TCM pattern · Dampness and phlegm

Damp Heat in the Lower Burner

下焦湿热 Xia Jiao Shi Re Bladder, Intestines, and the reproductive organs system

Hot, sticky, foul dampness that has settled in the lower body. Burning, urgent, frequent urination; yellow smelly discharge; genital itch or rash; diarrhea that burns; hemorrhoids that bleed; and a thick yellow greasy coat at the back of the tongue. Wet and hot at the bottom of the body.

A swamp in summer. Warm, wet, and foul, breeding everything. Draining the water and cooling the heat dries the swamp.

3 formulas Updated 2026-10-12 View API data

How to recognize Damp Heat in the Lower Burner

The signs that point most strongly to this pattern:

  1. Burning, urgent, frequent urination
  2. Yellow, thick, smelly vaginal discharge
  3. Genital itch, rash, or swelling
  4. Diarrhea or dysentery that burns, with mucus
  5. A thick yellow greasy coat at the back of the tongue

Also common

  • Heavy legs
  • Low back ache with heat
  • Hemorrhoids that bleed
  • Dark cloudy urine
  • Thirst without wanting to drink much
  • Low fever in the afternoon
Tongue
Red with a thick yellow greasy coat, worst at the rear.
Pulse
Slippery and rapid.

Formulas for Damp Heat in the Lower Burner

Herbs that matter most for Damp Heat in the Lower Burner

  • Huang Bai Phellodendron Bark Phellodendron clears damp heat from the lower body.
  • Che Qian Zi Asiatic Plantain Seed Plantain seed drains damp heat through the urine.
  • Hua Shi Talc Talc clears heat and promotes urination.
  • Zhi Zi Gardenia Fruit Gardenia clears heat and drains it through the urine.
  • Bai Tou Weng Chinese Pulsatilla Root Pulsatilla for hot dysentery.
  • Ku Shen Ku Shen Root Sophora root for genital itch and discharge.
  • Yi Yi Ren Job's Tears Seed Job's tears leach damp.

How Damp Heat in the Lower Burner differs from its look-alikes

What drains into Damp Heat in the Lower Burner

  • Greasy, sweet, spicy food and alcohol
  • Hot humid climates
  • Infections that lodged in the lower body
  • Spleen dampness that sank and heated
  • Sitting in damp or wet clothing

Food and habits that help Damp Heat in the Lower Burner

  • Cut sugar, alcohol, greasy and spicy food. They feed the swamp.
  • Drink plain water through the day to flush the bladder.
  • Mung beans, Job's tears, bitter melon, and cucumber.
  • Loose cotton underwear; change out of damp clothes.

What should change as Damp Heat in the Lower Burner improves

  • Burning and urgency ease within days.
  • Discharge and itch settle within one to two weeks.
  • The greasy yellow coat at the back of the tongue thins.
  • A bladder infection with fever, back pain, or blood needs urgent attention, not a formula alone.

Conditions where Damp Heat in the Lower Burner shows up

Sources

  • Maciocia, The Foundations of Chinese Medicine, 3rd edition Damp heat in the lower burner.
  • Bensky, Scheid, Ellis and Barolet, Chinese Herbal Medicine: Formulas and Strategies, 2nd edition Ba Zheng San, Long Dan Xie Gan Tang.

Important Note

A pattern is a picture, not a diagnosis. Most people carry two patterns at once, and the signs here are the classic ones, not a checklist. Use this page to recognize yourself, read a formula label with understanding, and ask a qualified practitioner a sharper question.