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Low-Grade Fever

How Chinese medicine differentiates a persistent, mild fever into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Tidal Fever and Common Cold 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 persistent low-grade fever needs a full medical work-up to rule out infection or other causes before assuming a simple TCM pattern.
General Acupuncture Points

Acupuncture points traditionally used for a low-grade fever — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Regulates the Intestines.
KI-3Tonifies the Kidneys (both Yin and Yang). Calms the Mind. Benefits Essence.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Cools Blood.
LR-2Drains Liver-Fire and subdues Liver-Yang. Cools Blood and stops bleeding.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
L.I.-4Removes obstructions from the channel. Stops pain. Tonifies Qi and consolidates the Exterior.
LU-7Promotes the descending and diffusing of Lung-Qi. Releases the Exterior and expels exterior Wind.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind. Regulates Nutritive and Defensive Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Deficiency Fever View full pattern →

Clinical manifestations: Fever worsens after physical or mental exertion, profound fatigue and lack of strength, shortness of breath, reluctance to speak, spontaneous sweating without obvious cause, poor appetite, loose stools, pale or sallow complexion.
Tongue: Pale, puffy body with teeth marks on the edges and a thin white coating. Pulse: Weak, fine, or feels large on the surface but collapses under pressure.
Treatment principle: Tonifies the middle burner and strengthens Spleen-Qi to anchor Heat and stabilize temperature.
Note: moxa applicable. This site's decks have no Qi-Deficiency-Fever slide specifically; linked to the Spleen-Qi-deficiency slide for the underlying Qi-deficiency mechanism, flagged since that slide doesn't itself name a fever/heat symptom.

2. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Afternoon or evening fever, night sweats, heat sensation in the palms, soles, and chest, dry mouth and throat worse at night, flushed cheekbones, restlessness and difficulty sleeping.
Tongue: Red, thin, dry body with cracks, little or no coating. Pulse: Fine (thin) and rapid.
Treatment principle: Nourishes Yin fluids and anchors floating Yang to clear deficiency Heat.
Note: no moxa. Direct exact-name match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

3. Liver Qi Stagnation that Transforms into Heat View full pattern →

Clinical manifestations: Low-grade fever that worsens with emotional stress, distending or burning pain along the ribs, irritability, explosive anger, or feeling wound up, bitter taste in the mouth and dry throat, headache at the temples.
Tongue: Red body with redder sides, yellow coating. Pulse: Wiry and rapid, especially prominent at the left middle (Guan) position.
Treatment principle: Courses the Liver, resolves Qi constraint, clears smoldering Heat from stagnation.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

4. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Fever that does not resolve with sweating, bloating and fullness in the upper abdomen, heavy feeling in the body and limbs, sticky or bitter taste in the mouth, sticky, incomplete bowel movements.
Tongue: Red body with thick, yellow, greasy coating especially heavy at the centre and root, body may be slightly swollen with teeth marks. Pulse: Soggy and rapid, often with a slippery quality.
Treatment principle: Aromatically transforms Dampness and drains trapped Heat from the middle burner.
Note: no moxa. Linked to this site's own Damp-Heat-invading-the-Spleen slide, its general Stomach-and-Spleen Damp-Heat match.

5. Wind-Cold View full pattern →

Clinical manifestations: Strong aversion to cold, mild fever, no sweating, headache and body aches, stiff neck and upper back, clear watery nasal discharge, sneezing.
Tongue: Normal or slightly pale body with a thin white moist coat. Pulse: Floating and tight.
Treatment principle: Releases the Exterior and expels Wind-Cold to resolve surface blockage.
Note: no moxa. Direct match with this site's own Invasion-of-Wind-Cold slide.

6. Ying-Wei Disharmony View full pattern →

Clinical manifestations: Spontaneous sweating that worsens with light activity, aversion to wind and drafts, intermittent mild fever or alternating chills and heat, fatigue and frequent colds, slight thirst without desire to drink much.
Tongue: Pale-red or slightly pale body with a thin white moist coating. Pulse: Floating and moderate.
Treatment principle: Harmonizes Defensive and Nutritive Qi to stabilize temperature regulation and restore surface resilience.
Note: no moxa. This site has no separate Camp-and-Defense (Ying-Wei) disharmony slide; linked to the Lung-Qi-deficiency slide as the closest related exterior-deficiency match, flagged for the alternating-chills-and-heat nuance not being fully captured there.
Related conditions

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