Term
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Definition
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Term
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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 |
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Term
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Definition
Def: sensation of heat or warmth in a patient.
1) Feverish sensation
2) Fever or higher body temperature
Yin Deficiency or Yang Excess |
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Term
| Inquiry into the details of chills and fever helps one to: |
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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 |
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Term
| Chills and Fever Scope of Inquiry |
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Definition
Relationship of C&F..if f&c are present rel. needs to be determined:
a) simultaneous
b) chills only, fever only
c) alternating |
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Term
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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 |
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Term
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Definition
-worse in the morning, noon, or evening?
-chills first then fever, or fever first and then chills?
-duration: acute or chronic? |
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Term
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Definition
| -s/s accompanying the c&f such as cough, ha, anorexia, etc... |
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Term
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Definition
1) Aversion to Wind
2) Aversion to Cold
3) Intolerance of Cold |
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Term
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Definition
-feels cold when exposed to wind
-wind/wei disharmony
-tai yang xu type syndrome
-wei qi impairment leads to compromised warming fxn |
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Term
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Definition
-chills and cold sensations not relieved by more clothes or heat source
-exterior
-wei qi fights w/ exopathogens, can't maintain warming fxn |
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Term
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Definition
-severe aversion to cold with shivering
-exterior cold
-wei qi fights with exopathogens, can't maintain warming fxn |
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Term
| Intolerance (Fear) to/of Cold |
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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 |
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Term
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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 |
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Term
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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 |
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Term
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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 |
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Term
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Definition
| body temp above 102, which persists w/out aversion to cold |
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Term
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Definition
-excess type interior heat syndromes
-transmission of path fact from EXTERIOR to INTERIOR with SHI HEAT in the INTERIOR |
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Term
Tidal Fever
1) High grade tidal fever |
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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 |
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Term
Tidal Fever
2) Fever worse in afternoons |
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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 |
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Term
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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 |
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Term
Tidal Fever
3) Low grade fever |
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Definition
occurs in late afternoons or night time
-YIN XU
-YIN XU leads to relative yang shi which results in endogenous heat |
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Term
Low Grade Fever or
Feverish Sensation |
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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 |
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Term
Low Grade Fever or
Feverish Sensation |
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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 |
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Term
| Simultaneous Chills and Fever |
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Definition
-initial stage of exterior pattern
-exopath. have different temperatures |
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Term
Simultaneous Chills and Fever
3 Types |
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Definition
1) Severe chills and slight fever
2) Slight chills and high fever
3) Fever with an aversion to wind |
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Term
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Definition
| Struggle between defensive qi and pathogens |
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Term
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Definition
| Exopathogens (heat/cold/summer-heat) invade the body's surface....Defensive Qi defends....WEAKENING OF WEI QI'S warming function |
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Term
Simultaneous Chills and Fever
1) Severe Chills and Slight Fever |
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Definition
-SHI
-WIND COLD ATTACK
-Winter
S/S: bodyaches, wheezing, NO SWEATING |
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Term
Simultaneous Chills and Fever
2) Chills and Fever, Aversion to Wind |
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Definition
-XU
-WIND COLD ATTACK
-Winter and Spring
S/S: spontaneous sweating, sneezing |
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Term
Simultaneous Chills and Fever
3) Slight Chills and Severe Fever |
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Definition
-WIND HEAT ATTACK
-Spring
S/S: Sore throat, cough, thirst, headache |
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Term
Simultaneous Chills and Fever
4) High Fever with Slight Chills |
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Definition
-SUMMER HEAT
-Summer or Late Summer
S/S: distending ha, stifling sensation in chest, nausea, sweating, thirst, greasy tongue coating |
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Term
| Alternating Chills and Fever |
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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) |
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Term
Alt Chills and Fever
1) Shao Yang Pattern |
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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 |
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Term
Alt Chills and Fever
2) Malaria |
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Definition
-regular occurrence
-exopath. hides in the mo yuan, located between int and ext
S/S: severe ha, profuse sweating, thirst |
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