FEELING OF COLD, FEELING OF HEAT, FEVER

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Chapter 82

FEELING OF COLD, FEELING OF HEAT, FEVER

Chapter contents

FEELING OF COLD, SHIVERING

Interrogation, Chapter 43

Exterior

Interior

Internal Cold

Cold feeling, no fever, dorsum of the hands not hot, cold feet, cold limbs.

Deficiency of Yang of the Heart/Lungs

Cold hands, a feeling of cold, shortness of breath, palpitations, Weak pulse.

Yang deficiency of the Stomach and Spleen

Cold limbs and abdomen, poor appetite, tiredness, slight abdominal distension, bright-white complexion, loose stools, a feeling of cold, Pale and wet tongue, Deep-Weak pulse.

Kidney-Yang deficiency

Cold legs, knees, feet and back, lower backache, dizziness, tinnitus, a feeling of cold, weak knees, bright-white complexion, tiredness, abundant clear urination, Pale and wet tongue, Deep-Weak pulse.

Qi stagnation

Cold hands and feet (especially fingers and toes), irritability, depression, hypochondrial discomfort, sighing, Wiry pulse.

Heart-Blood deficiency

Cold hands, a feeling of cold, palpitations, dizziness, insomnia, poor memory, anxiety, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Liver-Blood deficiency

Cold feet and hands, a feeling of cold, dizziness, blurred vision, floaters, numbness/tingling of limbs, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

Phlegm in the Interior

A feeling of cold, cold limbs, a feeling of heaviness of the limbs, a feeling of oppression of the chest, sputum in the throat, Slippery pulse.

Often Phlegm may cause a cold feeling and cold limbs because it may obstruct the circulation of the Defensive Qi; this may happen even in the case of Phlegm-Heat and may account for contradictory hot and cold signs.

Heat stagnating in the Interior (True Heat–False Cold)

A feeling of cold, cold limbs, thirst, mental restlessness, dry throat, dry stools, red tongue, deep pulse.

This is due to interior Heat blocking Yang Qi in the Interior so that it cannot extend towards the Exterior; however, this situation is quite rare.

Clinical note

• Apart from obvious differences in patterns, the cold feeling from exterior invasions manifests with typical ‘waves’ of feelings of cold and shivering.

FEVER

Interrogation, Chapter 43

Acute fever

In acute fevers the identification of patterns according to the Four Levels provides the best framework of interpretation. Within the Four Levels, the Defensive-Qi level is the only exterior one and therefore there is fever and shivering with a slight feeling of cold simultaneously. At the other three levels (Qi, Nutritive Qi and Blood), Heat is in the Interior and the fever is interior. The identification of patterns according to the Four Levels describes the symptomatology of invasions of Wind-Heat. However, fever, to a lesser degree, may be present also in invasions of Wind-Cold, for which the identification of patterns according to the Six Stages is used.

Invasion of external Wind-Heat in the Lungs Defensive-Qi portion

Fever with a slight aversion to cold, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on the front part, Floating-Rapid pulse.

Invasion of external Wind-Cold

A slight fever with a pronounced cold feeling and possibly shivering, cough, itchy throat, slight breathlessness, stuffed or runny nose with clear watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating-Tight pulse.

Invasion of Summer-Heat

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FEELING OF COLD, FEELING OF HEAT, FEVER

FEELING OF COLD, FEELING OF HEAT, FEVER

FEELING OF COLD, SHIVERING

Exterior

Invasion of exterior Wind

Lesser-Yang pattern

Lesser-Yang pattern with predominance of Heat

Exterior Cold and interior Heat

Long-lasting invasion of Wind-Heat

Interior

Internal Cold

Deficiency of Yang of the Heart/Lungs

Yang deficiency of the Stomach and Spleen

Kidney-Yang deficiency

Qi stagnation

Heart-Blood deficiency

Liver-Blood deficiency

Phlegm in the Interior

Heat stagnating in the Interior (True Heat–False Cold)

FEVER

Acute fever

Invasion of external Wind-Heat in the Lungs Defensive-Qi portion

Invasion of external Wind-Cold

Invasion of Summer-Heat

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