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(3)  Tonifying yin, clearing away heat and relieving hectic fever: internal diseases lead to liver and kidney yin deficiency, internal retention of deficiency-heat; or excess of fire due to yin deficiency leads to invasion of pathogenic wind; or yin damage in late stage of warm disease leads to yin deficiency, retention of internal heat and remittent fever. Symptoms: high or low fever in the afternoon unrelieved by sudorific, thin body, red lip and cheek, irritability, thirst, dry throat, fatigue, sore and weakness of lumber and knee, red tongue with scanty coating, thready and rapid pulse. The modifications of Qing Hao Bie Jia Tang, Qing Gu San and Qin Jiu Bie Jia San are applied to tonify yin, clear away heat and relieve hectic fever.
(4)  Supporting yang, relieving exterior, tonifying yin and relieving hectic fever. For the consumptive disease, patients are yin and yang deficiency, invasion from exterior pathogens leading to fever. It is commonly seen in tumor fever, postoperative fever, chronic nephritic fever and liverish fever. Symptoms: high fever or low fever in the afternoon, followed with red cheek and lip, feverish sensation over the five centers, irritability, less sleeping with profuse perspiration and aversion to wind after sudation; pale complexion, aversion to coldness, coldness of four limbs, preference to be covered with cloth and quilt when the fever dose not occur; deep and thready pulse, red tongue with thin coating. Chai Hu Gui Zhi Tang with Fu Zi is applied to Support yang, relieve exterior, and regulate interior and exterior; He Qing Gu San is applied to tonify yin and relive hectic fever.

Key words: internal injury, high fever, differentiation and treatment

Author: Chen Wuyi (ST15)
The first Traditional Chinese medicine hospital of Kaifeng, Henan (475001)

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