AM Fevers

October 7, 2009

I'm working on Will Maclean's Lingering Pathogen distance course from mayway -

and there's an interesting section here on fevers. He mentions a kind of

uncommon fever that occurs first thing when people get up in the morning and

abates by around 10am and that this type of fever is usually due to Qi Xu. If

rest improves Qi Xu symptoms, then what is the mechanisim behind this kind of

fever?

I imagine not getting a good night sleep might contribute a bit, but logically I

would think that Qi Xu fevers would be greater when tired (at the end of the

day).

Geoff

October 7, 2009

Dear Geoff,

To the best of my understanding fever resulting from Qi Xu is generally Spleen

Qi Xu. The weakened Qi can cause the sinking and stagnation of qi, giving rise

to fever. The reason for the fever specifically AM could be from the

stagnation, and once the patient moves around, the Qi unblocks. I also would

imagine that clinically there would most probably be a co-existing Yin Xu as

well. A good basic formula might include herbs like: Dang shen, Huang Qi, Bai

Zhu, Fu ling, Zhi Gan Cao and Chen Pi, to which I would also add Shan yao which

would address Sp Qi Xu as well as Yin Xu.

..

________________________________

yingsuke2002 <ozark.canuck

Wed, October 7, 2009 12:18:14 PM

AM Fevers

I'm working on Will Maclean's Lingering Pathogen distance course from mayway -

and there's an interesting section here on fevers. He mentions a kind of

uncommon fever that occurs first thing when people get up in the morning and

abates by around 10am and that this type of fever is usually due to Qi Xu. If

rest improves Qi Xu symptoms, then what is the mechanisim behind this kind of

fever?

I imagine not getting a good night sleep might contribute a bit, but logically I

would think that Qi Xu fevers would be greater when tired (at the end of the

day).

Geoff

October 7, 2009

Why do you assume there is most likely also yin xu?

On Behalf Of yehuda frischman

Wednesday, October 07, 2009 2:18 PM

Re: AM Fevers

Dear Geoff,

To the best of my understanding fever resulting from Qi Xu is generally

Spleen Qi Xu. The weakened Qi can cause the sinking and stagnation of qi,

giving rise to fever. The reason for the fever specifically AM could be

from the stagnation, and once the patient moves around, the Qi unblocks. I

also would imagine that clinically there would most probably be a

co-existing Yin Xu as well. A good basic formula might include herbs like:

Dang shen, Huang Qi, Bai Zhu, Fu ling, Zhi Gan Cao and Chen Pi, to which I

would also add Shan yao which would address Sp Qi Xu as well as Yin Xu.

..

________________________________

yingsuke2002 <ozark.canuck <ozark.canuck%40gmail.com>

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Wed, October 7, 2009 12:18:14 PM

AM Fevers

I'm working on Will Maclean's Lingering Pathogen distance course from mayway

- and there's an interesting section here on fevers. He mentions a kind of

uncommon fever that occurs first thing when people get up in the morning and

abates by around 10am and that this type of fever is usually due to Qi Xu.

If rest improves Qi Xu symptoms, then what is the mechanisim behind this

kind of fever?

I imagine not getting a good night sleep might contribute a bit, but

logically I would think that Qi Xu fevers would be greater when tired (at

the end of the day).

Geoff

October 8, 2009

Dear Jason,

You are absolutely right in questioning my assumption, which, without the

corroboration of specific symptoms would be without basis. But I the reason I

made that assumption, wrong though it was because: 1. I have treated patients

before who did have early morning fevers, which dissipated after eating a hearty

breakfast, who were Qi vacuous, and in every case, they had the classic red

peeled tongue, had fever, night sweats and insomnia particularly in the early

morning, around 4-5am. and

2. Early AM is still the period of Yang within Yin, so though night is Yin

time, early AM still has a relative Yin quality to it, and in the absence

of strong Yin to anchor it, Yang can float upward and cause the sensation of

heat. That being said, I still believe that you can't go wrong adding Shan Yao

to the formula which certainly Boosts the Sp Qi as well!

Respectfully,

________________________________

Wed, October 7, 2009 6:28:01 PM

RE: AM Fevers

Why do you assume there is most likely also yin xu?

[] On Behalf Of yehuda frischman