Low Grade Fever

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.




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
+ Mu Dan Pi, Zhi Zi; or modified Si Ni San

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