What's wrong with having a normal temperature during the day and a fever after 5:00 p.m.?

Judging from the fact that the fever comes on after five o'clock on the night of the question and the temperature is normal during the day, it is a more regular fever, and it occurs in the late afternoon, timed to occur after five o'clock each day, with greater regularity, like the familiar ebb and flow of the tide.Then it can be called afternoon hot flashes.

What causes hot flashes in the afternoon?

1, female friends menopausal syndrome, will cause hot flashes, mainly before and after menopause ovarian hypogonadism sex hormone reduction or sex hormone fluctuations caused by the decline in estrogen, mainly manifested as recurrent episodes of transient redness and heat of the skin of the face, neck and chest and can be accompanied by sweating, usually lasts 1 to 3 minutes, afternoon, especially at night or in the event of all kinds of stress. Easily induced, can last for one or two years, the longest can be up to five years or even more than five years, seriously affecting the life and work of female friends and sleep.

2, tuberculosis may be, long-term afternoon hot flashes is the most common manifestation of tuberculosis, mostly in the afternoon or evening body temperature began to rise, to the next morning body temperature fell to normal, and can be accompanied by night sweats, fatigue, loss of appetite, weight loss, coughing and sputum and sputum with blood and chest pain, serious patients can appear shortness of breath dyspnea and even respiratory failure.

3, some patients with constipation can appear face redness and heat, that is, patients with constipation can appear afternoon hot flashes.

4, Chinese medicine qi deficiency and yin deficiency patients, mainly by great joy and great sorrow, often anger and worry too much, excessive sex life, spicy and stimulating food for a long time to eat too much, overwork, malnutrition, congenital insufficiency, old age and infirmity, prolonged illness and other reasons.

First of all, our body temperature is in a normal fluctuation range, generally speaking, the normal body temperature is the axillary body temperature between 36 ~ 37.2 degrees Celsius. Then to give you a popularization of the graduation of fever, medical fever is generally divided into low fever 37.3 ° C - 38 ° C, moderate fever 38.1 ° C - 39 ° C, high fever 39.1 ° C - 41 ° C, more than 41 ° C is called ultra-high fever.

Here's what the title says: normal temperature during the day, fever after 5pm. The exact temperature has not been described yet, let's just say that the armpit is over 37.3 degrees or more. What is this kind of fever?

First, this afternoon fever is medically known as afternoon fever. As any doctor would first think of tuberculosis, one of its typical symptoms is afternoon fever. Here only describe the symptom, it is not clear due to tuberculosis contact history, and no description of the presence of night sweats (sweating profusely during sleep), general lack of strength, loss of appetite and other symptoms. If there is no appealing symptom, tuberculosis is not considered for the time being, and it is recommended to go to the hospital to improve the examination to further exclude tuberculosis if necessary.

Second, hot flashes, in fact, according to the literal meaning of the word, is a regular, regular fever. With the Chinese medicine point of view, that is, wind-cold or wind-heat evil attack on the surface; bruises, or external evil into the camp blood; due to Yin and blood loss, or loss of blood and essence; long illness and Qi deficiency, or over-exertion and injury to the gas: afternoon hot flashes are caused by yin deficiency, dampness-heat, gastrointestinal solid heat. Afternoon hot flashes are mostly caused by dampness and heat, stomach and intestines solid heat, yin deficiency. If it is a yin deficiency fever, it is mostly a slight heat in the afternoon to the night, with five heartburn, night sweating, less moss, tongue red and thin and other manifestations.

(c) Menopausal syndrome. This condition is usually seen in menopausal women. During this period, women are affected by the aging of the ovaries and the diminished secretion of estrogen and progesterone, which can lead to disorders of the autonomic nervous system. One of the main manifestations is an increase in the basal body temperature, although it usually only rises by about 0.6 to 2.2 degrees Celsius. Usually, the rise in temperature lasts for a few minutes and can return to normal on its own.

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The condition described in the question is generally considered to be Tide-Heat, which means that the fever is timed like a tide, and the fever is on time or worse on time. Hot flashes are generally categorized as Yin deficiency hot flashes, Damp warm hot flashes and Yang Ming hot flashes, and can be differentiated according to their concurrent symptoms. Low fever in the afternoon, like bone vapor, the heart of the hands and feet hotter than the back of the hands and feet, the heart is hot, zygomatic redness and night sweating, dryness of the mouth and throat, mostly due to yin deficiency and blood deficiency, with lung yin deficiency and liver and kidney yin deficiency in the majority of the people; Damp heat tidal fever is due to the dampness and temperature of the long-standing restraint, internal heat and toxicity caused by the heat to the late afternoon fever is mainly accompanied by a stuffy chest and vomiting, head and body sleepy and heavy, loose stools, thick and greasy tongue coating, etc.; Yangming tidal fever is the fever at the time of day-asr, (i.e. shenshi, 3-5 p.m.) Yangming tidal fever is heat at the time of sunrise, (i.e. Shen time, 3-5 p.m.), so it is also called Sunrise tidal fever, with higher heat, often accompanied by abdominal distension, constipation, and yellowish dryness of tongue. Infantile stagnation also has fever at night that recedes at dawn.

Yin deficiency hot flashes are mostly seen in menopausal women, it is advisable to nourish yin and clear heat or nourish yin to reduce fire, commonly used formulas such as Lily Solid Gold Soup, Artemisia turtle turtle turtle soup, etc.; dampness hot flashes should be cleared to clear dampness and heat, commonly used formulas such as wuling powder, etc.; yangming hot flashes should be cleared to clear yangming meridian heat, commonly used formulas such as Da Sinking Thorax Soup, Sheng Rhinoceros Bulk.

Hot flashes symptoms should usually adjust the mind, soothe the body and mind, worry about things don't go to the heart, consciously ease the pressure, exclude tension; strengthen physical exercise, enhance physical fitness; regular work and rest not to stay up all night, reasonable arrangement of work and life, try to avoid a long time to avoid having nothing to do; light diet, moderate temperature and cold, eat more vegetables and fruits, avoid eating spicy and stimulating food.

As a parent, if there is a small child at home, you will often encounter this situation, the child is clearly alive and well during the day, but in the afternoon towards the evening when it becomes lethargic, and there is a fever, many parents do not understand how this is the case. For this kind of daytime body temperature is normal, after five o'clock in the evening on the fever, in Chinese medicine has a name, called "afternoon hot flashes". So, what's wrong with hot flashes in the afternoon? What causes hot flashes in the afternoon? And how should it be prevented? I'll talk to you about these questions below.

First, what's wrong with hot flashes in the afternoon?

Since hot flashes in the afternoon is a term used in Chinese medicine, let's use Chinese medicine to explain it. In fact, this is the result of the body's positive qi and evil qi struggle, in the daytime when the yang qi is more abundant, this time the body's positive qi can suppress the evil qi, so that the body temperature is more normal. But as the evening approaches, the sun sets, the sun is less and less, this time can not suppress the evil in the body, then naturally the evil prevails, the body heat rises, thus appearing feverish. This can be caused either by external fever or by some internal miscellaneous diseases.

Second, what causes hot flashes in the afternoon?

According to Traditional Chinese Medicine (TCM), hot flashes in the afternoon generally occur for these reasons:

1. Hot flashes caused by the solidity of the internal organs of Yangming.

If you have not studied Chinese medicine people may not understand what is Yangming viscera real, here I will simply say, this actually means that our gastrointestinal tract inside the real heat, these heat evil agglomeration in our gastrointestinal, resulting in the patient in the afternoon every day fever, which in Chinese medicine is also known as the "Day Asr tide fever".

In the final analysis, it is our gastrointestinal tract because of food stagnation caused by the spleen's transportation function is weakened, so that food has been staying in the gastrointestinal tract, so the food is constantly fermentation and heat production, in short, is eating too much, more than the gastrointestinal tract's digestive function, the normal gastrointestinal tract in the state of "dead". This situation is often seen in the elderly as well as children, because the children's own digestive ability than adults, and parents are worried about children's malnutrition, so every day fish and meat, and the children for these fish and meat are not to be resisted, which is easy to cause the food accumulation, and thus prone to hot flashes in the afternoon.

●2. Afternoon hot flashes caused by Yin deficiency and fire exuberance

In general, if we have a balance of yin and yang in the body, under the action of yang, the body fluid can be spread throughout the body, but if there is a deficiency of yin and fire, the yin can not control the yang, then it will result in an overabundance of yang, thus generating internal heat, and yin deficiency, the patient will have a dry throat and mouth, five heartburn and heat, night sweating, a red tongue with little fluids, weakness of the limbs, etc., and in the afternoon to night will be accompanied by a slight fever. This is clinically called "hot flashes of yin deficiency".

3. Afternoon hot flashes caused by excessive dampness in the body

When a person's body dampness is too heavy, and the daytime yang, then the daytime yang by the influence of dampness, in the daytime latent containment down, when the evening time, the yang is reduced, then there will be a fever in the afternoon, and the patient will also appear in the head and body sleepy, poor appetite, no appetite, but also chest tightness and abdominal distension, loose stools, etc., you can see the patient's tongue coating thick greasy or yellow, which is clinically called "dampness warmth tide heat". This is clinically known as "dampness, warmth and dampness-heat".

●4. Afternoon hot flashes caused by lung and kidney yin deficiency

When there is a loss of fluid in the body and insufficient yin fluid to nourish the lungs as well as the kidneys, resulting in a deficiency of lung and kidney yin, then there will be hot flashes in the afternoon or fever in the night. At this time, patients are often accompanied by dry cough with little sputum, five heart heat, insomnia, night sweats, dizziness, tinnitus, five heart heat, red tongue with little fluid, and we observe the tongue coating of the patients, we can see that their tongue coating is little or even no moss, which is the afternoon hot flashes caused by the deficiency of fluid due to the deficiency of lung and kidney yin.

●5. Afternoon hot flashes due to tuberculosis

Tuberculosis is also known as "bone vapor and damp heat" in traditional Chinese medicine, when the patient suffers from tuberculosis, especially when the tubercle bacillus continues to multiply in the lungs and invades the lung tissues, it will continue to produce heat, causing the patient to be feverish, and it will also cause the patient to have a long-term deficiency of qi and blood, or even emaciation, and the heat produced by the body is like evaporating out from the bone marrow in the afternoon, which makes the patient particularly irritable. The heat generated in the body in the afternoon is like evaporating from the bone marrow, which makes people particularly irritable and uncomfortable, and this situation is often called "Bone Vaporization and Tidal Fever" in the clinic.

●6. Afternoon hot flashes due to female menopausal syndrome

When female friends to the age of about 45 years old, the body's estrogen secretion will be reduced, especially to the time before the menopause, the ovarian function is seriously reduced, estrogen is further reduced, at this time, female friends will appear hot flashes, and even there will be five heart hot flashes, irritability, insomnia, dreaminess, sweating and other symptoms, this situation can continue until the menopause, as short as a couple of years, or as long as five years Or more than five years. These are the hot flashes in the afternoon caused by female menopause syndrome.

Third, when the symptoms of hot flashes in the afternoon should be how to improve as well as prevention?

First of all, we must go to the hospital for examination to find out what causes, and then symptomatic treatment, the best is in the case of traditional Chinese medicine doctors to identify the prescription, take Chinese medicine to improve. For example, if you have a deficiency of yin and fire, you need to replenish the fluid, if you have a deficiency of lungs and kidneys, you need to replenish the lungs and kidneys, if you have a deficiency of moisture, you need to get rid of the moisture and clear the heat, and if you have a deficiency of menopause, you need to replenish the estrogen in time.

Secondly, we should learn to relax and relieve pressure. Especially in this fast-paced society, in the face of life and work, many people have become more depressed, this time more should learn to relax, relieve pressure.

Again, avoid excessive spicy and stimulating foods, especially alcohol and nicotine stimulation, quit smoking and limit alcohol. Nutritional balance, eat more fresh vegetables and fruits, supplement sufficient vitamins thought trace elements.

Finally, one should participate in appropriate physical exercise, which can not only effectively relieve fatigue and life stress, but also help the operation of qi and blood, and strengthen the body's resistance. At the same time, you can also do some deep breathing, in a steady rhythm to try to expel the turbid air in the lungs as well as inhale fresh air, which can make the whole body relax and improve the adverse symptoms.

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Body temperature is normal during the day, but rises in the afternoon and at night, this type of heat is called "hot flashes" in Chinese medicine, because the fever is like the tide, the causes of hot flashes are mainly the following:

a heat wave caused by a deficiency in Yin energy

A deficiency of yin leads to a relative exuberance of yang, and it is said that "when yang is in full bloom, yin is sick". Yang is in charge during the day and yin is in charge at night, and a deficiency of yin causes an exuberance of yang, which is more pronounced at night. Patients tend to have five heartburns and heat, dry mouth and tongue, and insomnia. To treat hot flashes due to yin deficiency, use drugs that nourish yin, so that yin can be matched with yang, thus making the hot flashes self-extinguishing.

tidal fever of the yangming region (TCM)

What is Yang Ming? It is a system with the stomach as the main organ. The Yangming meridian is at Shen time, which is 3-5 o'clock, so this time will if evil energy is strong, there will be an aggravation of the disease; if the positive energy is restored, this is also the time when recovery is easy. If there is dryness and knotting in the Yang Ming, or dampness and heat, it will cause hot flashes. Many of the articles on Chengqi Tang in the Treatise on Typhoid Fever contain the phrase, "When the sun is at 'Asr, there is hot flashes," because the intestines are obstructed by dampness-heat or dryness-conjunctions, causing hot flashes. Treatment is either dampness-drying or cathartic.

瘀血潮热

Stagnant blood stays in the body and causes poor circulation of blood. Blood belongs to yin, and poor circulation of blood prevents the nourishing properties from being fully realized, thus creating a relative exuberance of yang qi and hot flashes at night. To treat hot flashes caused by blood stasis, it is necessary to activate the blood and remove blood stasis to make the blood flow smoother. Wang Qingren recorded in his "Reform and Error in Medical Sciences" that there is a formula of "Blood Palace and Blood Stasis Expelling Soup" for treating "internal heat every night and skin heat for a while", which is hot flashes caused by Blood stasis.

internal heat (TCM)

After the heat disease, the evil qi hidden in the yin, there will be hot flashes. There is a passage in "Articles on Warm Diseases" that says "night fever and morning coolness, no sweating when the fever subsides, heat comes from the yin", how typical, fever at night, heat subsides during the day, that is, because the evil heat is hidden in the body and cannot be transmitted out, therefore, we have to use Artemisia herbacea soup to transmit the evil heat out of the yin part.

Most fevers are characterized by this circadian alternation, with a slightly lower, even normal, temperature during the day; the temperature begins to rise at 8 or 9 p.m., peaks around 10-12 p.m., and then gradually declines until it is at its lowest just before dawn (5 or 6 a.m.). Even when there is no fever, the body's temperature follows this alternating circadian rhythm.

In ancient times, our ancestors discovered this phenomenon of day and night changes in body temperature, so the medical books of the Yuan Dynasty had this law summarized that fever is always: Dan Hui, daytime peace, evening increase, night is very much. That is to say, people with fever are most comfortable in the morning, and still peaceful during the day, and will be aggravated at night, and most powerful late at night.

Due to the presence of this alternating day and night temperature change, many patients will find themselves with a fever at night and have to rush to the emergency room in a panic all night long, and then seem to be fine again after tossing and turning all night long. This is especially true in pediatrics, and is a key reason why pediatric nighttime emergencies are the busiest.

If everyone recognizes this pattern, they won't be running to the emergency room in the middle of the night simply because they have a fever. You can start by taking some simple and feasible fever reduction methods on your own, such as taking acetaminophen, warm baths, and lowering the temperature of your room 。。。。 And then go back to the hospital the next morning. This will not delay the treatment of the disease.

My child had septic tonsillitis once last year and that's what happened, he was fine during the day and then at 6 or 7 pm he had a low-grade fever. It took ten days to get better.

For this question, it is best to consult your doctor in person at the hospital for further testing. Good luck every day!

It's usually more of a Yin deficiency

If you have fever at 4:00 or 5:00 pm every day, you should be alert to tuberculosis, you can do tuberculin test, anti-nuclear antibody, T-cell test, and at the same time, you can do CT examination of the lungs and sputum culture of tuberculosis bacteria. After excluding pulmonary tuberculosis, if the patient still has daily fever at 4:00 or 5:00 p.m., the patient also needs to do routine blood tests and other parts of the body tuberculosis, such as intestinal tuberculosis, renal tuberculosis, bone tuberculosis and so on, so it is necessary to do a lot of other related checks, intestinal tuberculosis needs to be performed enteroscopy, renal tuberculosis needs to be done renal ultrasound examination. In conclusion, the most common cause of fever in the afternoon is tuberculosis, and tuberculosis must be excluded before other diseases are considered.