Fever and Sweating

Question 1

clinical manifestation of high fever

Answer 1

thirst and preference for cold water, profuse sweating, surging and large pulse, dry yellow tongue coating

Question 2

clinical significance of high fever

Answer 2

1. Yang Ming syndrome

2. qi stage of warm disease

Question 3

clinical manifestation and significance of tidal fever

Answer 3

1. obvious fever in afternoon (3 - 5 p.m.), maybe accompanied by thirst w/ preference for cold water, abdominal pain, constipation - clinical significance: retention of dry-heat in the stomach and intestines
2. hiding fever (doctor doesn’t feel feverishness when he touches the skin), more fever in the afternoon - clinical significance: damp-heat syndrome
3. low fever in the afternoon or evening and sensation of steaming fever in the bones - clinical significance: yin deficiency

Question 4

clinical significance of mild fever

Answer 4

1. late stage of internal injury

2. warm-heat disease

Question 5

clinical significance of irregular alternating chills and fever

Answer 5

1. Shao Yang syndrome

2. GB heat

Question 6

clinical significance of regularly alternating chills and fever (every 2, 4, 6 hours)

Answer 6

malaria

Question 7

clinical significance of external syndrome w/ sweating

Answer 7

1. external deficiency syndrome (wei qi deficiency)
2. external heat syndrome in external invasion of wind-heat
3. exterior wind attack (prevalence of wind)

Question 8

clinical significance of external syndrome w/o sweating

Answer 8

exterior wind cold (prevalence of cold)

Question 9

clinical significance of internal syndrome w/ sweating

Answer 9

1. internal excessive heat syndrome
2. deficiency of yang qi, defensive qi not firm
3. yin deficiency w/ deficient heat driving the sweat outward

Question 10

clinical significance of internal syndrome w/o sweating

Answer 10

1. yang deficiency in chronic disease; 2. consumption of fluid and blood

Question 11

clinical manifestation of spontaneous sweating

Answer 11

frequent sweating during the daytime, especially after little physical movement

Question 12

clinical significance of spontaneous sweating

Answer 12

1. qi deficiency

2. yang deficiency

Question 13

clinical significance of night sweating

Answer 13

1. yin deficiency w/ internal heat

2. deficiency of yin and qi

Question 14

spontaneous sweating and night sweating combined might indicate

Answer 14

yin and qi deficiency

Question 15

clinical manifestation of exhaustion sweating

Answer 15

profuse sweating in the process of a disease, critical sign

Question 16

clinical significance of exhaustion sweating (profuse sweating)

Answer 16

1. high fever and warm limbs, dipsesis, irritability, profuse, oily, and warm sweat, warm and sticky hands - yin collapse
2. profuse and cold sweating, cold limbs, syncope, listlessness and chills - yang collapse

Question 17

clinical significance of shiver sweating

Answer 17

1. if fever abates, pulse calms down, and the body cools down after sweating, it is a sign that the heat has gone with the sweat and the body is in recovery
2. if fever refuses to subside, and symptoms are not relieved after sweating, the shows exuberance of evil qi and decline of right qi - illness is worsening

shiver sweating is a reversal point in the development of the disease

Question 18

clinical significance of head sweating

Answer 18

1. extreme heat in the upper jiao driving the sweat outward
2. stomach damp-heat steaming upwards (food retention w/ stomach heat or damp-heat)
3. deficiency yang floating upwards (collapse of yang, too much yin cold obstructing inside)
4. body constitution: preponderance of yang-qi, heat steaming upwards (liver fire)

Question 19

clinical manifestation of hemilateral sweating

Answer 19

sweating appears of half of the body; either left or right, without sweat on the other side

Question 20

clinical significance of hemilateral sweating

Answer 20

seen in stroke, flaccidity, paraplegia - obstruction of collaterals on affected side by wind-damp, blood-phlegm stasis, wind-phlegm, which cause difficulty in flow of qi and blood in the meridian

Question 21

clinical significance of sweating on palms and soles

Answer 21

1. yin deficiency with internal heat
2. extreme heat in yangming
3. accumulation of damp heat in the middle jiao

Question 22

clinical significance of chest sweating

Answer 22

1. heart-spleen qi deficiency

2. heart-kidney yin deficiency

Question 23

clinical significance of genital sweating

Answer 23

damp heat in the lower jiao

Question 24

clinical significance of hyperhydrosis

Answer 24

heart qi leaking