Malaria

Question 1

Characteristics of Malaria

Answer 1

Contagious disease
Alternating high fever, chills, headache, sweating, sudden onset
Usually occurs in Summer, Autumn, + Winter

Question 2

Chinese name for Malaria

Answer 2

‘Nue Ji’

Question 3

Etiology of Malaria

Answer 3

Pathogens staying in between exterior + interior ‘Shaoyang Syndrome’ (GB/SJ)

Pathogens invading 5 Zang through Coul Li, channels + collaterals

Alternates between Excess + Xu causing alternating chills + fever

Question 4

6 Types of Malaria

Answer 4

General
Warm
Cold
Miasma (Warm + Cold)
Consumptive
Malaria w/ Splenomegaly

Question 5

General S/sx of Malaria

Answer 5

Fatigue, chills, goose skin, High fever, headache, thirsty w/ desire to drink, ull body sweating, fever resolved after sweating
T: Thin, white or thick, yellow coating
P: Rapid + Wiry or Tight + Wiry

Question 6

What is the pathogenesis of Malaria?

Answer 6

Evil pathogens fighting with Wei Qi

Question 7

Treatment principle for Malaria

Answer 7

Dispel pathogens
Harmonize Interior + Exterior

Question 8

Main points to treat Malaria

Answer 8

PC-5: Treats Malaria
DU-13: Clears heat and treats malaria
DU-14: Releases exterior + Expels wind + Clears heat from Yang channels
SI-3: Clears wind + heat + treats malaria
SJ-3: Clears heat + treats malaria
GB-41: Treats malaria
SJ-2: Ying-spring + clears heat w/ absence of sweating
SJ-4: Yuan source + clears heat
SJ-10: Treats alternating fever + chills

Question 9

Which kind of Malaria fever is not relieved after sweating?

Answer 9

Warm Malaria

Question 10

Which kind of Malaria has more chills than fever?

Answer 10

Cold Malaria

Question 11

What is Warm Malaria (热瘧)?

Answer 11

A type of malaria characterized by more fever than chills.

Question 12

What are the sweating symptoms of Warm Malaria?

Answer 12

Profuse sweating.

Question 13

What other features are associated with Warm Malaria?

Answer 13

Thirst, dry mouth, yellow urine.

Question 14

What is the TCM pathogenesis of Warm Malaria?

Answer 14

Heat excess in Qi level.

Question 15

What are the tongue and pulse characteristics of Warm Malaria?

Answer 15

Red tongue with a yellow coat; Rapid, forceful pulse.

Question 16

What is the treatment focus for Warm Malaria?

Answer 16

Clear heat and harmonize Shaoyang.

Question 17

What is Cold Malaria?

Answer 17

A condition characterized by more chills than fever.

Question 18

What are the key symptoms of Cold Malaria?

Answer 18

Cold limbs, pale complexion, and late or no sweating.

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Question 19

What is the pathogenesis of Cold Malaria?

Answer 19

Indicates cold evil blocking Yang Qi

Question 20

What does the tongue and pulse look like in Cold Malaria?

Answer 20

Pale, white coat; deep, slow, weak pulse.

Question 21

What is the treatment principle for Cold Malaria?

Answer 21

Warm Yang and dispel cold.

Question 22

What is the type of malaria characterized by consumptive symptoms?

Answer 22

Consumptive Malaria

Question 23

What are the symptoms of Consumptive Malaria?

Answer 23

Intermittent spontaneous sweating, fatigue, weight loss, dizziness

Question 24

What is the underlying condition associated with Consumptive Malaria?

Answer 24

Qi & Blood deficiency

Question 25

What are the tongue and pulse characteristics in Consumptive Malaria?

Answer 25

Pale, thin white coat; Weak, thready pulse

Question 26

What is the treatment approach for Consumptive Malaria?

Answer 26

Tonify Qi & Blood, nourish Spleen

Question 27

What is the condition associated with splenomegaly in malaria?

Answer 27

Chronic

Question 28

What is the severity of sweating with splenomegaly in malaria?

Answer 28

Mild or none

Question 29

What are the symptoms of splenomegaly in malaria?

Answer 29

Hypochondriac fullness, bloating, pale face

Question 30

What are the underlying causes of splenomegaly in malaria?

Answer 30

Qi stagnation, Blood stasis in SP/LV

Question 31

What is the tongue appearance in splenomegaly due to malaria?

Answer 31

Pale, white coat

Question 32

What is the pulse characteristic in splenomegaly due to malaria?

Answer 32

Wiry, moderate pulse

Question 33

What is the treatment approach for splenomegaly in malaria?

Answer 33

Move Qi & Blood, regulate SP/LV

Question 34

What are the main symptoms of Heat Miasma Malaria?

Answer 34

High fever > chills, sweating

Question 35

What are the main symptoms of Cold Miasma Malaria?

Answer 35

More chills > fever, little or no sweating

Question 36

What are the additional signs of Heat Miasma Malaria?

Answer 36

Thirst, irritability, constipation, bitter taste

Question 37

What are the additional signs of Cold Miasma Malaria?

Answer 37

Fatigue, cold limbs, nausea with clear fluids

Question 38

What digestive issues are associated with Heat Miasma Malaria?

Answer 38

Nausea, vomiting, sticky stools

Question 39

What digestive issues are associated with Cold Miasma Malaria?

Answer 39

Poor appetite, loose stools

Question 40

What is the urine characteristic in Heat Miasma Malaria?

Answer 40

Yellow, scanty

Question 41

What is the urine characteristic in Cold Miasma Malaria?

Answer 41

Clear, profuse

Question 42

What does the tongue look like in Heat Miasma Malaria?

Answer 42

Red, greasy yellow coating

Question 43

What does the tongue look like in Cold Miasma Malaria?

Answer 43

Pale, thick white coating

Question 44

What is the pulse characteristic in Heat Miasma Malaria?

Answer 44

Rapid, slippery

Question 45

What is the pulse characteristic in Cold Miasma Malaria?

Answer 45

Slow, deep, weak

Question 46

What is the treatment for Heat Miasma Malaria?

Answer 46

Clear heat, resolve dampness

Question 47

What is the treatment for Cold Miasma Malaria?

Answer 47

Detoxification + Resolve dampness