A patient presents with profuse blood flow that is deep red along with insomnia and restlessness. What is the likely pattern?

In Traditional Chinese Medicine (TCM), the presence of profuse blood flow that is described as deep red is typically indicative of Excess Heat. This pattern reflects a condition where there is an overabundance of Yang energy, leading to symptoms such as rapid or forceful pulse and a feeling of heat, both of which align with the characteristics of Excess Heat.

The combination of Excess Heat with symptoms like insomnia and restlessness further suggests that this heat is manifesting in a way that disrupts the heart and spirit shen, leading to difficulty in maintaining calm and sleep. The deep red color of the blood signifies a strong, often vigorous state, which is not found in conditions associated with deficiency or stagnation.

In contrast, Phlegm-Heat might suggest additional symptoms such as a feeling of heaviness or dampness, which doesn't align with the description provided. Spleen Not Containing Blood would typically manifest with bleeding (which may be bright red) but is often accompanied by other signs of deficiency like fatigue or pallor, rather than the intense heat experienced here. Empty Heat Residing in Blood usually arises from deficiency rather than an excess condition and would typically not present with such a profuse and deep red blood flow.

Thus,