What should I do if I experience “shanghuo” (excessive internal heat) with nausea and vomiting?
If nausea and vomiting occur, please visit a gastroenterology department for evaluation to identify the underlying cause. Nausea and vomiting due to pregnancy (morning sickness) typically require no specific treatment, or vitamin B6 may be administered to alleviate vomiting. So, what should one do if nausea and vomiting are caused by “excessive internal heat” (a traditional Chinese medicine concept)?
What to Do for Nausea and Vomiting Caused by “Excessive Internal Heat”
For nausea and vomiting attributed to “excessive internal heat,” opt for light, easily digestible foods and, under a physician’s guidance, consider taking herbs or medications that clear heat. Diet should be mild and bland; emphasize soft, easily digestible foods and maintain adequate hydration. First and foremost, ensure regular, unobstructed bowel movements. Additionally, prioritize rest—go to bed early and rise early, avoiding late-night activities. Pay attention to emotional regulation and avoid excessive stress. If necessary, medications such as Niuhuang Jiedu Pian (Calculus Bovis Detoxifying Tablets) or Qinghuo Zhi Mai Pian (Heat-Clearing and Stomach-Settling Tablets) may be used.

It is advisable to take oral medications only under medical supervision to prevent adverse reactions. Generally, choose light, easily digestible foods—preferably fresh fruits and vegetables—and eat slowly and mindfully. Avoid spicy and irritating foods, and ensure sufficient daily water intake. Several approaches can help manage nausea and vomiting associated with “excessive internal heat.” Medication is one option: antipyretic, analgesic, and anti-inflammatory agents such as Niuhuang Jiedu Pian or Sanhuang Pian (Three-Yellow Tablets) may be taken orally; alternatively, integrated traditional Chinese and Western medicine therapies may be considered. Secondly, regarding diet, drink warm (not cold) water regularly, consume more cooling and heat-clearing foods, and reduce intake of foods prone to triggering “heat” symptoms.

We recommend improving sleep quality and maintaining regular daily routines and healthy eating habits. Ensure your body receives adequate rest. We hope this information proves helpful to you.