Clinical Information For the Treatment Of Fever

What Is Fever?

whatisfever?

Fever - Basics

Fever is the heightened temperature of the body in response to infection, disease or extreme conditions. A mechanism of the body's immune system, fever creates a harmful environment for the infection-causing bacteria that thrive at the body's normal temperature (98.6 degrees). Although infection is the most common cause of fever, it can also be the result of certain medications, diseases or heat exhaustion.

Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for fever.

What Patterns Are Related To Fever?

whatpatternsarerelatedtofever?

Fever - Diagnostic Patterns

The Chinese Medicine treatment of fever generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of fever:

Blood StagnationLiver FireLiver Qi StagnationLung Wind Invasion - Wind HeatStomach Fire

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Formulas and Products @ Our Store Associated With Fever

The Following (14)Formulas TCM Herbal Formulas May Be Useful For Fever

Bai Hu Wan (White Tiger Decoction)

Clinical Usages

  • In 6 channel theory, Yang ming channel heat or the "4 bigs" - big thirst, big sweat, big thirst, big pulse - accordingly, fever, thirst, profuse sweating, aversion to heat.
  • Many symptoms may fit the larger pattern, may arise with advanced diabetes, certain immune issues such as the flu, common cold, bronchial asthma, and a range of digestive issues such as gastritis.

    Clinical Categorization

    Cautions

      • Diagnosis must be precise - avoid in stomach and spleen deficiency cases, those with true cold and false heat, and in pure exterior conditions.

        Chai Hu Gui Zhi Tang Wan (Bupleurum and Cinnamon Twig Decoction)

        Clinical Usages

        • A combination of gui zhi tang and xiao chai hu tang - together they work with both taiyang and shaoyang syndromes - common colds and flu, fever, chills, joint pain, nausea, abdominal/epigastric distention.  Neuralgias from wind invasions - trigeminal neuralgia, frozen shoulder, etc.
        • With the right underlying factors also useful for a range of middle jiao issues such as hepatitis, cirrhosis, cholecystitis, gastric ulcers, pancreatitis, appendicitis.
        • Epilepsy.

          Clinical Categorization

          Chuan Xiong Cha Tiao Wan (Ligusticum Tea Pills)

          Clinical Usages

          • Headaches, primarily from wind-cold (but used with wind-heat/wind-damp), with neck stiffness, muscle aches and/or nasal discharge.
          • In certain cases may be useful for migraines, frequent headaches - particularly when they are influenced by cold weather and/or changing from warm to cold environments.
          • Rhinitis, sinusitis.

            Clinical Categorization

            Cautions

            • Use only with direction during pregnancy.
            • Avoid in cases of headache from liver yang rising or deficiencies of qi and/or blood.

              Fang Feng Tong Sheng Wan (Ledebouriella Pills to Sagely Unblock)

              Clinical Usages

              • High fever with aversion to cold.
              • Thick phlegm that may be both in sinus and chest.
              • Vertigo or dizziness that is caused by excess heat.
              • Rashes, carbuncles, and other types of skin disorders that are caused by heat.
              • Constipation and scanty or dark urine.

                Clinical Categorization

                Cautions

                  • Contraindicated for pregnancy.
                  • Use with caution for patients presenting with loose stools or diarrhea.

                    Ge Gen Wan (Kudzu Decoction)

                    Clinical Usages

                    • Wind-cold invasion with upper neck and back pain - cold or flu, mild fever, no sweating, stiffness.

                      Clinical Categorization

                      Cautions

                        • Avoid with fever.
                        • Due to having ephedra use caution in patients with hypertension, panic disorder, insomnia, etc.

                          Huang Lian Jie Du Wan (Coptis Decoction To Relieve Toxicity)

                          Clinical Usages

                          • Clears fire toxins (damp heat, toxic heat, fire) from all three jiaos - formula has an antibiotic function which has a broad range of uses in conditions arising from damp heat in the body.  Acute bacterial infections, dystentary, fever (of unknown origin), acute bronchitis, acute conjunctivitis, UTI.
                          • Hypertension when it arises from fire/toxic heat.
                          • A range of skin issues - boils, acne, mastitis, pyogenic skin infections, gingivitis.
                          • Disorders of the middle jiao - hepatitis (particularly acute infectious), jaundice, H-pylori, gastritis.
                          • Arrest bleeding in reckless bleeding from heat.
                          • Gu syndrome conditions with the right underyling factors - IBS, Lyme, other inflammatory conditions.

                            Clinical Categorization

                            Cautions

                              • Generally only used for acute situations, rarely taken for longer than 15-20 days.  For longer use watch for signs of damage to the spleen system in TCM terms.
                              • Avoid in patients with Glucose-6-phosphate dehydrogenase (G6PD) deficiency.  G6PD is an inherited condition usually occurring in males, more commonly in those of African and Mediterranean descent. Triggers include infections, stress, fava beans, aspirin, and other drugs.  When symptoms are triggered, they include fever, dark urine, abdominal and back pain, fatigue, and pale skin.  Most people recover in a few days without treatment, but avoiding relapses is important. 

                                Hui Chun Wan (Recovery Special Pill)

                                Clinical Usages

                                Most often used for childhood convulsions (possibly with wheezing, nausea, nighttime crying, vomiting, diarrhea, excessive mucus/saliva) or other conditions that involve fever, impaired or loss of consciousness, irritability, restlessness such as seizure disorders, meningitis, measles, and gastroenteritis among others.

                                  Clinical Categorization

                                  Pu Ji Xiao Du Wan (Universal Benefit Decoction To Eliminate Toxin)

                                  Clinical Usages

                                  • Acute febrile disorder (wind-heat & damp-phlegm) of the head - strong fever and chills, burning pain of head and face, red and/or swollen eyes, sore throat, aversion to cold, dryness, thirst.  Hemorrhagic fever, Respiratory Tract Infection, Acute tonsillitis, otitis media, lymphadenitis, Common Cold, Flu.  More common seasonally in the winter or spring.
                                  • Disperse wind-heat - cellulitis in the head and face, herpes, boils.
                                  • Has a range of antibiotic and antiviral effects.

                                    Clinical Categorization

                                    Cautions

                                      • Generally meant for short-term usage, avoid or use with caution in patients with yin deficiency.

                                        Qing Qi Hua Tan Wan (Clear the Qi and Transform Phlegm Pill)

                                        Clinical Usages

                                        • Cough with thick yellow or green phlegm, difficulty breathing, wheezing, and possible fullness of the chest due to damp heat accumulation in the lungs.

                                          Clinical Categorization

                                          Ren Shen Bai Du Wan (Ginseng Detoxification Pills)

                                          Clinical Usages

                                          Coming Soon...

                                            Clinical Categorization

                                            San Huang Xie Xin Wan (Drain The Epigastrium Decoction)

                                            Clinical Usages

                                            • Damp-heat excess with interior climbing - fever, restlessness, red eyes, constipation, possibly in severe cases delirium from high fever.
                                            • A range of digestive/epigastric issues from damp-heat - gastroenteritis, hepatitis, dysentary, hemorrhoids, etc.
                                            • Certain psychological conditions with damp-heat background - schizophrenia, anxiety, as well as obstructive conditions such as sleep apnea.
                                            • Due to the "clear heat in the blood" aspect, possible usages for digestive bleeding, vascular headaches, trigeminal neuralgia, epistaxis, dental abscesses, mouth sores, etc.
                                            • Has a broad anti-inflammatory effect, accordingly with the right underlying patterns may be used for atherosclerosis, upper respiratory infections and issues such as diabetic nephropathy.

                                              Clinical Categorization

                                              Cautions

                                              • Generally not meant for long-term use.  Once desired results are achieved the formula should be stopped.
                                              • Not for use during pregnancy or during nursing.

                                                Xiao Chai Hu Tang Wan (Minor Bupleurum Decoction)

                                                Clinical Usages

                                                • Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea.  Often used for illnesses (chronic or short-term) such as the flu, etc. that have "cleared" but not completely.  People will describe not feeling quite right or having a range of low level symptoms for months or longer after a particular illness.  Instead of fever and chills alternating they may manifest with cold extremities and warm interior or other variations.
                                                • A range of liver related conditions including malaria, jaundice, hepatitis, liver cancer, meniere's disease, general protection from medicines that may harm the liver, etc. among issues with other digestive organs - pancreatitis, stomatitis, gastritis.
                                                • Liver/speen disharmonies resulting in broader issues such as depression, chronic fatigue syndrome, menstrual irregularities (PMS, cramping, etc.).
                                                • Other general immune issues such as the common cold, flu, tonsillitis, general seasonal allergies with the right underlying factors.

                                                  Clinical Categorization

                                                  Cautions

                                                    • Use with caution with yin and/or blood deficiencies.
                                                    • Avoid cold, raw, and spicy foods while taking xiao chai hu tang.

                                                      Xiao Qing Long Wan (Minor Blue Dragon Pills)

                                                      Clinical Usages

                                                      • Cold/flu like symptoms such as aversion to cold, cough, clear watery phlegm -from exterior wind cold invasion.
                                                      • Wheezing, heavy sensation, edema due to interior water accumulation.

                                                        Clinical Categorization

                                                        Cautions

                                                          • Not meant for long term use.

                                                            Xie Xin Wan (Drain the Epigastrium Formula)

                                                            Clinical Usages

                                                            Signs of damp-heat with interior clumping which may settle into the abdominal region and/or rise upward to the head.  Fever, irritability, red eyes, constipation, dark urine, flushed face - middle warmer issues - jaundice, dysentery, tongue/mouth ulcers.

                                                            Pulse will be be wiry and rapid and the Tongue will be red, swollen with a yellow greasy tongue coating.

                                                              Clinical Categorization

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