Menstrual fever

　　1. Qi deficiency constitution:During menstruation, the Qi is consumed with the blood, and the disharmony of Qi and defense leads to fever.

　　2. Yin deficiency constitution:During menstruation, the menstrual blood descends, and the yin essence becomes more空虚, leading to internal heat from yin deficiency, resulting in fever during menstruation.

　　3. Blood heat and yang excess constitution:Again, eating spicy and hot grains, or liver depression transforming into fire, during menstruation, the Qi of the Chong meridian is vigorous, and the Qi and fire are pursued, leading to fever during menstruation.

　　4. Original blood stasis:A history of endometriosis or chronic pelvic inflammatory disease, retained blood stasis in the uterus, accumulated blood stasis transforming into heat, during menstruation, the blood sea is full, blood stasis and heat are depressed, and the disharmony of Qi, blood, and defense leads to fever during menstruation.

　　Blood stasis fever before or during menstruation, with abundant menstrual blood and clots, or less menstrual blood that is not smooth, dark purple menstrual color, lower abdominal pain that resists palpation. Thin coating, purple tongue with petechiae,涩脉 and rapid pulse.

　　1. Convulsions:Convulsions often occur when the fever rises suddenly, and only one convulsion occurs during one fever, rarely more than twice. As long as the convulsion does not last long, it has little impact on health.

　　2. Increased heart rate:High fever can cause an increased heart rate, and in severe cases, it can lead to heart failure. If you find symptoms of an increased heart rate during a fever, do not panic and seek medical attention in time to relieve the symptoms.

　　1. Yin deficiency type:Fever during or after menstruation in the afternoon, restlessness of the five hearts, dry throat and mouth, red cheeks, less menstrual blood, bright red color, red tongue, thin coating, fine pulse.

　　2. Liver depression type:Fever before or during menstruation, dizziness, blurred vision, bitter mouth and dry throat, irritability, breast, chest, and lower abdominal pain, menstrual blood quantity varies, deep red menstrual color, red tongue, slightly greasy coating, wiry pulse.

　　3. Blood stasis type:Fever before or during menstruation, with alternating chills and fever, lower abdominal pain that resists palpation, dark purple menstrual blood with clots, purple tongue with petechiae, deep pulse with string-like or wiry force.

　　1. The prognosis of traditional Chinese medicine treatment for fever during menstruation is good. If accompanied by chronic pelvic inflammatory disease or endometriosis, treatment after menstruation should be continued to achieve a complete cure.

　　Generally, fever during menstruation will naturally subside gradually after menstruation. If the course of the disease is long, the disease recurs frequently, or even the fever increases after menstruation, necessary examinations should be conducted according to clinical manifestations to clarify the cause of fever and treat accordingly.

　　It is necessary to combine clinical manifestations for analysis and judgment according to specific situations. This includes blood routine, urine routine pathogen examination (direct smear, culture, specific antigen antibody detection, molecular biology testing, etc.), X-ray, B-ultrasound, CT, MRI, ECT examination, tissue biopsy (lymph node, liver, skin membrane), bone marrow puncture, and other tests.

　　Firstly, dietetic therapy for fever

　　1. Schizonepeta and mung bean soup

　　10 grams of schizonepeta, 12 grams of mung bean, 6 grams of tangerine peel, 8 grams of lotus leaf, and appropriate amount of rock sugar. Roast and crush the mung bean, then decoct it with schizonepeta, tangerine peel, and lotus leaf together. Filter after boiling for 10 minutes, remove the residue, add rock sugar, and serve after cooling. Traditional Chinese medicine believes that in summer, high heat and dampness are common, and schizonepeta and lotus leaf are used to clear summer heat and dampness, while tangerine peel and mung bean are used to invigorate the spleen, harmonize the stomach, and remove dampness. Together, they clear summer heat, invigorate the body, remove dampness, and reduce fever, and are suitable for fever caused by summer dampness.

　　2. Ginger and brown sugar decoction

　　5 to 10 slices of ginger, 30 to 50 grams of brown sugar. Peel, wash, and slice the ginger, add brown sugar together in the pot, boil for 10 minutes, and then let it cool before serving. It can be taken 2 to 3 times a day. Ginger has the effects of acrid and warm, dispersing exterior symptoms and warming the middle; brown sugar has the effects of invigorating the body, soothing the middle, and dispersing cold pain. Together, they disperse exterior symptoms and cold, induce sweating and reduce fever, and are suitable for fever caused by wind-cold exterior syndrome.

　　3. Mint porridge

　　30 grams of fresh mint, 50 to 100 grams of glutinous rice, and appropriate amount of rock sugar. First, wash the mint and put it in a pot, add water and boil until the juice is thick, then turn off the heat and filter the juice for later use. Then, wash the glutinous rice and cook it into porridge. When the porridge is about to be done, add the mint juice and rock sugar, and boil for another 1 to 2 minutes. Take 1 to 2 times a day. Mint is acrid and cool, clears heat and detoxifies; glutinous rice is warm and harmonizes the stomach. Together, they clear heat and relieve sore throat, detoxify and reduce fever, and are suitable for fever caused by wind-heat exterior syndrome.

　　4. Ginger, scallion, perilla, and olive soup

　　60 grams of fresh olives, 15 grams of scallion head, 10 grams of ginger, 10 grams of perilla leaves, decocted, filtered, and a little salt added for seasoning. It has the effects of dispersing exterior symptoms and heat, and strengthening the stomach and harmonizing the middle.

　　5. Scallion and soy sauce soup

　　15 grams of soy sauce soaked in a bowl of water, boiled for 10 minutes, then add 30 grams of cleaned scallion roots, continue to boil for another 5 minutes, and finally add 50 milliliters of yellow wine, boil and serve immediately. It can be taken while hot. It has the effects of dispersing exterior symptoms and harmonizing the middle, and is suitable for common cold caused by wind-cold, fever, headache, no sweat, restlessness, or accompanied by nausea, abdominal pain, diarrhea, and other symptoms.

　　6. Mint, ginger, ginseng, and gypsum decoction

　　30 slices of mint, 2 slices of ginger, 5 grams of ginseng, 30 grams of gypsum, and 2 grams of ma huang. The above herbs are made into coarse powder, decocted in water, filtered, and the juice is obtained. It can be used as tea. It has the effects of dispelling wind and heat, relieving exterior symptoms and cough, and invigorating the body and replenishing deficiency.

　　Secondly, patients with fever during menstruation should consume

　　1. Providing high-energy, high-protein, vitamin-rich, inorganic salt-rich, and light-tasting food that is easy to digest. According to the condition, liquid, semi-liquid, or soft rice diets can be provided. Liquid diets can include soy milk, egg flower soup, mung bean soup, lotus root starch, and oil-free chicken soup, semi-liquid diets can include rice porridge, minced meat and vegetable porridge, noodles with meat and vegetable末, wontons, tofu pudding, and silver ear porridge, soft rice can include steamed buns, bread, soft rice, steamed buns, lean meat, fish, shrimp, eggs, melon and eggplant, tender green leaves, and fruits, and other foods.

　　2. Providing sufficient liquid is beneficial for diluting and excreting toxins in the body, and it can also supplement the water lost due to increased body temperature. Water, fresh fruit juice, vegetable juice, rice gruel, mung bean soup, and other drinks can be consumed.

　　3. It is advisable to eat foods with a cooling, moistening, and nourishing Yin effect; it is advisable to eat vegetables and fruits rich in vitamins and dietary fiber.

　　Three, things to avoid eating for patients with fever during menstruation

　　1. Avoid drinking strong tea, coffee, alcohol, and spicy seasonings (mustard, chili, pepper, etc.), and limit greasy foods such as fried, grilled, and stir-fried foods.

　　2. Avoid eating sticky, greasy, and difficult-to-digest foods.

　　1. Treatment for Qi deficiency:Tonify the middle and replenish Qi to expel heat. Prescriptions; Bu Zhong Yi Qi Decoction加减. Huangqi 15g Baizhu 10g Chenpi 6g Shengma 9g Chaihu 6g Danggui 9g Xianhecao 30g Dangshen 12g Zhigancao 3g Chao Baishao 10g Fangfeng 9g加减: Fever with chill, disharmony of营 and Wei, add Guizhi 6g, Da Red Jujube 10, remove Dangshen, Shengma; Menstrual quantity more, color light, add Jingjie carbon 9g, Hanliancao 15g, Shengdi carbon 15g, Ejiao 9g (melted).

　　2. Treatment for Yin deficiency:Nourish Yin and cool blood to clear heat. Prescriptions. Qinghao Biejia Decoction加减. Qinghao 10g Zhijia 12g (decoct first) Shengdi 12g Feizhimu 9g Digupi 10g Danshi 10g Yinhua 9g Xuan Shen 12g Maidong 10g Taishu 10g Baiwei 10g Shenggancao 3g加减: Low fever, dry mouth, sweating, heat not subsiding, due to both Qi and Yin deficiency, add Dangshen 12g, Wuweizi 9g, Shashen 12g, Jinyinhua 9g, remove Huangqi, Biejia, Xuan Shen; Restless and sleepless, add Huangqin 9g, Shanzhizi 9g, Yejiaoweng 15g, Baiziren 9g, or fried Zaoren 9g.

　　3. Treatment for blood heat:Clear heat and cool blood to regulate the menstrual cycle. Prescriptions: Qing Jing San加减. Danshi 12g Digupi 12g Shengbaishao 10g Shudihuang 10g Qinghao 9g Huangbai 9g Fuling 10g Jingjie sui 9g Maidong 9g Hanliancao 15g Shengdiyu 12g Huangqin 9g Danggui 9g加减: Menstrual abdominal distension and pain, refuse to press, add Hongteng 12g, Bajiangcao 12g, Shengputao 12g (package decoction), remove Hanliancao, Digupi; Red urine, add Liuyi San 9g (package decoction), Zhimu 10g; Constipation, add Quan gua lou 10g (cut), Taoren 6g.