Fever (heat effusion) Flashcards
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
mild heat
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
aversion to heat
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
heat vexation
a situation where the heat seems to effuse out from the bones, yet the skin is NOT hot
steaming bone
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
tidal fever
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
scorching heat
a condition in which the heat is vigorous and exuberant. The body temperature is extremely high and the heat is obvious
vigorous heat
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
fulminant heat
fever with aversion to cold
fever is cause by external contraction of the 6 excesses
fever with aversion to cold and
nasal congestion,
nasal snivel,
sneezing,
head and body aches,
thin tongue fur,
floating pulse
generalized symptoms for an exterior pattern fever
light fever
strong aversion to cold
head and body aches
no sweating
tongue fur: thin, white, moist
pulse: floating , tight
wind COLD,
Tai yang : Shang Han
cold contracts and congeals, person cannot sweat.
if they have an itchy throat it will not feel burning
light fever
strong aversion to cold
head and body aches
no sweating
tongue fur: thin, white, moist
pulse: floating , tight
wind COLD,
Tai yang : Shang Han
cold contracts and congeals, person cannot sweat.
if they have an itchy throat it will not feel burning
fever
aversion to cold
sweating
itchy cough
nasal congestion
headache
tongue: thing white fur
pulse: floating, moderate
WIND cold
Tai yang: Zhong feng
wind is opening and draining thus we see sweating
fever
mild aversion to wind and cold
headache
red, swollen and painful throat
tongue: thin, dry tongue fur
pulse: floating, rapid
wind heat/wind warm
wei qi level
nature of heat is to flame upward, heat evil entering the lung defense/wei qi
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
damp warm
wei qi level
damp is sticky, heavy and turbid
fever, aversion to wind and cold
dry mouth, nose, throat
dry cough, with little phlegm
pulse: floating
autumn dryness
wei qi level
seasonal in nature, must occur in the autumn season
dryness is dry and rough; it easily damages lung fluids
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
shaoyang pattern
cycles of heat and cold at definite times…1x a day, every 2 days or once per every 3 days
malaria
great body heat
great thirst
great sweat
great pulse (flooding and large)
yangming- channel pattern
“4 bigs”
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
yangming -bowel pattern
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
Lung heat
“heat evil congesting Lung”
qi level
vigorous fever
vexation and agitation
profuse sweating
pulse: surging, rapid
often accompanied by:
headache
dizziness
fatigue of the limbs
spirit fatigue
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
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
SP/ST Damp Heat
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
LR/GB damp heat
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
epidemic toxin - ying level
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
heat in the PC - ying level
wei qi pattern going directly to ying level skipping Qi level
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
heat in the ying qi
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
heat in the xue
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
LI damp heat
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
SI damp heat
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
UB damp heat
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
wind damp heat obstruction
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
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
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
blood deficiency pattern
(often after significant blood loss or giving birth)
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
qi deficiency pattern
extreme thirst
lack of sweating
profuse urination
heat or tidal heat 2 to 3 months
“infantile” summerheat
occurs in summer in children
fever after giving birth
breast welling abscesses
welling abscesses after surgery
clove sore toxins, streaming sores, flowing phlegm, internal welling abscesses
may all cause signs of heat
“miscellaneous”
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
GB heat congesting and stagnating
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
depressed GB with phlegm harassing
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
non interaction of HT-KD
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
KD Yin deficiency
