Xiao Li is a college student. Recently, she has a fever all over her body every afternoon, and her limbs are weak. Her temperature is 37. 1 Celsius. Her appetite is getting smaller and smaller, and she is getting haggard. Professor Li Zhenhua, the former president of Henan College of Traditional Chinese Medicine and a famous old Chinese medicine practitioner, took her pulse and prescribed Chinese medicine for three days, but her nameless low-grade fever suddenly recovered.
According to the young couple, the prescription is: Angelica sinensis 10g, Paeonia lactiflora 12g, Atractylodes macrocephala 10g, Poria cocos 12g, Bupleurum chinense 10g, Scutellaria baicalensis Georgi 10g and Cortex Moutan/kloc-0.
Professor Li explained that this disease is customarily called low-grade fever, also known as nameless fever. This is a chronic fever, which gets worse every afternoon or evening. The body temperature is between 37 and 38 degrees Celsius, often below 37.5 degrees Celsius. Fever lasts for a long time, is difficult to heal, is difficult to diagnose, and lacks specific drugs, so it is called nameless fever. Often accompanied by dizziness, loss of appetite, fatigue, mental fatigue. More common in some chronic inflammation such as chronic cholecystitis, chronic tuberculosis or urinary system diseases.
Chinese medicine believes that the disease is mainly caused by yin deficiency and internal heat, which is the case with young couples. The treatment emphasizes nourishing yin and clearing heat, and Danzhi Xiaoyao Powder is selected. Adults usually take about ten doses, and some only take three doses to cool down.
This prescription works so well because of proper compatibility. All can clear the qi and heat of yin deficiency. Angelica sinensis, Radix Paeoniae Alba, Radix Bupleuri, Cortex Moutan, Fructus Gardeniae, Carapax Trionycis and Radix Puerariae can nourish yin, clear away heat and reduce fever. Angelica sinensis and Radix Paeoniae Alba belong to yin-separating drugs. Cortex Moutan, Carapax Trionycis and Concha Ostreae nourish yin and clear heat; Cortex Lycii, Herba Artemisiae Annuae, Radix Puerariae, Fructus Gardeniae with Bupleuri Radix and Scutellariae Radix for clearing away heat and reducing fever; Atractylodes macrocephala, Poria, invigorating spleen and eliminating dampness.
Professor Li added that low-grade fever may also be caused by spleen deficiency, damp-heat or blood deficiency. Low fever caused by spleen deficiency and damp heat is rare, while low fever caused by blood deficiency is more common.
Low fever caused by blood deficiency is more common in lying-in women, patients with excessive traumatic bleeding, long-term anemia and poor hematopoietic function. Long-term low fever or aplastic anemia may occur if blood deficiency lasts too long.
Patients with blood deficiency often show pale face, dizziness, even blurred vision, mental fatigue, loss of appetite, palpitation and upset, insomnia and forgetfulness, anorexia and constipation, thready pulse, pale tongue, thin and white fur.
Treatment should adopt the methods of benefiting qi and nourishing blood, nourishing yin and clearing heat. Commonly used self-made empirical formulas: Radix Astragali 15g, Radix Angelicae Sinensis 12g, Radix Paeoniae Alba 15g, Rhizoma Chuanxiong 6g, Radix Rehmanniae 15g, Rhizoma Polygonati 15g, Fructus Corni 15g, and Fructus Lycii/kloc-0. One dose a day, decocted in water.
Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong and Radix Rehmanniae are used in the prescription. Among them, Radix Rehmanniae is used together with Polygonatum sibiricum, Cornus officinalis and Lycium barbarum to clear heat and replenish blood, nourish blood and nourish yin; Using astragalus and licorice to replenish invisible qi can produce tangible blood. Cortex Moutan, Fructus Gardeniae, Cortex Lycii and Carapax Trionycis have the effects of clearing away heat and reducing fever. Semen Ziziphi Spinosae, jujube soup, stir-fried Gardenia for nourishing the brain, treating irritability and insomnia. Eat this recipe for blood deficiency, clear away heat and trouble, and have a low fever.
The above two prescriptions treat low fever caused by yin deficiency and blood deficiency. But people with yin deficiency are not necessarily blood deficiency. But blood is tangible and belongs to yin, so blood deficiency must have yin deficiency. Therefore, there are nourishing yin products such as Polygonatum sibiricum, Cornus officinalis and Lycium barbarum in the blood deficiency prescription. In other words, blood deficiency is a pathological manifestation of the development of yin deficiency to a more serious stage.
Professor Li, who is also proficient in western medicine, further pointed out that TCM syndrome differentiation belongs to low fever caused by blood deficiency. If other symptoms of anemia cannot be eliminated, it is still necessary to delay medical treatment. If it belongs to aplastic anemia, it is necessary to increase the drugs for tonifying kidney.
There is also a low-grade fever, which belongs to yin-cold block type and is often accompanied by local pain. Due to stagnation of yin and cold, blood stasis lasts for a long time, qi and blood are not smooth, and blood stasis causes fever for a long time, so the more heat-clearing drugs are used, the heavier they are. At this time, it is necessary to use aconite and other pungent and yang-raising products to achieve miraculous effects.
In a word, nameless fever is a headache for doctors in clinic and should be paid enough attention to by patients. When you actively seek treatment, you may wish to see Chinese medicine or take the above prescription, which may help you get rid of the pain as soon as possible.