Blood fever

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TCM terminology
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Blood heat refers to the exothermic heat evil entering the blood, and the blood flow is accelerated and abnormal, which is manifested as bleeding, blood stasis, etc Pathological state Blood heat is mostly caused by evil heat entering into the blood, or by emotional depression, Wuzhi hyperpolarization fire And lead to blood fever. It is also called blood heat, that is, there is heat in blood. Clinically, it can be divided into the syndrome of blood hot wind, blood hot, viscera hot, etc.
TCM disease name
Blood fever
Foreign name
heat in blood
Alias
heat in the blood section
Visiting department
Traditional Chinese Medicine Department
Common causes
The evil heat enters the blood, the emotion is depressed, and the five emotions are too polarized, causing blood heat.
common symptom
Bleeding, coughing Drowning , feverish in the afternoon, women's moon comes earlier.

Etiology and pathogenesis

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  1. one
    Acceleration of blood flow: Chinese medicine believes that if the body has too much yang, it will be very angry. If the blood is overheated, the blood flow will accelerate, the pulse will beat faster, and even damage the vein and consume the yin.
  2. two
    Blood movement: based on the acceleration of blood flow and the expansion of pulse channels, the blood is hot, which can burn the veins and cause bleeding. It is called "blood movement driven by heat", or blood movement.
  3. three
    Heat: The Complete Book of Juvenile Medicine: "The blood fever is hot in the noon every day, and cold at night. This heart is also hot. The light is to guide the red powder, and the heavy is to treat it with four smooth drinks."
The syndrome of blood hot wind dryness and blood hot wind excess is due to the excessive accumulation of heat in the body, Time value When you are young and vigorous, or because you are impatient, your mood is disturbed, and your anger is endogenous; Or it may hurt the spleen and stomach due to excessive eating of fishy and spicy food Exothermic heat Or re feeling the wind heat evil, which can lead to blood heat inside, heat generated weathering dryness, external skin, erythema, papule Syndrome of the main disease. Visible in modern medicine Psoriasis Of Ongoing period

clinical manifestation

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The evidence shows that she vomited blood, coughed, drowned, and had a fever in the afternoon. The woman's month came earlier, and her pulse was string and counted. The method was to cool blood. Blood fever is also one of the infantile fever syndromes.
1. Syndrome of excessive blood heat and wind
The first or recurrent disease is not long ago, rash It develops rapidly in the form of drops, coins or mixtures. Common papules Maculopapule , unequal in size Patch , fuchsia, bright red or deep red. It is scattered in various places or several places on the body surface, most of which are trunk and limbs. It can also start from the head and gradually develop to the whole body. New rashes constantly appear, with silvery white surface Scale It is dry and easy to fall off, and there is spot bleeding after scraping. Available Homomorphic reaction companion itch , upset and thirsty. large constipation The knots and urine are short and yellow, the tongue is red and red, the fur is thin and yellow, or the root is yellow and thick, Pulse string Slip or number of slips.
2. Bloody heat
It is mainly manifested in four aspects: heat image, blood flow acceleration, blood movement and disturbance of mind. It can be seen that the skin is flushed, oily and easy to grow acne Have a temper tantrum, Palm , Feet heat; Early menstruation The blood volume is large, the color is dark red or purple, or the menstrual period is long, dripping constantly; It's easy to have nosebleed. At night abnormal sweating Red face and red eyes Lingual color Crimson (i.e Crimson tongue ), erythema, papule, bleeding, upset or manic.
Blood fever is Hot poison Invasion of blood, often occurs in tropic Area, or work in a very hot environment, or in a hot season, overexposure, or excessive sweating, no water supplement, long thirst, water loss , or eat hot and dry foods such as frying and frying, or take some analeptic , which may lead to hot blood, small red spots and skin under the skin Macular rash , upset, red tongue, delirium, coma, etc.
3. Viscera is hot
Syndrome of heat forcing blood circulation. Clinically, people act recklessly with blood, have fever, or even Stupor And so on. It is mainly caused by tiredness, overeating, irritability, liver injury, excessive sexual intercourse and other factors. The movement of blood has its own way. The viscera are hot and the blood is forced internally, Collaterals Injured, blood overflows out of the normal way. So zang fu organs Blood heat syndrome It is mainly characterized by bleeding and heat. Lung collateral injury Hemoptysis , stomach collateral injury causes hematemesis, bladder collateral injury causes hematemesis Hematuria , large intestine collateral injury leads to bloody stool; Visible body surface bleeding Epistaxis , Epistaxis Epistaxis of tongue Muscular epistaxis Etc. In women's premenstrual period, excessive menstruation is also a manifestation of blood fever. When you see that you are upset, your face is red, and you are thirsty and like cold drinks, Lingual redness , the number of pulse strings is strong, which is witnessed by thermal images.
The blood is hot, and there are internal and external injuries. These are internal injuries Miscellaneous diseases Blood heat syndrome seen in Hot blood transfusion , see Syndrome differentiation of wei qi ying blood

Treatment based on syndrome differentiation

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one Febrile disease Pathogenic heat Blood transfusion
Syndrome: The body is very hot at night Upset and insomnia , or have ravings , or thirsty, or rash, dry and crimson tongue, thin pulse, etc.
Treatment principle: nourishing yin and clearing heat, detoxifying and penetrating rash.
Principal: Qingying Soup
Prescriptions: rhinoceros horn, rehmannia glutinosa, ophiopogon japonicus, scrophularia, salvia miltiorrhiza Bamboo leaf heart , Yinhua Coptis chinensis Forsythia suspensa
Syndrome: hematemesis, hematuria, bloody stool, purplish black rash, or crazy blood accumulation, black stool, etc.
Treatment principle: clearing away heat and toxic substances, cooling blood and removing stasis.
Prescriptions: rhinoceros horn, rehmannia glutinosa Cortex moutan , Paeonia lactiflora Pall.
3. Hot toxin enters the blood
Syndrome: high fever, coma, purplish black macula, red tongue and prickly tongue.
Treatment principle: clearing heat and cooling blood, detoxifying and penetrating rash.
Principal: Rhinoceros horn soup
Prescription: rhinoceros horn, folium isatidis, gardenia, light lobster sauce.
four dermatitis See blood fever
Syndrome: The skin or mucous membrane has erythema, which is bright red Blood blister Blister , oral and vaginal mucosa erosion, or accompanied by Xerostomia , constipation, Deutzia, red tongue, thin fur, thin pulse string.
Treatment principle: clearing away heat and cooling blood, combined with diuresis.
Prescription: Radix Rehmanniae, Radix Paeoniae Rubra, Cortex Moutan, Radix Arnebiae, Radix Rehmanniae Sophora japonica Flowers, honeysuckle, dandelion Smilax glabra , rhubarb, plantain, raw Licorice Water frying Clothing. Take one dose every day, divided into two times.
five Uterus Blood heat syndrome
Syndrome: The vagina suddenly drops a large amount of blood, or drips for a long time. The blood color is dark red or red, thick, and dry mouth likes to drink, dizzy Red face, irritability, constipation, yellow urine, red tongue, yellow tongue coating, and number of pulse strings.
Treatment principle: clearing heat, cooling blood and stopping bleeding.
Principal: Decoction for Clearing Heat and Arresting Uterine Bleeding Add fried cattail, blood charcoal, motherwort, etc.
Prescription: baked tortoise shell (ground into coarse powder, Fry first )、 Oysters Powder( Baojian ), donkey hide gelatin( Aged wine Stewing) Dashendi Exocarp , coke Gardenia jasminoides , raw scutellaria baicalensis Sanguisorba officinalis Tablets, Chen Brown carbon , Health Lotus root knot , raw liquorice.