Malaria Flashcards
Characteristics of Malaria
Contagious disease
Alternating high fever, chills, headache, sweating, sudden onset
Usually occurs in Summer, Autumn, + Winter
Chinese name for Malaria
‘Nue Ji’
Etiology of Malaria
Pathogens staying in between exterior + interior ‘Shaoyang Syndrome’ (GB/SJ)
Pathogens invading 5 Zang through Coul Li, channels + collaterals
Alternates between Excess + Xu causing alternating chills + fever
6 Types of Malaria
General
Warm
Cold
Miasma (Warm + Cold)
Consumptive
Malaria w/ Splenomegaly
General S/sx of Malaria
Fatigue, chills, goose skin, High fever, headache, thirsty w/ desire to drink, ull body sweating, fever resolved after sweating
T: Thin, white or thick, yellow coating
P: Rapid + Wiry or Tight + Wiry
What is the pathogenesis of Malaria?
Evil pathogens fighting with Wei Qi
Treatment principle for Malaria
Dispel pathogens
Harmonize Interior + Exterior
Main points to treat Malaria
PC-5: Treats Malaria
DU-13: Clears heat and treats malaria
DU-14: Releases exterior + Expels wind + Clears heat from Yang channels
SI-3: Clears wind + heat + treats malaria
SJ-3: Clears heat + treats malaria
GB-41: Treats malaria
SJ-2: Ying-spring + clears heat w/ absence of sweating
SJ-4: Yuan source + clears heat
SJ-10: Treats alternating fever + chills
Which kind of Malaria fever is not relieved after sweating?
Warm Malaria
Which kind of Malaria has more chills than fever?
Cold Malaria
What is Warm Malaria (热瘧)?
A type of malaria characterized by more fever than chills.
What are the sweating symptoms of Warm Malaria?
Profuse sweating.
What other features are associated with Warm Malaria?
Thirst, dry mouth, yellow urine.
What is the TCM pathogenesis of Warm Malaria?
Heat excess in Qi level.
What are the tongue and pulse characteristics of Warm Malaria?
Red tongue with a yellow coat; Rapid, forceful pulse.
What is the treatment focus for Warm Malaria?
Clear heat and harmonize Shaoyang.
What is Cold Malaria?
A condition characterized by more chills than fever.
What are the key symptoms of Cold Malaria?
Cold limbs, pale complexion, and late or no sweating.
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What is the pathogenesis of Cold Malaria?
Indicates cold evil blocking Yang Qi
What does the tongue and pulse look like in Cold Malaria?
Pale, white coat; deep, slow, weak pulse.
What is the treatment principle for Cold Malaria?
Warm Yang and dispel cold.
What is the type of malaria characterized by consumptive symptoms?
Consumptive Malaria
What are the symptoms of Consumptive Malaria?
Intermittent spontaneous sweating, fatigue, weight loss, dizziness
What is the underlying condition associated with Consumptive Malaria?
Qi & Blood deficiency
What are the tongue and pulse characteristics in Consumptive Malaria?
Pale, thin white coat; Weak, thready pulse
What is the treatment approach for Consumptive Malaria?
Tonify Qi & Blood, nourish Spleen
What is the condition associated with splenomegaly in malaria?
Chronic
What is the severity of sweating with splenomegaly in malaria?
Mild or none
What are the symptoms of splenomegaly in malaria?
Hypochondriac fullness, bloating, pale face
What are the underlying causes of splenomegaly in malaria?
Qi stagnation, Blood stasis in SP/LV
What is the tongue appearance in splenomegaly due to malaria?
Pale, white coat
What is the pulse characteristic in splenomegaly due to malaria?
Wiry, moderate pulse
What is the treatment approach for splenomegaly in malaria?
Move Qi & Blood, regulate SP/LV
What are the main symptoms of Heat Miasma Malaria?
High fever > chills, sweating
What are the main symptoms of Cold Miasma Malaria?
More chills > fever, little or no sweating
What are the additional signs of Heat Miasma Malaria?
Thirst, irritability, constipation, bitter taste
What are the additional signs of Cold Miasma Malaria?
Fatigue, cold limbs, nausea with clear fluids
What digestive issues are associated with Heat Miasma Malaria?
Nausea, vomiting, sticky stools
What digestive issues are associated with Cold Miasma Malaria?
Poor appetite, loose stools
What is the urine characteristic in Heat Miasma Malaria?
Yellow, scanty
What is the urine characteristic in Cold Miasma Malaria?
Clear, profuse
What does the tongue look like in Heat Miasma Malaria?
Red, greasy yellow coating
What does the tongue look like in Cold Miasma Malaria?
Pale, thick white coating
What is the pulse characteristic in Heat Miasma Malaria?
Rapid, slippery
What is the pulse characteristic in Cold Miasma Malaria?
Slow, deep, weak
What is the treatment for Heat Miasma Malaria?
Clear heat, resolve dampness
What is the treatment for Cold Miasma Malaria?
Detoxification + Resolve dampness
