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Acupoint Prescription for Persistent Low-Grade Fever (Residual Heat)

Acupoint Prescription for Persistent Low-Grade Fever (Residual Heat): LI11, LI4, ST36
餘熱不盡配穴解析:曲池、合谷、足三里
Clinical Focus|臨床重點: This prescription combines the “Four Gates” principles for clearing the surface and regulating Qi (LI4, LI11 variant) with the essential point for strengthening the body’s foundation (ST36), aiming to resolve lingering pathogenic heat while supporting the recovery of Zheng Qi (正氣).
此配方結合了疏通表裡和調節氣機的原則(曲池、合谷)與固護身體基礎的要穴(足三里),旨在清除纏綿不去的餘熱,同時支持正氣的恢復。
Overview: Clearing Heat and Supporting Recovery

Residual heat (餘熱不盡) typically occurs after an infectious disease, where the main external pathogen has retreated, but a sub-clinical level of heat remains, consuming Yin and Qi. The therapeutic strategy moves from purely “Quxie” (祛邪, expelling pathogen) to a mixed approach of **”Fuzheng Quxie” (扶正祛邪, supporting the Righteous Qi while dispelling the pathogen)**.

餘熱不盡通常發生在外感疾病之後,主要病邪已退,但仍有潛在的熱邪殘留,耗損陰液與氣機。治療策略從單純的「祛邪」轉向**「扶正祛邪」**的混合方法,以扶持正氣並清除餘邪。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Clearing Residual Pathogenic Heat (陽明經清熱法)
I. 清除殘留熱邪(陽明經清熱法)
  • **Quchi (LI11):** The He-point of the Large Intestine Meridian. A powerful point for **clearing Heat (清熱)**, particularly in the Yangming channels. It addresses the lingering systemic inflammatory response and persistent fever.
    **曲池(LI11):** 大腸經合穴。是**清熱**的強效穴位,尤其針對陽明經的熱邪。它用於清除殘餘的全身炎症反應和持續的低熱。
  • **Hegu (LI4):** The Source point of the Large Intestine Meridian. It **dispels exterior wind-heat** (清熱發表) and harmonizes Qi and Blood. Used in conjunction with LI11, it enhances the action of driving the residual heat out of the body.
    **合谷(LI4):** 大腸經原穴。**疏散表熱**並調和氣血。與曲池合用,能增強將殘餘熱邪從體表驅散出去的作用。
II. Fortifying the Spleen and Consolidating Vital Qi
II. 健脾固本與鞏固元氣
  • **Zusanli (ST36):** The key point for **fortifying the Spleen and Stomach** (健脾和胃). In the stage of residual heat, the body is typically weak; ST36 is essential for improving digestion, generating Qi/Blood, and supporting the immune system to fully recover and prevent relapse.
    **足三里(ST36):** **健脾和胃**的要穴。在餘熱階段,身體通常虛弱,足三里對於改善消化、生成氣血、支持免疫系統完全康復和防止復發至關重要。
Clinical Conclusion

The combined use of the two large-intestine points (LI11, LI4) provides strong action to clear and vent the lingering Heat pathogen, while ST36 ensures that the clearing process does not further exhaust the body’s Qi. This is a balanced approach for managing the transitional phase of recovery from febrile disease.

兩大腸經穴位(曲池、合谷)的聯合使用,提供了強大的力量來清除和宣散殘留的熱邪,而足三里則確保在清除過程中不會進一步耗竭身體的正氣。這是處理熱病恢復過渡期的平衡療法。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. 石學敏. **石學敏針灸學**. 中國中醫藥出版社; 2017. (關於陽明經穴位清熱解毒的臨床應用)
  2. 高樹中. **針灸臨床應用與研究**. 人民衛生出版社; 2012. (關於足三里在扶正培元和病後調理中的作用)
  3. 王華. **針灸治療外感病餘熱不盡的臨床觀察**. *中醫藥臨床雜誌*. 2015;27(1):15-17. (關於此類穴位組合的臨床療效研究)

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