TCM practitioners believe that hot hands and hot face may be a case of actual heat or a case of yin deficiency and fire (deficiency of yin and essence in the body, resulting in hyperactivity of deficiency fire). Solid heat syndrome is mostly due to the invasion of heat, internal heat (severe heat in the body), or phlegm stasis, stagnant food obstruction. The patient manifests as strong heat and irritability, red face and eyes, thirst for cold drinks, chest pain and yellow phlegm, abdominal pain and refusal to press, constipation, short and red urine (small amount of urine, dark yellow), etc. The treatment should be to clear away heat and diarrhea (to remove the body’s heat evils and fire evils), and can be used in White Tiger Soup. The Yin deficiency and fire is mostly due to the great injury of Yin fluid, and the internal generation of deficiency heat and fire (the lack of Yin fluid in the body leads to the generation of fire and heat evil). The patient manifests five heart-heat (the heart of the two hands and two feet is hot, and consciously heart and chest is hot), facial baking heat, emaciation, night sweating (sweating abnormally after going to sleep, and waking up sweating stops), etc., the treatment should be nourishing yin and lowering fire (nourishing yin essence and lowering the fire), and can use Sha Shen Maidong Tang. The adverse reactions and contraindications of the above drugs are not clear. If there is any related condition, it is recommended to treat under the guidance of a professional physician to identify and treat the condition, and not to blindly self-medicate.