Fever
I have been experiencing frequent chills lately, but at times I also feel hot.
I have had a migraine for two days out of the last four days, and I often feel nauseous with dry mouth.
Could this be due to internal heat? I am a carrier of hepatitis B, and I wonder if this could affect my liver.
What can I do? Thank you.
Xiao Ying, 20~29 year old female. Ask Date: 2004/12/31
Dr. Yan Sumei reply Traditional Chinese Medicine
Your question seems tricky at first glance, but it can be simplified through pulse diagnosis.
Unfortunately, there is no pulse data available.
Based on the description, it appears to be primarily related to the stomach.
By regulating the stomach qi and harmonizing the spleen qi, resolving the digestive issues of the stomach should alleviate the symptoms of migraines and the imbalance of cold and heat.
As for being a carrier of hepatitis B, it won't damage the liver immediately, but over time, it can have an impact.
It is important to pay attention to the following: 1.
Be cautious of aflatoxins; avoid moldy peanuts, grains, and nuts.
Do not consume peanut butter, peanut candy, or ground peanuts, especially in fillings for mochi or buns.
2.
Eat less oil and alcohol to prevent fatty liver.
3.
Avoid staying up late.
4.
Do not worry or stress too much.
Thank you for your message, and I wish you good health and well-being.
Reply Date: 2004/12/31
More Info
Understanding internal heat in the context of Traditional Chinese Medicine (TCM) involves recognizing a range of symptoms and identifying appropriate remedies. Based on the symptoms you've described—frequent chills, feelings of heat, persistent headaches, nausea, and dry mouth—it does seem plausible that you may be experiencing a form of internal heat or disharmony within your body.
In TCM, the concept of "internal heat" often relates to an imbalance in the body's energy (Qi) and can be associated with various organs, particularly the liver, which plays a crucial role in regulating emotions and digestion. Given your history as a hepatitis B carrier, it is essential to consider how liver health may influence your symptoms. The liver is responsible for the smooth flow of Qi and blood, and any stagnation or dysfunction can lead to heat accumulation, resulting in symptoms like headaches, irritability, and digestive issues.
Your symptoms of chills alternating with feelings of heat could indicate a condition known as "Yin deficiency," where the body's cooling and nourishing energies are insufficient to counterbalance the heat. This can lead to a sensation of internal heat, even when the external environment is cool. The dry mouth and nausea further suggest that your body might be struggling to maintain balance, possibly due to a deficiency in fluids or an excess of heat.
To address these symptoms, TCM practitioners typically utilize a combination of herbal remedies, dietary adjustments, and lifestyle changes. Here are some potential approaches:
1. Herbal Remedies: Formulas that nourish Yin and clear heat may be beneficial. For instance, herbs like Bai He (Lily Bulb) and Mai Men Dong (Ophiopogon) can help nourish the lungs and stomach, alleviating dryness and heat. Additionally, herbs such as Huang Qin (Scutellaria) can help clear heat and reduce inflammation.
2. Dietary Adjustments: Incorporating cooling foods into your diet can help balance internal heat. Foods such as cucumbers, watermelon, and mung beans are known for their cooling properties. Avoiding spicy, greasy, or overly processed foods can also help reduce heat accumulation.
3. Lifestyle Modifications: Stress management techniques, such as meditation or gentle yoga, can help regulate Qi flow and reduce internal heat. Ensuring adequate hydration is also crucial, as it helps maintain the body's fluid balance and supports liver function.
4. Consultation with a TCM Practitioner: Given your specific symptoms and medical history, it would be wise to consult with a qualified TCM practitioner. They can conduct a thorough assessment through pulse diagnosis and tongue examination to tailor a treatment plan that addresses your unique condition.
5. Monitoring Liver Health: Since you are a hepatitis B carrier, regular check-ups with a healthcare provider to monitor liver function are essential. This will help ensure that any treatment you pursue, whether TCM or conventional, is safe and appropriate for your liver health.
In conclusion, while the symptoms you are experiencing may suggest internal heat, it is crucial to approach treatment holistically and with professional guidance. TCM offers various strategies to restore balance and alleviate symptoms, but individual assessment is key to effective treatment. Always consult with healthcare professionals before starting any new treatment regimen, especially considering your underlying health conditions.
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