Module 2: Fever Flashcards
Similar to fear of cold, simultaneous chills and fever. Rise in temp but not too high, usually only mild heat. Often nasal congestion, sniveling, sneezing, aches in head and body, tongue fir is thin, pulse is floating.
Exterior patter of fever: (Taiyang stage disease)
no sweating, cold worse, body aches, floating tight pulse
Wind cold exterior excess
Sweating, fever worse, itchy cough, floating moderate pulse
Wind cold exterior Xu
fever strong, heavy fatigue painful headache, fullness in abdomen and chest, white poise tongue fur, soggy, rapid pulse
Damp heat exterior pattern
seasonally associated exterior invasion, dry mouth, dry nose, dry throat, dry cough, little phlegm
Dryness exterior pattern
Taiyin organs
Lung and Spleen
Yangming organs
LI and Stomach
Shaoyin organs
Heart and Kidney
Taiyang Organs
SI and UB
Jueyin organs
PC and Liver
Shaoyang organs
GB and Sanjiao
Alternating cold and heat. Moderate rise in body temp alternates with aversion to cold. Fullness of chest and ribside area (shaoyang area, the sides) bitter taste in mouth, dry throat, eye dizziness and string like pulse. Due to transmutation of cold damage from Taiyang stage disease.
external, Shaoyang stage disease
Alternating heat and cold, aversion to cold no fever, fever no aversion to cold, they alternate at different intervals
both, Half Interior Half Exterior
External excess is wind or cold predominant?
cold
External xu is wind or cold predominant?
wind
Alternating chills and fever. First, period of cold, then vigorous heat. Sweating then breaks through heat and retreats, then sweating stops. Disting. Factor is long periods of heat and short cold. Profuse sweating, red face, thirst, bound stool, yellow urine, red tongue with yellow fun and rapid, wiry pulse.
external, Malaria
external evil transform to heat and enters interior. Big heat leads to 4 bigs, tongue is red with extremely dry yellow fur or burnt yellow fur with prickles on the tongue, pulse is deep, excess, forceful. Severe: vexation, agitation, clouded.
Internal or external?
Internal, Yangming Channel Disease
Sweating then breaks through heat and retreats, then sweating stops (repeats) what does this indicate?
Malaria
Caused by internal yang brightness heat drying urine and binding stool. Fever is generally afternoon tidal fever with continuous sweating. Two signs that must be present are constipation and abdominal fullness, and pain that refuses pressure.
Internal, Yangming bowel
Layers and internal vs external of shaoyang etc.
Taiyaing exterior
Shaoyang half half
Yang ming Interior
Followed by Taiyin, shaoyin, jueyin
Fever is vigorous, accompanied by cough, chest and rib side pain, coughing or thick yellow phlegm, blood streaked phlegm, red urine, bound stolls, red tongue, yellow fur, rapid pulse.
Heat Congesting the Lung (Qi Level disease)
Rapid onset. Vigorous fever, vexation, agitation, profuse sweat, surging and rapid pulse. Often with headache and dizziness, fatigue of limbs and spirit fatigue. Conditions transmute quickly.
Summer heat warm (Qi level disease)
Yangming channel diseases is characterized by what?
4 bigs
Yangming organ characterized by?
glomus - palpable masses
fullness - abdominal wall distention, rigid
dryness
excess
Is Yangming bowel a zang fu or channel disease?
Zang fu
Pathogen enters heart or ying level and sudden loss of consciousness, body heat, limb reversal, coarse breathing, panting. Tightly shut teeth, scarlet tongue.
Summerheat reversal
Taiyang tx principle
expel
Shaoyang tx principle
harmonize, move qi
Yangming tx principle
purge the bowels
unsurfaced heat in body that is hidden, heat does not resolve after sweating or by afternoon tidal fever.
Spleen and stomach damp heat (damp arm qi aspect pattern)
alternating cold and heat, in severe cold and vigorous fever. Signs of lack of coursing the liver and GB such as yellowing of the body, eyes, pain and distention of rib side area, dislike or greasy foods, vomiting, string like slippery and rapid pulse.
Liver Gallbladder damp heat
Fever is generally alternating periods of cold and vigorous fever as indefinite times. In severe cases this may occur several times in one day. May be severe headache, nausea and vomiting, profuse sweating, possible clouded spirit and delirium, or there may be macule.
Internal Epidemic Toxic Disease (Ying Stage)
Fever is generally fulminant heat or vigorous heat. In addition, must be such symptoms of heat evil failing inward as clouding of the spirit and delirium or clouding with sweating accompanied by red face, thirst, bound stool, yellow urine, red tongue, yellow fur and rapid, wiry pulse.
Heat Harassing the PC (Ying stage)
Here there is body heat that is more severe at night. This must be accompanied by heart
vexation, agitation and harassment; in severe cases there may be signs of ying heat harassing
the heart/shen, such as delirium. In addition, this is often accompanied by a dry throat without
any desire for fluids, insomnia, maculae on the skin, a crimson tongue with no fur and a fine
and rapid pulse.
Heat entering the Ying stage
macules, very red tongue, vexation
The fever here is generally vigorous and during the night it is especially harassing. This must be
accompanied by such signs of exuberant heat stirring the blood as agitation, possibly clouding
mania and delirium, macules breaking through the skin, bloody vomit, bloody stools, etc. The
tongue must be deep crimson and the pulse must be fine and rapid.
Xue stage disease
Blood is the key here with heat
Tongue and pulse MUST BE as stated
The fever here must be vigorous and must be accompanied by signs of liver wind such as head
dizziness, distention and pain, severe agitation of the hands and feet resulting in wriggling
(convulsions), stiffness of the neck, arched-back rigidity, staring with both eyes and tightly shut
jaws. This pattern may be a complicated qi stage, ying stage or xue stage. The differentiation
at that point must include a preponderance of differentiating signs.
Heat stirring wind
Seizures and convulsions signs of wind
Heat is very severe and liver wind is present
The fever here is generally mild heat or vexing heat, although vigorous heat may occasionally
be seen. In addition, it is accompanied by signs of abnormal large intestine accumulation due
to heat invading and qi stagnating such as yellow turbid diarrhea, or in severe cases fulminant
downpouring of diarrhea, a burning heat around the anus, a foul odor to the stools and possibly
abdominal pain, blood and pus in the stools, abdominal urgency and rectal heaviness
(tenesmus). Also, there may be signs of damp-heat brewing internally such as short voidings of
red urine, encumbering fatigue of the body and limbs, vexing thirst, or thist with no desire for
fluids, and a red tongue with yellow slimy tongue fur.
Large intestine heat
location very focused on anus and bowels
Anus, recutum, bowels, result of bowel movements
The fever here is generally mild heat or vexing heat accompanied by signs of heart fire falling to
the small intestine such as a red face, a vexing thirst, redness at the tip of the tongue, or in
severe cases sores on the tongue, short and red voidings of urine frequent and urgent
urination, rough and painful urination, bloody urine, etc. The tongue fur is generally yellow and
thin, but usually not thick and slimy.
Small Intestine Heat
SI pathology is always related to 2 things:
mental emotional shen – heart (epigastrium)
Urine – UB (lower abdomen)
20) UB damp heat
The fever here generally manifests as mild heat, tidal fever or vigorous heat and must be
accompanied by signs of an inhibited qi mechanism of the urinary bladder such as urinary
frequency, urinary urgency, rough, scanty and painful urination, yellow-red or turbid urine,
possibly bloody urine, or urine with sand or stones. In addition, it is often accompanied by
tenseness and pain of the small abdomen or lumbar pain, yellow slimy tongue fur and a pulse
that is generally strung-like, slippery and rapid.
UB Damp Heat
All urine signs
The fever here is vigorous heat, although there may be a mild heat or tidal fever. It must be
accompanied by signs of heat obstructing the joints and channel such as painful joints, pain that
travels and is not determinate, redness, swelling and heat of the affected area, unbearable
pain, difficulty moving the joints, etc. In addition this pattern may be accompanied by a red
face, sweating, vexing thirst, heart palpitations, with macules on the skin, a red tongue with
yellow fur and a rapid pulse.
Wind damp heat bi
pain that travels -wind
Pain- bi
trouble moving joints- bi
The fever here is generally mild, tidal fever or possibly vexing heat, or steaming bone, accompanied by signs of yin vacuity with internal heat such as vexing heat of the five palms, red
cheek bones, night sweating, a dry mouth, emaciation, a red or crimson tongue body with
scanty and dry tongue fur and a fine and rapid pulse.
Yin vacuity with deficiency heat
The fever here is generally mild, vexing heat or tidal fever, although occasionally there may be
vigorous heat. It is accompanied by signs of an insufficiency of blood such as a pale face
without luster or a withered yellow face, dizziness, heart palpitations, insomnia, numbness of
the limbs, pale lips and nails, a pale tongue with thin white and dry fur and a fine and rapid
pulse. This type of fever often occurs after giving birth or in other cases where there has been a
great loss of blood.
Blood Vacuity heat
No luster and pale is dead giveaway for blood xu
The fever here is generally mild, lingering heat or possibly tidal fever; the heat is severe during
the day and then recedes at night, although in some cases it may be severe at night and
occasionally there may be vigorous fever. The fever is stronger after taxation or exertion and is
accompanied by signs of an insufficiency of qi such as a pale face, spontaneous sweating, a
shortness of breath and a lack of strength. The tongue is pale, fat and has teeth marks, and the
fur is white. The pulse is vacuous and large or vacuous and rapid.
Qi vacuity heat
Symptoms worse after taxation or exertion
Sweating and tired
There is a fever here, but also a preference for warmth and a desire to be covered by blankets.
This must be accompanied by thirst with a desire for warm fluids or thirst with no desire for
fluids, red cheekbones as if wearing make-up, and pale white lips. In addition it may be
accompanied by images of vacuity cold such as listlessness of the essence-spirit, fatigue and a
lack of strength, thin sloppy stools, clear, long urination and a large and vacuous or forceless
pulse, etc. pale tongue
True cold, false heat
Urine and tongue
The fever here generally is scorching heat or tidal fever and the course of the fever may
continue for 2 to 3 months. It must be accompanied by three symptoms of extreme thirst, lack
of sweating and profuse urination and the disease must occur during the summer.
Infantile Summerheat
