Chills and fever review Flashcards
Key: simultaneous chills/fever
Tongue: normal, thin white
Pulse: floating + tight
Wind-Cold Exterior Invasion (aka Taiyang Cold Damage)
Key: alternating chills/fever
Tongue: normal, unilateral thin-white
Pulse: wiry + thin
Half Interior – Half Exterior Invasion ( aka Shaoyang Stage Disease )
Key: aversion to cold + painful coughing/panting + turbid white phlegm + cold signs
Tongue: white coat (thick or thin)
Pulse: slow or tight
Cold invades the Lung
Key: aversion to cold + nausea/vomiting/abd. pain + thin, sloppy stools + damp signs
Tongue: pale, white coat
Pulse: slow or soggy and moderate
Cold-Damp invades the Spleen
Key: Liver channel + cold + relieved by application of heat
Tongue: white coat
Pulse: slow + wiry
Cold invades the Liver Channel
Key: Kidney yang deficiency + cold = chills + lying with body curled + diarrhea/frequent
urination
Tongue: pale, wet coat
Pulse: deep + weak + slow
Shaoyin Cold transformation ( Shang Han Lun Shaoyin Cold )
Key: Cold signs + vexing thirst with desire for cold + dark yellow urine (heat)
Tongue: crimson red, scorched yellow and dry coat
Pulse: deep + slippery + rapid + forceful
True Heat, False Cold
Key: Yang Vacuity + cold + palpitations/SOB/chest pain (HT)
Tongue: swollen, dark purple
Pulse: fine + weak or bound + regularly intermittent
Heart Yang Vacuity
Key: Yang Vacuity + cold + abd. distention/bland taste/loose stools (SP)
Tongue: Pale + swollen, wet coat
Pulse: deep + weak
Spleen Yang Vacuity
Key: Yang Vacuity + cold + lumbus/knees/urination/sexual dysfunction/ infertility (KD)
Tongue: Pale + swollen, wet coat
Pulse: deep + weak
Kidney Yang Vacuity
Key: Ext. W-C + strong aversion to cold + no sweating
Tongue: thin, white + moist fur
Pulse: floating + tight
Exterior Wind Cold Repletion (SHL Taiyang)
Key: Ext. W-C + cough/nasal congestion + sweating
Tongue: thin, white fur
Pulse: floating + moderate
Exterior Wind Cold Vacuity (SHL Taiyang)
Key: Ext. Wind + headache + sore throat + heat
Tongue: thin, dry tongue fur
Pulse: floating + rapid
Wind-Heat Exterior Invasion (Wei Stage)
Key: fever more than chills + hot body + chest/stomach oppression + damp
Tongue: white, moist fur
Pulse: soggy + rapid
Damp-heat Exterior Invasion (Wei Stage)
Key: Seasonal W-C Ext. + dry + dry phlegm
Tongue: thin, white, dry tongue fur
Pulse: floating + thin
Autumn Dry Exterior Invasion (Wei Stage)
Key: Alternating chills/fever + cold – heat – sweat – repeat
a. Heat type – more fever
b. Cold type – more chills
Tongue:
i. thin white or
ii. red tongue with yellow fur
Pulse:
a. wiry + slow
b. wiry + rapid
Malaria
Key: 4 Bigs
Tongue: yellow, dry fur
Pulse: surging + large or slippery + rapid
. Yangming Channel (SHL Yangming)
Key: Pi, Man, Zao, Shi
Tongue: red tongue + extremely dry, yellow fur
Pulse: deep + replete + forceful
Yangming Fu (SHL Yangming)
Key: Big Fever (heat) + cough + chest signs + thick yellow sputum with blood
Tongue: red tongue + yellow fur
Pulse: Rapid
Heat Congesting the Lung
Key: Seasonal W-H + dizziness/fatigue/damp + transforms quikly
Tongue: yellow, slimy fur or white, slimy fur
Pulse: surging + long or soggy + moderate
Summerheat Invasion (Qi Stage)
Key: un-resolving tidal fever w/o sweat + abd. fullness + vomiting + thirst
Tongue: yellow + slimy fur
Pulse: slippery + rapid
Spleen and Stomach Damp-heat
Key: alternating fever and chills + jaundice + ribside distention w/ pain
Tongue: thick yellow + slimy fur
Pulse: wiry + rapid
Liver and Gallbladder Damp=heat
Key: alternating fever and chills + nausea/vomit + maculae/phlegm mist
Tongue: crimson + dry, yellow fur
Pulse: thin + wiry
Internal Epidemic Toxin Disease (Ying Stage)
Key: vigorous fever + phlegm mist/shen disturbance + speech
Tongue: crimson + dry, yellow fur
Pulse: thin + rapid
Pericardium Heat (Ying Stage)
Key: Fever worse at night + vexation/agitation + maculae + insomnia
Tongue: crimson + no fur
Pulse: thin + rapid
Heat damaging the Ying (Ying Stage)
Key: vigorous fever at night + heat stirring blood + phlegm mist
Tongue: deep crimson
Pulse: thin + rapid
. Heat damaging the Blood (Xue Stage)
Key: vigorous fever + liver wind + convulsions + opisthotonos + differentiating signs
depending on level of penetration (Qi, Ying or Xue)
Tongue: depends on depth of pathogen
Pulse: depends on depth of pathogen
Exuberant heat stirring Wind
Key: fever + yellow turbid diarrhea/dysentery + tenesmus + fatigue
Tongue: red tongue + yellow, slimy fur
Pulse: slippery + rapid
Large Intestine Damp-heat
Key: low grade fever + red face + thirst + rough/painful/bloody urine + HT
Tongue: red tongue + thin, yellow fur
Pulse: wiry + rapid
Small Intestine Heat
Key: low grade fever + rough/painful/bloody urine + low abd. pain
Tongue: red tongue + yellow, slimy fur
Pulse: wiry + rapid
. Urinary Bladder Damp-heat
Key: variable fever + swelling/painful/red/moving obstruction + thirst
Tongue: red tongue + yellow fur
Pulse: rapid
Wind-Damp-Heat Obstruction
Key: tidal fever + steaming bone + five palm heat + night sweating + dry
Tongue: crimson tongue + scanty fur
Pulse: thin + rapid
Yin Vacuity Heat
Key: tidal fever + pale face + dizziness + palpitations + insomnia + numbness
Tongue: pale tongue + thin, white, dry fur
Pulse: find + rapid
Blood Vacuity Heat
Key: tidal fever + worse during the day + worse with taxation + sweating
Tongue: pale, swollen tongue + teeth marks
Pulse: vacuous + large or vacuous + rapid
Qi Vacuity Heat
Key: Fever + desire for cover + desires warm fluids + copious urine (cold)
Tongue: pale tongue + white fur
Pulse: large + vacuous or forceless
True Cold False Heat
Key: seasonal long-term tidal fever + thirst + no sweat + profuse urine
Tongue: crimson + yellow, slimy fur
Pulse: surging
Infantile Summer-heat
