Low Grade Fever
Low grade fever means body temperature between 98.6 and 100.4 degrees fahrenheit and is consistent for over two weeks. In TCM, low grade fever also includes a sensation of heat without any increase in body temperature. It is often present in various kinds of chronic infection diseases such as TB, chronic hepatitis, chronic nephritis, rheumatism, cholecystitis, hyperthyroidism, and vegetative neurosis.
|
Differentiation |
Symptoms |
Formula |
|
E x c e s s |
Liver-Qi stagnation |
low grade fever or afternoon tidal fever; fever impacted by emotions or moods; irritability, hypochondriac pain, breast distention, wiry pulse |
Stagnation transforms into heat |
Xiao Yao Wan |
||
|
Food stagnation |
low grade fever which is worse in the afternoon, abdominal pain and distention, acid regurgitation, nausea or vomiting, foul breath odor, thirst, red tongue with yellow coating, slippery pulse |
Bao He Wan |
||||
|
Blood stagnation |
afternoon or night time low grade fever, sensations of heat in random areas of the body, fixed and sharp pain, thirst but no desire to swallow |
low abdominal pain, constipation |
Tao He Cheng Qi Tang |
|||
|
chest pain, palpitations |
Xue Fu Zhu Yu Tang |
|||||
|
irregular menstruation, infertility |
Wen Jing Tang |
|||||
|
mass in low abdomen, dysmenorrhea |
Gui Zhi Fu Ling Wan |
|||||
|
D e f i c i e n c y |
Qi deficiency |
morning or afternoon low grade fever induced or worsened by exertion, fatigue, shortness of breath, spontaneous sweating, dizziness, thirst with desire to drink warm water, pale tongue, weak pulse |
middle Jiao Qi deficiency with empty fire |
Bu Zhong Yi Qi Tang |
||
|
Blood deficiency |
low grade fever, worsened by exertion or the arrival of the evening, dizziness, blurry vision, night sweats, pale face, insomnia, palpitations, five center heat, pale tongue, weak and thin pulse |
Blood deficiency with related yang excess |
Gui Pi Tang + Si Wu Tang |
|||
|
Yin deficiency |
low grade fever at night, night sweats, five center heat, hot flashes, thirst, dry stool, night sweats, scanty urine, red tongue with scanty yellow coating, thin and rapid pulse |
fever: body temperature increases at night or afternoon, but reduces to normal during the day |
Yin deficiency with related Yang excess |
Qing Huo Bie Jia Tang |
||
|
fever: patient feels warm, but the body temperature is normal |
Liu Wei Di Huang Wan +Zhi Mu, Huang Bai |
|||||
|
Yang deficiency |
sensation of fever, though body temperature is not high, aversion to cold, cold limbs, no thirst, no sweating, pale tongue, deep weak pulse |
true cold and false heat |
Si Ni Tang |
|||