↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Afternoon or evening feeling of heat, night sweats that drench the pillow or nightclothes, heat in the palms, soles, and centre of the chest, dry mouth and throat worse in the evening, flushed cheekbones, difficulty falling or staying asleep.
Tongue: Red with a thin, dry body showing cracks, little or no coating. Pulse: Fine and rapid, weak on deep pressure, especially at the left rear (Kidney) position.
Treatment principle: Nourishes Yin fluids to anchor rising Yang, drains Empty-Fire without further depleting resources.
Note: no moxa. Direct exact-name match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide — this is the pattern classically named \"tidal fever\" itself in TCM texts.
2. Damp-Warmth (Shi Wen)
Clinical manifestations: Afternoon fever that doesn't improve with sweating, body feels heavy and aching, chest and upper abdomen feel stuffy and bloated, greasy yellow tongue coating, no appetite, mental fogginess or dullness.
Tongue: Red body with yellow greasy (sticky) coating, slightly swollen. Pulse: Soggy and rapid, or slippery and rapid as Heat intensifies.
Treatment principle: Transforms and drains trapped Dampness, clears Heat while restoring Qi flow.
Note: no moxa. This site's decks are organized by the twelve Zang-Fu organs rather than the Warm-Disease (Wen Bing) Four-Levels framework, so there's no dedicated Damp-Warmth slide — no pattern link is given here; the points above address the Dampness component individually.
Clinical manifestations: Afternoon tidal fever peaking around 3-5pm, severe constipation with dry, hard stools, abdominal fullness and pain that worsens with pressure, intense thirst with desire for cold drinks, bad breath and foul-smelling gas.
Tongue: Red body with prickly thorns, thick yellow dry coating, possibly cracked. Pulse: Deep, forceful, and rapid, possibly slippery.
Treatment principle: Vigorously purges accumulated Heat and stagnant stool from the bowels, restores downward movement.
Note: no moxa. Direct match with this site's own Stomach-Heat-(or-Phlegm-Heat) slide, this site's standard match for the Yangming/Bright-Yang excess-Heat family — this is the classical \"tidal fever peaking 3-5pm\" presentation named for the Yangming time.
Clinical manifestations: Tidal fever worse in the evening, often with night sweats, insomnia with vivid or disturbing dreams, palpitations and mental restlessness, heat in the palms, soles, and chest, sore lower back and weak knees.
Tongue: Red, thin body with redder tip, little or no coating, possible midline crack. Pulse: Fine and rapid, weaker at the rear positions, more perceptible at the left front position.
Treatment principle: Nourishes Kidney-Yin to cool rising Heart-Fire, restores communication between the organs.
Note: no moxa. Direct exact-name match with this site's own Kidneys-and-Heart-not-harmonized slide — this pattern's Yin-deficiency framing fits that slide's own text closely.
Clinical manifestations: Mild tidal heat, often in the afternoon, feeling cold overall, especially lower back and legs, sore, cold lower back and knees, frequent urination, especially at night, fatigue and low spirits.
Tongue: Pale, puffy, tender body with teeth marks and wet white coating. Pulse: Deep, slow, and weak, especially at the rear (Chi) positions.
Treatment principle: Warms and tonifies Kidney-Yang's foundational fire, anchors floating Yang back to the lower body.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.