39 degrees or higher.
Western medicine acute infection, epidemic febrile disease, rheumatism, cancer, others.
TCM Excessive Heat
Etiology and Pathogenesis
Main etiology and pathogenesis is external pathogenic invasion with the Zheng Qi fighting back causing fever.
- Wind/Heat Lung cant move Wei Qi properly.
- Epidemic febrile Heat pathogen invades Qi or Ying level.
- Summer-Heat invades Pericardium
- Toxic Heat epidemic contagious pathogen
Differentiation and Treatment
fever, sweat, sore throat, scanty urine, dry stool, T- red, P- rapid
P/T expel Wind/Heat, promote Lung function, relieve superficial.
Acupuncture hand taiyin, yangming, LU 5 (son), 10 ying-spring), LI 4 (ext patho), 11 (heat),
SJ 5 (ext patho), Du 14 (heat)
– cough LU 7
– headache Du 20, yintang, taiyang
– sore throat LU 11, LI 1
Wei level: treat same as above
Qi level: internal excess yangming heat, 4 big
P/T clear Heat, purge Fire
Acupuncture LI 2 & ST 44 (ying-spring), LI 11 & Du 14 (Heat), ST 40 (Luo, remove stag.),
LI 4 (ext patho, heat)
Ying & Xue level: excess fever at night, bleeding, eruptions.
P/T clear Fire
Acupuncture Rx HT 9 & PC 9 (jing-well heat), HT 7 & PC 7 (yuan-source clear & calm), PC 6 (Luo to SJ, transforms Qi), PC 3 (he-sea, blood heat, bleed)
Severe: convulsions, very high fever
Acupuncture Rx Du 26 & shi xuan (convulsion), SJ 6 & ST 25 (constipation), SP 10 (eruptions), BL 17 (bleeding)
sunstroke, stagnation, burnt muscles or skin, red complexion, thirst, dry lips, attacks of Heart Shen causes loss of consiousness, irritable, attacks of Pericardium can produce Wind (spasm), if there is dampness nausea, yellow urine and irregular bowel movements can occur, T- red, dry with yellow coat, P- forceful, strong
P/T purge summer-heat, open orifices
Acupuncture Rx hand yangming, jueyin, LI 4 (heat), PC 3, 9, & BL 40 (bleeding), PC 6 (nausea)
severe (i.e. meningitis), excess fever, severe feelings of heat, severe sore throat (ulcerated and painful), irritable, eruptions
P/T clear Heat, detoxify
Acupuncture Rx yangming, LI 4, 11, ST 44, & 43 (heat and muscle heat), PC 3 & BL 40 (bleeding)
Alternative treatment methods
auricular bleed apex and earlobe tips, shenmen, adrenal gland
– for children bleed fingertips or ear
scraping cubital and popliteal fossa, neck, Bladder meridian, (this gets blood moving faster to its capillaries to help body expel fever.
points injection Chai Hu