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Fever

How Chinese medicine differentiates general fever into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Common Cold and Heat Stroke pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A high fever, a fever in an infant, a fever with a stiff neck or rash, or a fever lasting more than three days needs prompt medical assessment. This page addresses mild-to-moderate fever as a supportive complement, never a substitute for medical care.
General Acupuncture Points

Acupuncture points traditionally used for general fever — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
DU-14Clears Heat. Releases the Exterior and expels exterior Wind. Regulates Nutritive and Defensive Qi.
L.I.-11Clears Heat and cools Blood. Removes obstructions and Heat from the channel. Resolves Dampness.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat View full pattern →

Clinical manifestations: Fever greater than chills; a sore, red throat; thirst; a yellow phlegm cough; a distending headache.
Tongue: Red tip and edges, thin yellow or white-to-yellow coat. Pulse: Floating and rapid.
Treatment principle: Disperses Wind-Heat, clears Heat and resolves toxicity.
Note: no moxa.

2. Wind-Cold View full pattern →

Clinical manifestations: Strong chills predominating; a mild fever; no sweating; body aches; clear nasal discharge; no thirst.
Tongue: Normal or slightly pale, thin white moist coat. Pulse: Floating and tight.
Treatment principle: Induces sweating, releases the exterior and disperses Wind-Cold.
Note: moxa is appropriate.

3. Excess-Heat View full pattern →

Clinical manifestations: A high fever without chills; intense thirst for cold drinks; a red, flushed face and eyes; restlessness; profuse sweating.
Tongue: Red with prickly papillae, thick dry yellow coat. Pulse: Rapid, forceful, overflowing.
Treatment principle: Clears Qi-level Heat, drains Fire and generates fluids.
Note: no moxa. Linked to this site's own Heat-in-the-Large-Intestine slide as the closest general match.

4. Damp-Heat

Clinical manifestations: A heavy body and head sensation; afternoon fever worsening; a sticky, bitter mouth; chest stuffiness; nausea; loose, sticky stools; dark, scanty urine.
Tongue: Red with thick greasy yellow coating, thickest at the centre and root. Pulse: Soggy-rapid, soft but fast.
Treatment principle: Clears Damp-Heat, promotes Triple Burner Qi movement and transforms Dampness.
Note: no moxa. This site's decks have no standalone systemic Damp-Heat slide distinct from an organ-specific one — no pattern link is given here.

5. Empty-Heat from Yin Deficiency View full pattern →

Clinical manifestations: A low-grade fever in the afternoon or evening; night sweats; heat in the palms, soles and chest; a dry mouth worse in the evening; flushed cheekbones; restlessness; insomnia.
Tongue: Red, thin, dry with cracks, little or no coating. Pulse: Fine and rapid, weak or hollow on deep pressure.
Treatment principle: Nourishes Yin, clears deficiency Heat and vents pathogenic Heat outward.
Note: no moxa (Yin deficiency with heat signs).

6. Qi Deficiency Fever

Clinical manifestations: A fever that worsens after exertion; profound fatigue and weakness; shortness of breath; spontaneous sweating; a pale complexion; loose stools; reluctance to speak.
Tongue: Pale, puffy, teeth-marked, thin white coat. Pulse: Weak and fine, may feel flooding but forceless.
Treatment principle: Tonifies the middle, augments Qi and raises sunken Yang.
Note: moxa is appropriate. This site's decks have no Qi-Deficiency-Fever slide — no pattern link is given here.
Related conditions

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