. The spleen is the foundation of acquired nature, dissipating the essence of five grains and transforming it into qi and blood. The liver is the organ that stores blood. If the liver and spleen are damaged, they fail to produce and store blood, resulting in blood deficiency. The skin cannot grow externally, so the complexion and skin color will be affected. Pale; Liver fire is excessive, so the five stomachs are upset and hot; the upper body cannot nourish the head, so the head is dizzy and hot; the heart blood is depleted, so the heart palpitates, the tongue is pale, and the pulse is thin and weak; the liver is the "root of rest", and liver deficiency causes fatigue, so A little trouble can cause low-grade fever. Treatment should be to regulate the liver and spleen, and use Bugan Decoction plus Digupi, etc. There are five types of pathogenic factors: upset and heat: mostly caused by failure to treat exogenous factors, mistreatment, and residual evil factors that remain in Yin Yin. The key points for identification are night heat and early coolness, no sweating after the heat subsides, and thinness despite being able to eat. At night, if the Ying Qi resists evil and reaches the Yang component, fever will occur; in the morning, the disease pathogen returns to the Yin component and cannot be exogenously resolved, so the fever subsides without sweating. If the remaining evil spirits stay for a long time, the nutrient yin will be depleted and the skin cannot be replenished, so the body will become emaciated. "Tiao Bian of Febrile Diseases" says: "It is hot when it travels at night due to yin, and it is cool when it travels during the day when it is yang. It can be seen that the evil Qi is deep in the yin. It can be seen that the heat subsides without sweating, and the evil does not come out of the surface but still returns to the yin." For treatment, Qinghao Biejia Decoction should be used to nourish yin and eliminate evil. Fire stagnation, five upset stomachs and heat: mostly due to unfavorable cardinal function, insufficient yang yang, or unresolved external evils, excessive use of cold and ice to subdue the evils, or excessive consumption of cold food, which suppresses stomach yang and prevents diarrhea. Symptoms include irritability and heat in the chest, hands and feet, heat in the extremities, red urine, irritability, red tongue with yellow coating, and stringy and rapid pulse. The treatment is suitable for clearing the liver, dispersing fire and relieving depression. Use Huoyu Decoction to add or subtract. If the stomach yang is depressed by cold objects, the yang energy will not be compressed, and the depression will cause heat. Symptoms include five heart upsets and heat, tired limbs, boredom and no sweating. It is suitable to treat Sheng Yang and disperse fire, so use Sheng Yang to disperse fire. The five upset fevers caused by fire stagnation are empirical symptoms, which are different from internal injury fever caused by yin deficiency and blood deficiency. Clinically, it can be distinguished as long as the five upset-heat symptoms are combined with fever in the limbs, bloated head, bitter mouth, red urine and other symptoms of liver stagnation and fire-heat. The hands, feet, heart, and chest belong to yin in the human body. If yin is deficient, heat will be generated inside, so it will manifest as heat in the five hearts. The internal heat is suppressed and cannot be released, so I feel upset. Clinically, although there are many cases of fever in the palms and soles of the feet at the same time, there are also cases where there is only heat in the palms but not much heat in the soles of the feet, or there is heat in the soles of the feet but not much heat in the palms. The main treatment method is to nourish yin, clear away heat and eliminate troubles. Do not use bitter and cold products at the first sight of irritability and heat to purify and relieve the symptoms.

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