CLINIC - temp, fever, chills

Question 1

acute cond. w predom chills

Answer 1

Ext Wind-Cold

Question 2

Acute cond. w predom fever

Answer 2

Ext Wind-Heat

Question 3

Alternates b/w hot and cold

Answer 3

Shao Yang stage of disease

• The Tai Yang stage involves Evil pathogens (Cold, Wind) on the exterior of the body which need to be released or “sweated out.” The Yang Ming stage involves pathogenic Heat in the Interior which need to be purged through the bowels. In between these two stages is the Shao Yang syndrome where the pathogen is between Internal and External.

Although the Shao Yang symptoms include both chills and fever, these symptoms alternate from one to the other. The related channels of the Shao Yang syndrome are the San Jiao, Gallbladder, Pericardium, and Liver.

Symptoms:

Alternating chills and fever
- It was believed that fevers corresponded to the body’s Zheng (Upright or Good) Qi fighting and winning against the pathogenic Evil Qi, and that Chills indicated that the body’s Zheng Qi was losing the fight against the pathogenic Evil Qi.
Bitter taste in mouth
- Indicates an excess Gall Bladder condition, heat disrupting the flow of bile.
Blurred vision
- The Liver, which opens to the eyes, is affected.
Nausea, vomiting, bloating, poor appetite, and stomach ache.
- An excess Liver condition can easily affect (attack) the Spleen and Stomach, which govern the digestive system.
Pain in the costal (hypochondriac) region
- The costal region is the region of the Liver so as the Meridian flow is disturbed, so is this area.
Irritability, Heart Vexation, and irregular heart beat.
- This corresponds to the Pericardium channel being affected. The Pericardium is closely related to the Heart which controls the Shen (Mind).
- As the Heat disturbs the Pericardium, the Heart and thus the Mind is also affected producing irritability (or even insomnia).
Tongue: Sides of the tongue are more red, mixed yellow and white coating (again reflecting the halfway characteristic of the Shao Yang syndrome).
Pulse: Wiry pulse.
Treatment

Formula: Xiao Chai Hu Tang (Minor Bupleurum Decoction)

Function: Harmonizes and releases Shao Yang (lesser yang) channel disorders.

Question 4

low grade fever (afternoon, evening)

Answer 4

Yin def

Question 5

fever that worsens in afternoon

Answer 5

yang ming stage of disease

• Yang Ming (Greater Yang) Syndromes

As the pathogenic factor invades the interior of the body in the Yang Ming stage, both the Zheng (Upright) Qi and the Evil (Xie) Qi are strong, turning the excess pathogen in to heat within the body. Yang Ming fevers are therefore more severe than fevers in the Tai Yang stage. In the Yang Ming Syndrome, there are no chills. There are two types of Yang Ming Syndromes, one that involves the channel, and the other involves the related Zang Fu (Stomach and Large Intestine organs). Both of these syndromes can occur at the same time.

Question 6

chronic low grade fever

Answer 6

DH cond.

Question 7

pt feels hot w/o fever

Answer 7

internal heat

Question 8

pt feels cold w/o signs of ext path

Answer 8

internal cold

Question 9

questions on temp are ways of finding…

Answer 9

• level of particular disease

- if disease is Int or Ext