Module 2: Fever

Question 1

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.

Answer 1

Exterior patter of fever: (Taiyang stage disease)

Question 2

no sweating, cold worse, body aches, floating tight pulse

Answer 2

Wind cold exterior excess

Question 3

Sweating, fever worse, itchy cough, floating moderate pulse

Answer 3

Wind cold exterior Xu

Question 4

fever strong, heavy fatigue painful headache, fullness in abdomen and chest, white poise tongue fur, soggy, rapid pulse

Answer 4

Damp heat exterior pattern

Question 5

seasonally associated exterior invasion, dry mouth, dry nose, dry throat, dry cough, little phlegm

Answer 5

Dryness exterior pattern

Question 6

Taiyin organs

Answer 6

Lung and Spleen

Question 7

Yangming organs

Answer 7

LI and Stomach

Question 8

Shaoyin organs

Answer 8

Heart and Kidney

Question 9

Taiyang Organs

Answer 9

SI and UB

Question 10

Jueyin organs

Answer 10

PC and Liver

Question 11

Shaoyang organs

Answer 11

GB and Sanjiao

Question 12

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.

Answer 12

external, Shaoyang stage disease

Question 13

Alternating heat and cold, aversion to cold no fever, fever no aversion to cold, they alternate at different intervals

Answer 13

both, Half Interior Half Exterior

Question 14

External excess is wind or cold predominant?

Answer 14

cold

Question 15

External xu is wind or cold predominant?

Answer 15

wind

Question 16

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.

Answer 16

external, Malaria

Question 17

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?

Answer 17

Internal, Yangming Channel Disease

Question 18

Sweating then breaks through heat and retreats, then sweating stops (repeats) what does this indicate?

Answer 18

Malaria

Question 19

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.

Answer 19

Internal, Yangming bowel

Question 20

Layers and internal vs external of shaoyang etc.

Answer 20

Taiyaing exterior
Shaoyang half half
Yang ming Interior

Followed by Taiyin, shaoyin, jueyin

Question 21

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.

Answer 21

Heat Congesting the Lung (Qi Level disease)

Question 22

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.

Answer 22

Summer heat warm (Qi level disease)

Question 23

Yangming channel diseases is characterized by what?

Answer 23

4 bigs

Question 24

Yangming organ characterized by?

Answer 24

glomus - palpable masses
fullness - abdominal wall distention, rigid
dryness
excess

Question 25

Is Yangming bowel a zang fu or channel disease?

Answer 25

Zang fu

Question 26

Pathogen enters heart or ying level and sudden loss of consciousness, body heat, limb reversal, coarse breathing, panting. Tightly shut teeth, scarlet tongue.

Answer 26

Summerheat reversal

Question 27

Taiyang tx principle

Answer 27

expel

Question 28

Shaoyang tx principle

Answer 28

harmonize, move qi

Question 29

Yangming tx principle

Answer 29

purge the bowels

Question 30

unsurfaced heat in body that is hidden, heat does not resolve after sweating or by afternoon tidal fever.

Answer 30

Spleen and stomach damp heat (damp arm qi aspect pattern)

Question 31

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.

Answer 31

Liver Gallbladder damp heat

Question 32

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.

Answer 32

Internal Epidemic Toxic Disease (Ying Stage)

Question 33

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.

Answer 33

Heat Harassing the PC (Ying stage)

Question 34

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.

Answer 34

Heat entering the Ying stage

macules, very red tongue, vexation

Question 35

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.

Answer 35

Xue stage disease

Blood is the key here with heat

Tongue and pulse MUST BE as stated

Question 36

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.

Answer 36

Heat stirring wind

Seizures and convulsions signs of wind

Heat is very severe and liver wind is present

Question 37

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.

Answer 37

Large intestine heat

location very focused on anus and bowels
Anus, recutum, bowels, result of bowel movements

Question 38

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.

Answer 38

Small Intestine Heat

SI pathology is always related to 2 things:
mental emotional shen – heart (epigastrium)
Urine – UB (lower abdomen)

Question 39

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.

Answer 39

UB Damp Heat

All urine signs

Question 40

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.

Answer 40

Wind damp heat bi

pain that travels -wind
Pain- bi
trouble moving joints- bi

Question 41

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.

Answer 41

Yin vacuity with deficiency heat

Question 42

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.

Answer 42

Blood Vacuity heat

No luster and pale is dead giveaway for blood xu

Question 43

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.

Answer 43

Qi vacuity heat

Symptoms worse after taxation or exertion

Sweating and tired

Question 44

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

Answer 44

True cold, false heat

Urine and tongue

Question 45

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.

Answer 45

Infantile Summerheat