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Afternoon Heat Sensation

How Chinese medicine differentiates a heat sensation that reliably flares in the afternoon into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Tidal Fever and Heat Intolerance pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A recurring afternoon fever pattern deserves a full medical work-up before assuming a simple TCM pattern.
General Acupuncture Points

Acupuncture points traditionally used for an afternoon heat sensation — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
KI-3Tonifies the Kidneys (both Yin and Yang). Calms the Mind. Benefits Essence.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Cools Blood.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
L.I.-4Removes obstructions from the channel. Stops pain. Tonifies Qi and consolidates the Exterior.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind. Regulates Nutritive and Defensive Qi.
HT-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi. Invigorates Blood.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Yin Deficiency with Empty-Heat Blazing View full pattern →

Clinical manifestations: Five-palm heat, malar flush, deep heat felt in the bones, night sweats, dry throat at night, lower back soreness, tinnitus, scanty dark urine.
Tongue: Red, thin, dry with little or no coating, cracks may appear. Pulse: Fine (thready) and rapid, floating and empty, weak at the rear positions.
Treatment principle: Nourishes Yin, clears deficiency Heat, anchors rising Yang.
Note: no moxa. Direct exact-name match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

2. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Low-grade sticky afternoon warmth, sticky or incomplete stools, bitter sticky taste, foggy heavy head, bloating, upper abdominal fullness, thirst with little desire to drink.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating at the centre and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Damp-Heat, promotes Qi movement, transforms Dampness.
Note: no moxa. Linked to this site's own Damp-Heat-invading-the-Spleen slide, its general Stomach-and-Spleen Damp-Heat match.

3. Bright Yang Fire in Stomach and Intestines View full pattern →

Clinical manifestations: Strong afternoon heat peaking around 3-5pm, constipation with dry hard stools, intense thirst for cold drinks, abdominal distension or pain worse with pressure, profuse sweating on palms and soles, bad breath, dark scanty urine.
Tongue: Red body with prickly thorns, thick yellow dry coating, possibly cracked. Pulse: Deep, forceful, rapid, slippery.
Treatment principle: Vigorously purges Heat, promotes bowel movement, moves Qi and relieves distension.
Note: no moxa. Direct match with this site's own Stomach-Heat-(or-Phlegm-Heat) slide — this site's standard match for the Yangming/Bright-Yang excess-Heat family.

4. Heart Yin Deficiency View full pattern →

Clinical manifestations: Palpitations worsening at rest or night, insomnia with vivid dreams, mental restlessness, dry mouth and throat, malar flushing.
Tongue: Red body, especially red tip, little or no coating, possibly a midline crack. Pulse: Fine and rapid, weak at the deep level, especially at the left Cun position.
Treatment principle: Nourishes Yin, nourishes Blood, tonifies Heart-Qi, calms the Mind.
Note: no moxa. Direct exact-name match with this site's own Heart-Yin-deficiency slide.

5. Blood Stagnation with Heat View full pattern →

Clinical manifestations: Heat worsening at night, fixed stabbing pain in a specific area, dark or clotted menstrual blood, irritability, restlessness, thirst with desire to rinse the mouth but not swallow.
Tongue: Reddish-purple with purple stasis spots, distended sublingual veins, thin dry yellow coating. Pulse: Choppy and rapid, often wiry at the left Guan position.
Treatment principle: Breaks Blood stasis, clears Heat, purges from the Lower Burner, unblocks the bowels.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per this session's discoloration-marker rule; the Heat component isn't separately named on that slide.
Related conditions

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