Febrile disease patterns Flashcards
Shan Han Disease Pattern
Follows 6 channel (comportment, level) theory:
Taiyang SI/UB greater yang
Yangming LI/ST bright yang
Shoayang SJ/GB lesser yang
Taiyin LU/SP greater yin
Shaoyin HT/KD lesser yin
Jueyin LV/PC terminal yin
Progression of 6 - level patterns in “days”
1st day: taiyang invaded: headache, back rigidness
2nd day: yangming invaded: body has fever (4 big)
3rd day: shaoyang invaded: chest hypochondriac pain, hearing loss
4th day: taiyin invaded: abdominal distention, dry throat
5th day: shaoyin invaded: dry dry dry
6th day: jueyin invaded, irritability contraction of scrotum, menstrual/fertility issues
Wen Bing- Disease Pattern
4-levels:
Wei Qi
Qi
Ying
Xue
OR
Three Burners when path. attacks Ying, Xue or Yin aspect
Exterior Febrile Disease Patterns
- Tai Yang:
a) Wind-cold=shang ha: no sweating, body aches, P: tight
b) Wind-strike=zong fen, fever + sweating
c) Organ= H20 in UB, edema, urinary sxs. - Wen Bing: Wind-Warm- fever>cold, streppy, swollen glands, yellow d/c
- wei qi:
a) Damp-warm= damp percolating, heavy, fatigue, glomus in chest, ST Duct oppression, unsurfaced heat, P: soggy
b) Autumn dryness= only in Autumn
Aversion to cold/fever, but dryness path., Dry Dry Dry
HALF/HALF-febrile
(membrane level)
;
- Shaoyang = alt. hot/cold, bitter taste, eye dizziness, wiry pulse, (LV signs bec GB)
- Malarial =chills→fever→sweating→normal
a) Hot= (more severe) more heat, heat signs >cold signs, delirium
b) Vacuity= More qi/bld def signs, low energy, greater damage to system
Distinction betw malarial and shaoyang = Malarial = days (long time ) of fever, days (long time) off fever. Shaoyang more rapid cycling
Interior Patterns -febrile
Yang ming
Yangming (LI/ST): Path moving internally, making heat
a) Channel: 4 bigs,
T: red, yellow coat
P: rapid, forceful. flooding
b) Organ: Bowel=”stuck, hot n crazy”, tidal fever, abd. fullness, constipation, vexation, agitation, delirium
Interior patterns-febrile
Heat Evil Congesting LUs
Heat Evil Congesting LUs: (Qi level)=
fever, thick, bloody phlegm, excess cough
Rib-side pain, scanty urine, bound stools
Interior Patterns-febrile
Summer Heat-warm
Summer heat warm: Qi level=
- Summer only
- rapid onset, transmutes quickly
- vigorous fever
- profuse sweating
- limb reversal
- vexation
- convulsions
Interior patterns- febrile disease
SP/ ST Damp Heat
SP/ST Damp Warm: Qi aspect/Middle Jiao=
- unsurfaced heat
- Damp w/ heat signs
- fever unresolved by sweating
- glomus
Interior patterns- febrile
LV/GB Damp
LV/GB Damp: like Shaoyang=
- alternating hot/cold
- yellow body/eyes
- ribside distention
- Irritabilty
- groin-itching, oozing
T:
P: wiry, slippery
Interior patterns - febrile
LI damp heat
LI damp heat= traveler’s diarrhea
- yellow, stinky, burning anus and
- heaviness,
- thirst- no desire to drink
T: red, yellow, slimy fur
Internal patterns- febrile
SI Excess Heat
SI Repletion Heat= signs of HT fire falling to SI
- red face,
- vexing thirst
- short, red urine, frequent urination
T: yellow, thin fur (not thick/slimy)
Interior Patterns- febrile
UB Damp heat
UB damp heat= UTI signs
- frequent urination,
- urgency
- rough urine, with stones
T: yellow, slimy fur
P: string-like, slippery, rapid
Internal patterns-febrile
Wind- Damp heat obstruction
Wind Damp Heat obstruction= heat+ joint pain
- travels thru body
- red face,
- swelling
- vexing thirst
T: red, yellow fur
P: rapid
Interior Patterns- Febrile
Heat Falling into PC
Heat Falling into PC= ying level
- vigorous heat
- clouding spirit
- phlegm heat obstructing HT orifice
- sluggish tongue
- limb reversal
T: crimson, yellow fur
P: fine and rapid
Interior Patterns- febrile
Heat at Blood Aspect
Heat at blood aspect:
- vigorous night fever
- macules on skin
- vomiting blood
- bloody stools
- reckless blood
T: crimson
P: fine and rapid
Interior Patterns- febrile
Exuberant Heat Stirring Wind
Exuberant Heat Stirring Wind: (ying/blood level)
- vigorous heat+ LV wind signs dizziness distention and pain agitation arched back
Internal Patterns- febrile
Heat Entering Construction Aspect
Heat entering construction aspect=ying level
- heat at night
- heart vexation
- delirium
- dry throat
T: crimson, no coat
P: fine, rapid
Internal patterns-febrile
Vacuities
deficient heat
YIN= mylar flush, night sweats
Blood= Pale, yellow face, pale lips. White, dry fur
Qi= fever stronger after exertion, pale face, spont. sweating, fatigue
Yang= (false heat) cold interior, heat signs exerior
Interior patterns-febrile
Infantile summer heat
Infantile summer heat=summer only
- scorching, tidal fever
- fever for 2-3 months+thirst
- no sweating profuse urination
can be after birth or w/ abscesses
Types of Heat
Mild heat- PT feels it; dr may not
Aversion to heat-lying in cool spot, no clothes/covers
Heat vexation-HT vexation; agitation
steaming bone-internal; not felt on surface
Tidal fever-comes and goes at specific time
Unsurfaced fever-heat rises w/ lengthy touch
scorching fever-hot to touch
vigorous fever- heat obvious, high body temp
fulminant fever-sudden
four levels in a nutshell
defensive qi: aversion to cold+fever (external)
QI: fever, feeling heat (no aversion to cold) (4 bigs)
Ying level: mental changes, fever @ night (yin deficiency)
Blood: fever @night, bleeding, macules, wind (ungrounded blood)
Three Burner Theory
- Upper Jiao:
a) Heat evil in LU=exterior wind warm, bound stools,
T: red, yellow or blood flecked coat
b) Heat in PC= ying/jueyin level, cold limbs, delirium, T: red, stiff, no coat
2. Middle Jiao: Digestion= “hot, stuck, crazy”
a) Heat in yangming- fever worse in afternoon, 4 bigs
b) Damp- heat in SP- epigastric fullness
3. Lower Jiao= blood level, like shaoyin, Jue yin, UB/LI dzs
a) Heat in KD like yon def, dry throat, deafness, T: deep red, no coat
b) LV heat stirs wind: high fever at night, coma, convulsions T: deep red, no coat
c) LV empty wind= dry black teeth, dry cracked lips, convulsions, limb tremors. T: crimson/no coat
Lower Jiao
6 Levels
- Taiyang channel:
Shang ha
Zhong Fen
warm wind (Wen bing)
- Yangming:
a) 4 bigs T: red, coating yellow dry, P: flooding, big, forceful
b) organ: tidal fever afternoon, 5 palm sweat, distention/pain in abdomen/umbilicous, constipation. T: coating is thick yellow, brown, black, with cracks, P: deep, strong, rapid/slow
- Shaoyang: ½ ½ alternating chills and fever, bitter taste, dry throat, blurred vision, fullness, distention, hypochondriac region, low appetite, nausea, vomitting irritabililty T: coating tin and white or sl yellow P: wiry
- Taiyin: abdominal fullness, vomiting, diarrhea, low appetite, no thirst, fluctuating abd. pain, better w/ pressure and warmth T: white, greasy coating P: deep, moderate, weak
- Shaoyin:
a) Han Hua (cold) aversion to cold, no fever, minute pulse, lie down, faint pulse, deficient shen, cold extremeties, diarrhea w/ undigested food, vomit after eating, red cheeks (false heat)
b) Re Hua (Heat) very irritable, cannot lie down, dry mouth and throat, insomnia, T: red w/ scanty yeallow cioat, P: thin, rapid (deficient heat0
6. Jue yin: wasting and thirsting, qi rising to HT, pain in HT, hinger - no desire to eat, may vomit parasites,, mixed heat and cold pattern
