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10 Asking Song: #1) Chills and Fever
Chinese Medicine
35
Medical
11/14/2012

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Term
-
Definition
Term
Chills
Definition
Def: the cold sensation felt by a patient.
1) Aversion to Cold
2) Aversion to Wind
3) Intolerance to Cold

Yin Excess or Yang Deficiency
Term
Fever
Definition
Def: sensation of heat or warmth in a patient.
1) Feverish sensation
2) Fever or higher body temperature

Yin Deficiency or Yang Excess
Term
Inquiry into the details of chills and fever helps one to:
Definition
-infer the disease etiology
-distinguish the disease location
-determine the thermal nature of the pathogenic factor
-know the condition of yin and yang in the body
-provide a reliable tx principle
Term
Chills and Fever Scope of Inquiry
Definition
Relationship of C&F..if f&c are present rel. needs to be determined:

a) simultaneous
b) chills only, fever only
c) alternating
Term
Simultaneous C&F
Definition
-mild aversion to cold and high fever
-severe aversion to cold and slight fever
-severe aversion to cold and high fever
-mild aversion to cold and slight fever
Term
C&F Onset and Duration
Definition
-worse in the morning, noon, or evening?
-chills first then fever, or fever first and then chills?
-duration: acute or chronic?
Term
Concomitant Symptoms C&F
Definition
-s/s accompanying the c&f such as cough, ha, anorexia, etc...
Term
Chills without Fever
Definition
1) Aversion to Wind
2) Aversion to Cold
3) Intolerance of Cold
Term
Aversion to Wind
Definition
-feels cold when exposed to wind
-wind/wei disharmony
-tai yang xu type syndrome
-wei qi impairment leads to compromised warming fxn
Term
Aversion to Cold
Definition
-chills and cold sensations not relieved by more clothes or heat source
-exterior
-wei qi fights w/ exopathogens, can't maintain warming fxn
Term
Shivers
Definition
-severe aversion to cold with shivering
-exterior cold
-wei qi fights with exopathogens, can't maintain warming fxn
Term
Intolerance (Fear) to/of Cold
Definition
-can't tolerate cold, sens. rel/by more clothes or external heat source
-interior cold d/t Yang Xu
-Yang Xu fails to warm surface
Term
Fever without Chills
Definition
-depending on severity of the heat, time of occurrence and duration, and its characteristics classified as:

1) Low grade fever
2) Tidal fever
3) High fever
Term
Low Grade Fever

Di Shao
Definition
body temp is consistently between 98.6 and 100.4 over a period of at least 2 weeks

-includes pts subjective sensation of heat, even in absence of measurable fever
Term
Tidal Fever

Chao Re
Definition
occurs or worsens at a fixed hour of the day, like regularrise and fall of the tides

-includes pts subjective sens of heat w/out rise in measurable body temp
Term
High Fever

Gao Shao
Definition
body temp above 102, which persists w/out aversion to cold
Term
High Fever
Definition
-excess type interior heat syndromes
-transmission of path fact from EXTERIOR to INTERIOR with SHI HEAT in the INTERIOR
Term
Tidal Fever

1) High grade tidal fever
Definition
-occurs and is aggravated betw 3-5
-YANG MING FU syndrome
-YANG MING QI reaches peak during 3-5
-creates a stronger battle betw anti-path qi and the pathogen at this time of day
Term
Tidal Fever

2) Fever worse in afternoons
Definition
-upon initial touch skin feels normal
-after prolongd touch, skin feels hot
-worse in afternoons, decreases a little after sweating but fever soon returns
-hidden fever d/t DAMP HEAT
Term
Fever due to Damp Heat
Definition
Tidal fever-worse in afternoons
-D/H in MJ prevents heat from radiating out...fever is hidden by damp
-damp is sticky and diff. to clear so becomes prolonged and stubborn
Term
Tidal Fever

3) Low grade fever
Definition
occurs in late afternoons or night time
-YIN XU
-YIN XU leads to relative yang shi which results in endogenous heat
Term
Low Grade Fever or
Feverish Sensation
Definition
-usually occurring in the afternoon or nighttime
-localized sens. of heat
-fixed and sharp pain
-follows traumatic injury
-XUE STAGNATION
-STAGNATION turns into HEAT
Term
Low Grade Fever or
Feverish Sensation
Definition
-intermittent low-grade fever
-usually occrring in the AM or afternoon
-worse after/with exertion
-QI Xu
-MJ QI XU with EMPTY FIRE---QI XU leads to STAGNATION---leads to Heat
Term
Simultaneous Chills and Fever
Definition
-initial stage of exterior pattern
-exopath. have different temperatures
Term
Simultaneous Chills and Fever

3 Types
Definition
1) Severe chills and slight fever
2) Slight chills and high fever
3) Fever with an aversion to wind
Term
Fever
Definition
Struggle between defensive qi and pathogens
Term
Chills
Definition
Exopathogens (heat/cold/summer-heat) invade the body's surface....Defensive Qi defends....WEAKENING OF WEI QI'S warming function
Term
Simultaneous Chills and Fever

1) Severe Chills and Slight Fever
Definition
-SHI
-WIND COLD ATTACK
-Winter

S/S: bodyaches, wheezing, NO SWEATING
Term
Simultaneous Chills and Fever

2) Chills and Fever, Aversion to Wind
Definition
-XU
-WIND COLD ATTACK
-Winter and Spring

S/S: spontaneous sweating, sneezing
Term
Simultaneous Chills and Fever

3) Slight Chills and Severe Fever
Definition
-WIND HEAT ATTACK
-Spring

S/S: Sore throat, cough, thirst, headache
Term
Simultaneous Chills and Fever

4) High Fever with Slight Chills
Definition
-SUMMER HEAT
-Summer or Late Summer

S/S: distending ha, stifling sensation in chest, nausea, sweating, thirst, greasy tongue coating
Term
Alternating Chills and Fever
Definition
usually seen in the middle stages of exopath. attack
-SHAO YANG STAGE
-Malaria

Chills and fever occur one after the other.

-path is invading deeper...antipath qi and path become locked...alternating between strength of path qi (chills) and strength of antipath qi (fever)
Term
Alt Chills and Fever

1) Shao Yang Pattern
Definition
-irregular occurrence
-path can't completely enter the interior while the antipath qi can't quite expel the evil

S/S: bitter taste in mouth, fullness and pain in chest and flanks, wiry pulse
Term
Alt Chills and Fever

2) Malaria
Definition
-regular occurrence
-exopath. hides in the mo yuan, located between int and ext

S/S: severe ha, profuse sweating, thirst