19/10/2026
Zhi Bai Di Huang Wan — When the Body Feels Too Warm
One of the things I find fascinating about Traditional Eastern Medicine is how it distinguishes between different kinds of heat in the body.
Take hot flashes, for example.
A woman may feel perfectly comfortable during the day, but as evening approaches, she begins to feel warm. Her sleep becomes lighter, she wakes up sweating, and she may notice that her mouth, eyes, or skin feel drier than before.
In Traditional Eastern Medicine, one possible explanation is Kidney Yin Deficiency with Empty Heat.
Yin is associated with the body's cooling, nourishing, and moistening functions. When Yin becomes insufficient, the balance between Yin and Yang can shift, creating what we call Empty Heat.
One of the classical herbal formulas used for this pattern is Zhi Bai Di Huang Wan.
It combines six herbs from the well-known Liu Wei Di Huang Wan formula with two additional herbs, Zhi Mu and Huang Bai.
The six-herb foundation is traditionally used to nourish Kidney Yin, while Zhi Mu and Huang Bai help clear the heat associated with Yin Deficiency.
What I appreciate about this formula is the thinking behind it.
Rather than focusing only on the sensation of heat, the traditional approach considers the underlying lack of nourishment and cooling.
But this is also where proper diagnosis matters.
Not every woman experiencing hot flashes or night sweats has Yin Deficiency. Similar symptoms can arise from different patterns, and the same formula will not suit everyone.
In my practice, I look at the whole picture: sleep, digestion, menstrual changes, emotional state, temperature patterns, tongue, and pulse.
This is the beauty of individualized herbal medicine. We are not simply matching a symptom to an herb. We are trying to understand the pattern behind the symptoms.
And that understanding guides the treatment.
With warmth,
Juyon Kim
Tel Aviv Acupuncture