Fever (heat effusion)

Question 1

1) when the hand is used to feel the skin of the patient, there is slight sensation of heat;
2) it may refer to the body temperature being normal but the patient feels there is heat

Answer 1

mild heat

Question 2

1) this may refer to the actual raising of the body temperature or
2) a subjective feeling of heat by the patient
in both conditions there is a “fear of heat” a desire to remove clothes and bedding and a preference for laying in cool paces

Answer 2

aversion to heat

Question 3

1) a condition where the patient’s body temp is higher than normal and there are feelings of heart vexation or vexation and agitation accompanied by a sensation of oppressive heat

Answer 3

heat vexation

Question 4

a situation where the heat seems to effuse out from the bones, yet the skin is NOT hot

Answer 4

steaming bone

Question 5

a situation where the heat is like the tides of the ocean, arriving at definite time every day (in general it arrives in the afternoon).
the body temperature gradually rises, remains high for a period of time and then gradually recedes back to normal range.
This occurs daily without variation

Answer 5

tidal fever

Question 6

a situation where the body temperature is above normal but when the skin is touched, at first it does not feel very warm, however if the skin is felt for a longer time it will feel as if it is scorching the hand

Answer 6

scorching heat

Question 7

a condition in which the heat is vigorous and exuberant. The body temperature is extremely high and the heat is obvious

Answer 7

vigorous heat

Question 8

the refers to the sudden manifestation of a high fever
either the disease is relatively new and there is sudden manifestation of great heat , or the heat appears as the onset of illness

Answer 8

fulminant heat

Question 9

fever with aversion to cold

Answer 9

fever is cause by external contraction of the 6 excesses

Question 10

fever with aversion to cold and
nasal congestion,
nasal snivel,
sneezing,
head and body aches,
thin tongue fur,
floating pulse

Answer 10

generalized symptoms for an exterior pattern fever

Question 11

light fever
strong aversion to cold
head and body aches
no sweating
tongue fur: thin, white, moist
pulse: floating , tight

Answer 11

wind COLD,
Tai yang : Shang Han

cold contracts and congeals, person cannot sweat.
if they have an itchy throat it will not feel burning

Question 12

light fever
strong aversion to cold
head and body aches
no sweating
tongue fur: thin, white, moist
pulse: floating , tight

Answer 12

wind COLD,
Tai yang : Shang Han

cold contracts and congeals, person cannot sweat.
if they have an itchy throat it will not feel burning

Question 13

fever
aversion to cold
sweating
itchy cough
nasal congestion
headache
tongue: thing white fur
pulse: floating, moderate

Answer 13

WIND cold
Tai yang: Zhong feng

wind is opening and draining thus we see sweating

Question 14

fever
mild aversion to wind and cold
headache
red, swollen and painful throat
tongue: thin, dry tongue fur
pulse: floating, rapid

Answer 14

wind heat/wind warm
wei qi level

nature of heat is to flame upward, heat evil entering the lung defense/wei qi

Question 15

fever greater than aversion to cold
hot body with unsurfaced heat
heavy, fatigued and painful head and body
glomus in the chest
stomach duct oppression
tongue: white and moist tongue fur
pulse: soggy and rapid

Answer 15

damp warm
wei qi level

damp is sticky, heavy and turbid

Question 16

fever, aversion to wind and cold
dry mouth, nose, throat
dry cough, with little phlegm
pulse: floating

Answer 16

autumn dryness
wei qi level

seasonal in nature, must occur in the autumn season
dryness is dry and rough; it easily damages lung fluids

Question 17

alternating of cold and heat
a moderate rise in body temperatures alternates with aversion to cold
bitter fullness in chest & ribside area
bitter taste in mouth
dry throat
eye dizziness
may be loss of appetite
string like pulse

Answer 17

shaoyang pattern

Question 18

cycles of heat and cold at definite times…1x a day, every 2 days or once per every 3 days

Answer 18

malaria

Question 19

great body heat
great thirst
great sweat
great pulse (flooding and large)

Answer 19

yangming- channel pattern
“4 bigs”

Question 20

afternoon tidal fever with continuous sweating
constipation & abdominal fullness
pain that refuses pressure
tongue: red with dry yellow or burnt yellow coating with prickles on the tongue
pulse: deep, excess, forceful

sever cases: vexation and agitation, clouded spirit, delirium, picking at bedclothes

Answer 20

yangming -bowel pattern

Question 21

vigorous fever
cough
chest and rib-side pain
coughing thick yellow phlegm or blood streaked
tongue: red with yellow fur
pulse: rapid

maybe: red urine, bound stools

Answer 21

Lung heat
“heat evil congesting Lung”
qi level

Question 22

vigorous fever
vexation and agitation
profuse sweating
pulse: surging, rapid

often accompanied by:
headache
dizziness
fatigue of the limbs
spirit fatigue

Answer 22

summerheat
qi level
*only happens in summertime*

if summer heat enters heart ying (summerheat reversal):
sudden loss of consciousness
body heat
limb reversal (ie cold limbs)
coarse breathing

if summer heat stirs wind (summerheat-wind):
scorching heat
convulsions or the 4 limbs
arched back rigidity, tightly shut jaws
clouded spirit
gurgling phlegm in the throat

Question 23

unsurfaced heat that does not resolve after sweating
or afternoon tidal fever
stomach duct and abdominal glomulus fullness
vomiting
torpid intake
thirst with no desire for fluids
sloppy stools
red urine
tongue fur: yellow and slimy
pulse: slippery and rapid

maybe some yellowing of body and eyes

Answer 23

SP/ST Damp Heat

Question 24

alternating cold and heat or
alternating periods of cold and vigorous fever
yellowing of the body and eyes
pain and distension of ribside area
dislike of greasy foods
vomiting
pulse: string like, slippery, rapid

Answer 24

LR/GB damp heat

Question 25

alternating periods of cold and vigorous heat at indefinite times- sometimes several times in one day

severe headache
nausea, vomiting
profuse sweat
possible spirit clouding and delirium and/or maculae

Answer 25

epidemic toxin - ying level

Question 26

fulminant heat or vigorous heat
clouding of spirit and delirium
sluggish tongue impeding speech
limb reversal (cold limbs)
tongue: crimson, yellow fur
pulse: fine and rapid

Answer 26

heat in the PC - ying level

wei qi pattern going directly to ying level skipping Qi level

Question 27

heat that is more severe at night
heart vexation, agitation, harassment possible delirium
dry throat
no desire for liquids
insomnia
maculae on skin
tongue: crimson with no fur
pulse: fine and rapid

Answer 27

heat in the ying qi

Question 28

vigorous fever
especially harassing at night
agitation
clouding or spirit, mania, delirium
macules breaking through the skin
bloody vomit
bloody stool etc.
tongue: crimson without coating
pulse: fine and rapid

Answer 28

heat in the xue

Question 29

mild heat or vexing heat
sometimes vigorous heat
yellow, turbid diarrhea (sometimes fulminant downpouring)
burning heat around anus
foul odor to the stool
abdominal pain
blood and pus in the stool
abdominal urgency
rectal heaviness (tenesmus)

tongue: red with yellow, slimy coat

maybe:
short, red urine
fatigue of the body and limbs
vexing thirst or thirst with not desire for fluids

Answer 29

LI damp heat

Question 30

mild heat or vexing heat
red face
vexing thirst
redness at tip of tongue
sores on the tongue (sever cases)
short and red urine
frequent, urgent urination
rough and painful urination
bloody urine

tongue: yellow and thin, not usually think or slimy

Answer 30

SI damp heat

Question 31

mild heat, tidal fever, or vigorous heat
urinary frequency
urinary urgency
rough, scanty and painful urination
yellow-red or turbid urine
possibly bloody urine
urine with sand or stones
tenseness and pain of small abdomen or lumbar pain
tongue: yellow, slimy fur
pulse: string like, slippery and rapid

Answer 31

UB damp heat

Question 32

vigorous heat (or mild or tidal)
painful joints
pain that travels and is not determinate
redness, swelling and heat of affected area
unbearable pain
difficulty moving joints
tongue: red with yellow fur
pulse: rapid

maybe: red face
sweating
vexing thirst
heart palpitations
macules on the skin

Answer 32

wind damp heat obstruction

Question 33

mild heat, tidal fever, vexing heat, steaming bone
vexing heat of the five hearts
red cheek bones
night sweating
dry throat and mouth
emaciation
tongue: red or crimson, scanty, dry tongue fur
pulse: fine and rapid

Answer 33

yin deficiency pattern

Lung yin deficiency (tidal fever)+ Lu sx
LR yin deficiency (tidal or low fever)+LR sx
KD yin deficiency (tidal fever) + KD sx

Question 34

mild fever, vexing heat or tidal fever, sometimes vigorous heat
pale face without luster or withered yellow face
dizziness
heart palpitations
insomnia
numbness of the limbs
pale lips and nails
tongue: pale with thin white and dry fur
pulse: fine and rapid

Answer 34

blood deficiency pattern

(often after significant blood loss or giving birth)

Question 35

mild heat, lingering heat or possibly tidal fever
heat severe during the day and recedes at night
(but occasionally severe at night also or vigorous)
fever stronger after taxation or exertion
pale face
spontaneous sweating
shortness of breath
lack of strength
tongue: pale, fat with teeth marks with white fur
pulse: forceless and large or forceless and rapid

Answer 35

qi deficiency pattern

Question 36

extreme thirst
lack of sweating
profuse urination

heat or tidal heat 2 to 3 months

Answer 36

“infantile” summerheat

occurs in summer in children

Question 37

fever after giving birth
breast welling abscesses
welling abscesses after surgery
clove sore toxins, streaming sores, flowing phlegm, internal welling abscesses

Answer 37

may all cause signs of heat

“miscellaneous”

Question 38

fever or alternating cold and heat
bitter taste in mouth
unceasing retching
hypertonicity and pain below the ribs
yellow urine
bound stools
tongue: red with yellow coat
pulse: string like and rapid

Answer 38

GB heat congesting and stagnating

Question 39

vexing heat
dizziness of head and eyes
fright palpitations
difficulty in sleeping
fullness and oppression in the chest and rib-side
bitter taste in mouth w/ desire to vomit
tongue: yellow & slimy
pulse: slippery, rapid

Answer 39

depressed GB with phlegm harassing

Question 40

tidal fever or low fever
night sweating
red cheeks
heart vexation
thirst
soreness and weakness of lumbus, knees
head dizziness
ringing in the ears or deafness
seminal emission
thin, emaciated body
yellow urine, bound stools
vexing heat of the 5 hearts
heart palpitations
difficulty in sleeping
tongue: red with yellow fur
pulse: string like and rapid or fine and rapid

Answer 40

non interaction of HT-KD

Question 41

tidal fever or low fever

vexing heat of five hearts

nigt sweating

red cheeks

dry mouth and throat

yellow urine

bound stools

sorness and weakness of lumbus and knees

dizziness

seminal emission

thin and emaciated body

tongue: red with little fur or fluids
pulse: fine and rapid

Answer 41

KD Yin deficiency