A 63-year-old woman has had low-grade afternoon fever for two months with night sweating, dry mouth and throat, and heat in the palms and soles, but no high fever or intense thirst. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?
Four training angles
Afternoon Low-Grade Fever and Five-Center Heat: Pattern
Afternoon Low-Grade Fever and Five-Center Heat: Treatment Principle
Afternoon Low-Grade Fever and Five-Center Heat: Formula
Afternoon Low-Grade Fever and Five-Center Heat: Points
Open the individual question practice pages
Afternoon Low-Grade Fever and Five-Center Heat: Pattern
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Afternoon Low-Grade Fever and Five-Center Heat: Treatment Principle
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Afternoon Low-Grade Fever and Five-Center Heat: Formula
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Afternoon Low-Grade Fever and Five-Center Heat: Points
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Case-to-knowledge links
Scanty Coating
A scanty coating often suggests fluid or Yin deficiency and is an important clue to a deficiency-rooted pattern.
Rapid Pulse
A rapid pulse most often suggests heat, but it can also occur in deficiency heat from Yin deficiency.
Thin Pulse
A thin pulse commonly suggests Blood deficiency, Yin deficiency, or general deficiency of substance.
Yin Deficiency with Internal Heat
Deficient yin gives rise to internal heat, often with low-grade fever, night sweats, and five-center heat.