Guest guest Posted January 23, 2002 Report Share Posted January 23, 2002 Bensky & Barolet's F & S defines the actions of RSBDS as releasing the exterior wind-cold-damp pathogen, and augmenting the qi. The formula is used for patients with pre-existing vacuous qi with a w-c-d external invasion, where the qi is insufficient to expel the pathogen. However, the main symptoms are given as " high fever and severe chills with shivering ... absence of sweating ... " . I'm interested in seeing if anyone has a good explanation for this apparent inconsistency with the general rule of thumb that qi deficient patients are more likely to have a low grade fever with an external syndrome. F & S doesn't discuss the issue, and neither does the one Chinese source I've looked at. My ideas so far are: 1. Although the patient has qi vacuity, the wei qi is strong, (absence of sweating), so the external struggle between defense and pathogen is strong. 2. The pathogen has has become partly internal, and the high fever represents a yangming stage process, while simultaneously remaining external. 3. The pathogen is more like an epidemic toxin (even though it's cold damp), and so the fever is strong. 4. The formula was written for treatment of children, and children are more inclined to get high fevers. Does anyone have good explanation, preferably one that has a source in the literature? TIA Rory -- Quote Link to comment Share on other sites More sharing options...
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