Hi Chad – I spoke with you last year about a condition I was suffering. I’ve been on herbs for about 4 months now, for spleen qi def, liver heat, dampness, and underlying kidney def. Major issues were fatigue, anxiety, insomnia, and five-center heat – the latter of which was the most annoying / disturbing, as it was the most ‘prominent’ of the symptoms. My herbalist says that the issues are starting to improve according to tongue. You mentioned that you’ve seen people with the heat from the palms/soles before, on a fairly regular basis, so I was wondering… the “heat” is mostly gone, replaced by low irritation. Some days it is so mild that I only notice it for certain periods of the day. Is this a sign that the condition is slowly improving (shift from “heat” feeling to just faint tingly irritation), in your experience? Diet and sleep (or the lack thereof) seem to affect it. I don’t have access to regular acupuncture in the area I live in, so am stuck with herbal remedies and lifestyle improvements for the most part. Thanks for any advice. -IV