当前课程知识点:Diagnostics in Chinese Medicine >  Week 5 Diagnosis methods: Inquiry (1) >  5.1 Inquiry of Chills and fever >  5.1.3 Chills and fever(Fever without chills)

返回《Diagnostics in Chinese Medicine》慕课在线视频课程列表

5.1.3 Chills and fever(Fever without chills)在线视频

下一节:5.1.4 Chills and fever(Alternative chills and fever)

返回《Diagnostics in Chinese Medicine》慕课在线视频列表

5.1.3 Chills and fever(Fever without chills)课程教案、知识点、字幕

同学们好

下面我们继续学习寒热的第三种类型

但热不寒

但热不寒它是指病人只发热不怕冷

或者反而怕热的症状

这是属于里热证的特征

根据发热的轻重 时间和特点

临床上把但热不寒分成三种类型

壮热 潮热和微热

第一种壮热

壮热是指高热(即高烧)

体温超过三十九度以上持续不退

不恶寒只恶热的症状

壮热通常属于里实热证

壮热通常是由风热内传

或风寒入里化热

或热邪直中所导致的

因为感受了热邪

而热邪损伤津液

所以高热的同时

并伴有汗多 口渴 尿黄 便秘 脉洪大等症状

因此

里实热证的典型症状

可概括为

大热 大渴 大汗 脉洪大这四大症

但热不寒的第二种类型就是潮热

潮热是指发热如潮汐之有定时

即 按时发热或者按时热更甚

潮热有三种表现

第一种 日晡潮热

日晡是指下午三点到五点

日晡潮热是指下午三点到五点

发热明显或者热势更甚

下午三点到五点是阳明胃肠经 经气最盛的时候

如果

如果 胃肠燥热内结

下午三点到五点 这个日晡时 胃肠经经气最盛的时候

正邪斗争也最剧烈 发热也是最明显

因此

日晡潮热主要见于阳明腑实证

阳明腑实证是指的热在胃肠经会出现

口渴喜冷饮

大便秘结不通

腹满硬痛拒按的症状

第二种潮热即午后潮热

午后潮热就是中午到下午的时候发热比较明显

午后潮热的特点就是身热不扬

身热不扬是指的刚开始摸到皮肤的温度并不感觉到热

但是摸久了感觉皮肤的温度越来越热

这是湿温病特征性的症状

由于湿邪和温热之邪同时侵犯人体

除了温热之邪引起的发热之外

湿邪困脾阳还会表现出胸闷 恶心呕吐

头身困重 大便溏泄 舌苔黄腻的症状

第三种潮热就是夜间潮热

夜间潮热通常是在午后或者是夜间出现低热

这种低热是以骨蒸发热 五心烦热为主要表现

骨蒸发热是指有热自骨内向外透发的一种感觉

五心烦热是指两个手心

两个脚心还有一个心窝

这五心有发热的感觉

骨蒸发热 五心烦热

这都是阴虚证特征性的症状

这是因为阴虚不能够制约亢阳

所表现出来的低热症状

除了有骨蒸发热 五心烦热之外

全身还会表现出舌红 少苔

或者是无苔 脉细数的典型的舌象和脉象表现

以上是潮热的三种表现

日晡潮热 午后潮热和夜间潮热

但热不寒的第三种类型是微热

微热(即低烧) 是指发热的热势不高

通常体温不超过三十八度

或者病人自己感觉到发烧 但是体温却是正常

微热在临床上最常见有三种机理

阴虚 气虚和肝气郁结

阴虚发热通常是长期出现低热

而全身可见有

两颧发红 五心烦热

骨蒸发热 舌红少苔 脉细数

这通常是由于阴虚不能够制约亢阳所导致的微热

气虚发热也会出现长期的低热

但是这种发热会伴随着全身疲乏

少气 自汗 面色晄白

食少 短气懒言 舌淡等气虚的症状

这是由于脾气虚失于升发

脾阳下陷 郁而发热引起的

这种气虚发热

其实在微热中并不太常见

第三种就是肝郁发热 又称为气郁发热

这是肝气郁结引起发热

这种发热通常随着情绪的变化而变化

当情绪好的时候就不发烧

当情绪郁闷或烦躁的时候

就会有一种低热的感觉

所以这种发热 会伴有胸闷

急躁易怒的肝气郁结的症状

以上是但热不寒的三种类型

壮热 潮热和微热

Diagnostics in Chinese Medicine课程列表:

Week 1 Introduction

-Introductory remark

--Introductory remark

--QQ groups、WeChat public account

-Introduction

--Introduction

--【Discussion 1】Why do you want to take this course?

-Unit test for Introduction

Week 1 Basic Theory of Chinese Medicine 1:Yin-Yang and Five Elements Theory

-1.1 Yin-yang theory

--1.1 Yin-yang theory

-1.2 The theory of five elements

--1.2.1 The theory of five elements

--1.2.2 Application of the theory of five elements

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 1

Week 2 Basic Theory of Chinese Medicine 2:Zang-Fu Theory

-2.0 Outline

--2.0 Outline

--【Discussion 2】How to understand the holistic view centered on the Zang Fu theory?

-2.1 Liver

--2.1 Liver

--【Discussion 3】Why is repose more important than vigorous exercise in recuperation for patients with

-2.2 Heart

--2.2 Heart

-2.3 Spleen

--2.3 Spleen

-2.4 Lung

--2.4 Lung

-2.5 Kidney

--2.5 Kidney

-2.6 Six fu organs

--2.6 Six fu organs

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 2

Week 3 Basic Theory of Chinese Medicine 3:Qi,Blood and Body Fluid Theory

-3.1 Qi

--3.1 Qi

-3.2 Blood

--3.2 Blood

-3.3 Body fluid

--3.3 Body fluid

-3.4 The relationship of qi, blood and body fluid

--3.4 The relationship of qi, blood and body fluid

--【Discussion 4】A discussion about the theory of qi, blood and body fluid

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 3

Week 4 Basic Theory of Chinese Medicine 4: The theory of etiologic factor

-4.0 Outline

--4.0 Outline

-4.1 Six exogenous factors

--4.1.1 Six exogenous factors

--4.1.2 Nature and pathogenicity of wind and cold

--4.1.3 Nature and pathogenicity of summer heat and damp

--4.1.4 Nature and pathogenicity of dryness and fire

-4.2 Etiology of visceral impairment

--4.2 Etiology of visceral impairment

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 4

Week 5 Diagnosis methods: Inquiry (1)

-5.0 Outline of inquiry

--5.0.1 Outline of inquiry(1)

--5.0.2 Outline of inquiry(2)

--【Discussion 5】If you were a patient, how would you describe your condition to your doctor first?

-5.1 Inquiry of Chills and fever

--5.1.1 Chills and fever(Aversion to cold with fever)

--5.1.2 Chills and fever(Chills without fever)

--5.1.3 Chills and fever(Fever without chills)

--5.1.4 Chills and fever(Alternative chills and fever)

--【Discussion 6】How to understand "if you have clinical manifestations of cold, that is exterior syndr

-5.2 Inquiry of perspiration

--5.2 Inquiry of perspiration

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 5

Week 6 Diagnosis methods: Inquiry (2)

-5.3 Inquiring of pain

--5.3 Inquiring of pain

--【Discussion 7】How to understand "stagnation leading to pain and innourish leading to pain"?

-5.4 Inquiring of head, body, thorax and abdomen

--5.4 Inquiring of head, body, thorax and abdomen

-5.5 Inquiring of ears and eyes

--5.5 Inquiring of ears and eyes

-5.6 Inquiring of sleep

--5.6 Inquiring of sleep

-5.7 Inquiring of food and drink, appetite and taste

--5.7 Inquiring of food and drink, appetite and taste

-5.8 Inquiring of defecation and urination

--5.8.1 Inquiring of defecation

--5.8.2 Inquiring of urination

-5.9 Inquiring of infantile and women's disease

--5.9 Inquiring of infantile and women's disease

-Unit test for week 6

Week 7 Diagnosis methods: Observation (1)

-6.0 Outline of Observation

--6.0 Outline of Observation

--【Discussion 8】Please use the whole body inspection (including the expression, complexion and figure)

-6.1.1 Observation of vitality

--6.1.1 Observation of vitality

-6.1.2 Observation of the color

--6.1.2.1 The content, principles of inspection of the color

--6.1.2.2 Indication of diseases by five colors

--【Discussion 9】How do you understand the normal complexion of a normal people?

-6.1.3 Observation of the appearance

--6.1.3 Observation of the appearance

-6.1.4 Observation of figure and posture

--6.1.4 Observation of figure and posture

-Unit test for week 7

Week 8 Diagnosis methods: Observation (2)

-6.2.1 Observation of head and face

--6.2.1 Observation of head and face

-6.2.2 Observation of five sensory organs

--6.2.2.1Observation of five sensory organs(observation of eyes,ears,nose)

--6.2.2.2Observation of five sensory organs(observation of lips,teeth and gums,throat)

-6.2.3 Observation of body

--6.2.3 Observation of body

-6.2.4 Observation of limbs

--6.2.4 Observation of limbs

-6.2.5 Observation of two lower orifices

--6.2.5 Observation of two lower orifices

-6.2.6 Observation of skin

--6.2.6 Observation of skin

-6.3 Observation of excreta

--6.3 Observation of excreta

-6.4 Observation of infantile fingerprints

--6.4 Observation of infantile fingerprints

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 8

Week 9 Diagnosis methods: Inspection of tongue

-7.1 Outline of tongue inspection

--7.1.1 The morphology and structure of the tongue

--7.1.2 The principle of tongue examination

--7.1.3 The method and precaution of tongue examination

--7.1.4 The content of tongue examination, normal tongue

-7.2 Inspection of tongue structure

--7.2.1 Observe the color of tongue

--7.2.2 Observe the shape of tongue

--7.2.3 Observe the states of tongue

--7.2.4 Observation of sublingual vein

-7.3 Observation of tongue coating

--7.3.1 Observation of coating texture

--7.3.2 Observe the color of coating

-7.4 Clinical significance of tongue diagnosis

--7.4 Clinical significance of tongue diagnosis

--【Discussion 10】Why to observe the tongue can be used to diagnose disease?

-Unit test for week 9

Week 10 Diagnosis methods::Pulse examination

-8.1 The principle of pulse examination

--8.1 The principle of pulse examination

-8.2 The regions and methods of pulse examination

--8.2 The regions and methods of pulse examination

-8.3 The elements of pulse examination and the normal pulse

--8.3 The elements of pulse examination and the normal pulse

-8.4 Characteristics and significance of pulse

--8.4.1 Superficial pulse, deep pulse, slow pulse, rapid pulse

--8.4.2 Surging pulse, thin pulse, long pulse, short pulse

--8.4.3 Feeble pulse, forceful pulse, slippery pulse, uneven

--8.4.4 Taut pulse, tense pulse,soggy pulse, moderate pulse

--8.4.5 Knotted, slow-regular-intermittent, irregularly abrupt

-8.5 Similar pulse, concurrent pulse, pulse indicating deterioration of visceral qi۞

--8.5 Similar pulse, concurrent pulse, pulse indicating deterioration of visceral qi۞

--【Discussion 11】Why is complex pulse more common than single-factor pulse?

-8.6 Women’s pulse, children’s pulse

--8.6 Women’s pulse, children’s pulse

-8.7 The clinical significance of pulse diagnosis

--8.7 The clinical significance of pulse diagnosis

-Unit test for week 10

Week 11 Diagnosis methods:Listening and smelling examination

-9.1 Listening

--9.1 Listening

-9.2.1 Abnormal sound

--9.2.1 Abnormal sound

-9.2.2 Abnormal language

--9.2.2 Abnormal language

-9.2.3 Respiratory abnormality

--9.2.3 Respiratory abnormality

-9.2.4 Cough

--9.2.4 Cough

--【Discussion 12】How to observe the patient's cough sound and sputum changes to determine whether the

-9.2.5 Abnormal sounds of the stomach and intestines

--9.2.5 Abnormal sounds of the stomach and intestines

-9.3 Smelling

--9.3 Smelling

--【Discussion 13】How to diagnose by smelling?

-Unit test for week 11

Week 12 Diagnosis methods:Palpation

-10.1 The method, meaning and precautions of palpation

--10.1 The method, meaning and precautions of palpation

-10.2 Contents of palpation

--10.2.1 Palpating chest and hypochondrium

--10.2.2 Palpating stomach and abdomen

--10.2.3 Palpating skin

--10.2.4 Palpating hands and feet, palpating acupoints

--【Discussion 14】How to determine whether external or internal injuries?

-Unit test for week 12

Conclusion

-Conclusion

--Conclusion

Final Exam

-Final Exam

--Final Exam

5.1.3 Chills and fever(Fever without chills)笔记与讨论

也许你还感兴趣的课程:

© 柠檬大学-慕课导航 课程版权归原始院校所有,
本网站仅通过互联网进行慕课课程索引,不提供在线课程学习和视频,请同学们点击报名到课程提供网站进行学习。