Inquiring about Cold and Heat - Interior Patterns - Heat

Question 1

What happens to the external pathogen when it becomes an interior pattern?

Answer 1

It moves from the exterior to the interior. Usually no mingling of hot and cold sensations as with exterior patterns

Question 2

Interior Patterns - Heat: High fever or feeling hot - what are the symptoms and pulse and tongue?

Answer 2

1. Interior excess heat
2. High fever, red complexion, thirst with desire to drink cold water, lots of sweating
3. Pulse: rapid and surging
4. Tongue: red body, thick, dry and yellow coat

Question 3

Why the desire for cold water?

Answer 3

Heat starting to damage fluid

Question 4

True or False: qi stagnation can create heat

Answer 4

True

Question 5

Interior Patterns - Heat: Low grade fever - what are the symptoms and pulse and tongue?

Answer 5

1. Yin deficiency (deficient heat)
2. Feeling hot mostly at night or in flushes, red cheeks, thirst with little desire to drink and prefers cold water, night sweating, five palm heat
3. Pulse: rapid, thin, weak
4. Tongue: red body, thin or no coat

Question 6

Why do you not want to drink too much with yin deficiency?

Answer 6

Can’t metabolize fluid so well with yin deficiency

Question 7

Why do you get hot at night?

Answer 7

Yin can’t hold down the yang causing yang to stir creating heat

Question 8

What kind of fever is a tidal fever?

Answer 8

A fever that gets worse or occurs only at certain times

Question 9

Interior Patterns - Heat: tidal fever - yangming fu (ST/LI) disease - what are the symptoms and pulse and tongue?

Answer 9

1. High fever that gets worse between 3-5PM, constipation with dry stool, abdominal fullness and distension, scant yellow urine
2. Pulse: rapid and forceful
3. Tongue: red, dry and yellow coat

Question 10

Interior Patterns - Heat: tidal fever - damp heat - what are the symptoms and pulse and tongue?

Answer 10

1. Fever that gets worse in the afternoon (not as high as yangming), does not abate with sweating, clammy, heaviness of head and body
2. Pulse: Rapid and slippery
3. Tongue: Red, greasy, yellow coat

Question 11

Why does a fever not abate from sweating with damp heat pattern?

Answer 11

Dampness does not let the heat out

Question 12

Interior Patterns - Heat: tidal fever - yin deficiency - what are the symptoms and pulse and tongue?

Answer 12

1. Low grade fever that gets worse in the afternoon or evening, steaming bones, 5 palm heat, malar flush, night sweats, emaciation, dry mouth and throat
2. Pulse: rapid and thin
3. Tongue: thin and red body, little or no coat

Question 13

What does it mean to have a steaming bone symptom?

Answer 13

sensation of heat