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Also alternating fever and chills (Obs.). Heat effusion without aversion to cold and aversion to cold without heat effusion occurring in regular or irregular alternating succession, associated with lesser yáng (shào yáng) midstage patterns, malaria, or damp-heat obstructing the triple burner.

Patterns

Lesser yáng (shào yáng) patterns (少阳证 shào yáng zhèng): Alternating heat effusion and aversion to cold occurring in lesser yáng (shào yáng) patterns is accompanied by heart vexation, retching, bitter taste in the mouth, dry throat, dizzy vision, [suffering of] chest and rib-side fullness, red tongue margins, thin yellow tongue fur and a stringlike pulse.

Acumoxatherapy: Base treatment mainly on GV and BL. GV-14 (Great Hammer, 大椎 dà zhuī), and PC-5 (Intermediary Courier, 间使 jiān shǐ) can be selected as main points to treat alternating heat and cold. To these, add LR-14 (Cycle Gate, 期门 qī mén), GB-41 (Foot Overlooking Tears, 足临泣 zú lín qì), TB-5 (Outer Pass, 外关 wài guān), GB-20 (Wind Pool, 风池 fēng chí), and TB-6 (Branch Ditch, 支沟 zhī gōu) to clear lesser yáng (shào yáng) exterior-interior evil; needle with drainage or with even supplementation and drainage.

Malaria (疟疾 nüè jí): In malaria, bouts of aversion to cold followed by high fever that abates with sweating occur once every two or three days.

Acumoxatherapy: Base treatment mainly on GV and BL. GV-14 (Great Hammer, 大椎 dà zhuī), PC-5 (Intermediary Courier, 间使 jiān shǐ), GV-13 (Kiln Path, 陶道 táo dào), Malaria Gate (疟门 nüè mén), and Lofty Bone (崇骨 chóng gǔ) can be selected as main points to treat alternating heat and cold. To these, SI-3 (Back Ravine, 后溪 hòu xī) can be added to free yáng and eliminate malaria. Needle with drainage.

Damp-heat obstructing the triple burner (湿热阻滞三焦 shī rè zǔ zhì sān jiāo): In damp-heat obstructing the triple burner, aversion to cold alternating with heat effusion that is unrelieved by sweating is associated with oppression in the chest and abdominal distension, retching and vomiting, headache, heart vexation, dry mouth, short voidings of reddish urine, red tongue margins, and thick slimy or white mealy tongue fur and a soggy pulse.

Acumoxatherapy: Base treatment mainly on TB, GV, SP, and ST. GV-14 (Great Hammer, 大椎 dà zhuī) and PC-5 (Intermediary Courier, 间使 jiān shǐ) can be selected as main points to treat alternating heat and cold. To these, add TB-6 (Branch Ditch, 支沟 zhī gōu), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), LI-11 (Pool at the Bend, 曲池 qū chí), LI-4 (Union Valley, 合谷 hé gǔ), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), and ST-44 (Inner Court, 内庭 nèi tíng) to clear and disinhibit triple burner damp-heat.

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