RHEUMATIC FEVER

Clinical Manifestations
  • Rheumatic fever (acute rheumatic fever) is a disease that can affect the Heart, joints, brain, skin and vessels. Rheumatic fever can develop if strep throat and scarlet fever infections are not treated properly. Early diagnosis of these infections and treatment with antibiotics are key to preventing rheumatic fever.
  • Signs and symptoms:
    Carditis; including endocarditis, myocarditis and pericarditis
    Tachycardia
    Cardiac enlargement
    Systolic and diastolic murmers at the apex of the Heart
    Pericardial friction rub
    Migratory polyarthritis mostly of the large joints of the extremities
    The affected joints are red, hot, tender and swollen
    Erythema annulare
    Subcutaneous nodules
    Mild or moderate fever
    Sweating
    Weakness
    Weight loss
    Elevation of antistreptolysin
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Slight fever
  • Strong chills
  • Anhidrosis
  • Headache
  • Cold extremities
  • Fatigue with a constant desire to lie down
  • Drowsiness
  • Pale face
  • Lassitude
  • Low voice
  • Weak voice
  • T: Pale
  • C: White
  • P: Floating, big and forceless or Deep and forceless
Treatment Principle
  • Tonify Yang
  • Augment Qi
  • Release the Exterior
  • Induce sweating
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse sweat
  • Generalized weakness
  • Severe chills
  • Aversion to Heat
  • Red face
  • Severe thirst with a strong desire to drink
  • Irritability
  • Anxiety
  • Pruritis
  • Headache
  • Toothache
  • Gum bleeding
  • Epistaxis
  • Dry lips
  • Dry tongue
  • Dry mouth
  • May be sensitive to Cold in the upper back
  • Polyuria
  • Delusions
  • Eye congestion
  • Burning sensation on the skin
  • Abdominal fullness without resistance
  • Dry, course skin
  • May be heavy labored breathing
  • Delirious speech (serious cases)
  • T: Red tip and sides
  • C: Yellow, dry or white
  • P:Flooding and forceful or Large and forceless or Slippery and rapid
Treatment Principle
  • Clear Qi Stage Heat
  • Drain Stomach Fire
  • Generate Fluids
  • Alleviate thirst
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Mild thirst
  • Unclear head
  • Blurred vision
  • Lightheadedness
  • Slight distention of the head
  • T: Pink or Slightly red
  • C: Thin and white
  • P: Maybe soft or Soft and rapid
Treatment Principle
  • Resolve Summerheat
  • Clear the Lungs
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Severe irritability
  • Restlessness
  • Thirst
  • Delirium
  • Faint indistinct purpura and erythema
  • Insomnia
  • Dizziness
  • Vertigo
  • Maculae
  • Eyes that are open or closed for a prolonged period of time
  • High fever
  • Bleeding
  • Hematemesis
  • Epistaxis
  • Hemoptysis
  • Hematochezia
  • Hematuria
  • Purplish-red or black skin rashes (maculae)
  • Forgetfulness
  • Irritability
  • Chest pain
  • Black, tarry stools
  • Abdominal distension and fullness
  • Thirst with an inability to swallow
  • Menorrhagia
  • Mania
  • Delirium
  • Desire to rinse the mouth with water without swallowing it
  • Black tarry stools
  • Hematuria
  • T: Scarlet with prickles or Scarlet and dry or Deep purplish
  • C: Little
  • P: Thready and rapid or Rapid
Treatment Principle
  • Clear Heat
  • Cool the Blood
  • Drain Fire
  • Relieve Fire toxicity
  • Nourish the Yin
  • Dispel Blood Stasis
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or Purple red
    C: None
    P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and Toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Heavy, painful head
  • Generalized sensation of heaviness
  • Back pain
  • Generalized pain or muscle ache
  • Difficulty bending or rotating trunk
  • Mild fever
  • Slight aversion to Wind and Cold
  • Dizziness
  • Anorexia
  • Anhidrosis
  • Stiffness of the neck
  • Sciatica
  • Chest oppression
  • Chills
  • No perspiration
  • Aversion to Cold
  • Lassitude
  • Scanty urination
  • T: Pink
  • C:White or Greasy and white
  • P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight
Treatment Principle
  • Dispel Wind
  • Eliminate Dampness
  • Relieve the Exterior
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Persistent arthralgia of the extremities, aggravated by Cold and relieved by warmth
  • T: Pale
  • C: Thin, white and greasy
  • P: Floating and slow
  • With Wind predominant: Pain moves around and involve more joints
  • With Cold predominant: Surrounding area feels cold
  • With Damp predominant:
    Heaviness of the area
    Numbness
    Swelling
Treatment Principle
  • Disperse Wind, Cold and Dampness
Herb Formulas
Points
Clinical Manifestations
  • Redness, swelling, Heat and pain in the joints
  • The joints are too tender to be touched
  • The pain is alleviated by Cold
  • Inability to move
  • Restless and discomfort in the chest
  • Maybe fever
  • thirst
  • T: Red
  • C: Yellow and dry
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Dispel Wind and Dampness
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Rheumatic fever
  • Cold extremities
  • Spontaneous perspiration
  • Weak breathing
  • Shortness of breath
  • Dizziness
  • An extremely pale face
  • Intolerance of Cold
  • Cold abdominal pain
  • Loose stools
  • Upset stomach
  • T: Pale
  • P: Minute (almost imperceptible)
Treatment Principle
  • Restore Yang
  • Strongly tonify Yuan Qi
  • Rescue Qi from collapse due to Vanquished Yang
Herb Formulas
Points
Clinical Manifestations
  • Low-grade fever in the evening or
  • Nightly fever or
  • Afternoon tidal fever
  • Five Sole Heat
  • Malar flush
  • Steaming bone fever
  • Anxiety
  • Restlessness
  • Night sweats
  • Irritability
  • Insomnia
  • Excessive dreams
  • Dry mouth and throat with a desire to drink
  • Scanty, yellow urine
  • Emaciation
  • Lethargy
  • Red lips
  • Dry skin
  • Thirst
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Clear Deficiency Heat
  • Reduce tidal fever
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Chest stuffiness
  • Chest pain
  • Insomnia
  • Arthralgia with slight swelling
  • T: Red
  • C: Thin and white
  • P: Thready and rapid
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Remove Dampness
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Shortness of breath
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points