Rapid pulse is often seen clinically. The majority of physicians believe that it is a manifestation of disease caused exogenous fire or excess-heat accelerating the flow of blood in vessels. Thus rapid pulse is usually seen as a symbol of heat syndrome. But actually, rapid pulse is not only resulted from hyperfunctioning or preponderance of Yang or exposure to pathogenic heat, it can also be seen in cold syndrome, deficient syndrome and blood stasis. Therefore, doctors should make a comprehensive study of patient with four diagnostic methods in order to avoid mistreating.

"Hectic fever"is one kind of traditional Chinese medicine symptoms that call be Seen in marlv diseases and usually occurs in the afternoon during 3 to 5 PM.With constant clinical practices,doctors have proved that hectic fever can be induced by excess syndrome of Yang Ming Fu-organ,deficiency of blood and body fluid,stagnation of blood stasis,repression of qi activities due to humid heat,and floating of deficient yang qi.Therapies are divergent according to different pathogenesis.Clinically we should make the identification of etiology according to differentiation of symptoms and signs.grasp the essential pathogenesis and fully play the characteristics of TCM in treating based on syndrome differentiation and treating the same disease with different methods.

Objective To explore the efficacy and adverse reaction of modified Chushi-Jiedu decoction combined with external application of purslane in the treatment of acute eczema with damp heat and skin retention. Methods A total of 80 patients with damp heat skin type acute eczema were collected in the department of Dermatology of our hospital from January to December of 2017, and the patients were randomly divided into two groups, each 40 cases. The control group was treated with Cetirizine Hydrochloride Tablets and hydrocortisone ointment, and the observation group was treated with modified Chushi-Jiedu decoction combined with external application of purslane. The effects and adverse reaction of two groups were compared after 2 weeks of treatment. Results The total effective rate of the observation group was 97.5% (39/40), and the control group was 80.0% (32/40), where the comparison difference between the two groups was statistically significant (χ2=6.135, P=0.013). After treatment, the lesion area and lesion form and pruritus scores of the observation group were significantly lower than those of the control group (t value were 5.060, 4.391, 8.761, P<0.01); the levels of IL-4 (0.15 ± 0.06 ng/L vs. 0.31 ± 0.08 ng/L, t=10.119), TNF-α (19.03 ± 3.26 ng/L vs. 25.58 ± 4.03 ng/L, t=7.992) of the observation group were significantly lower than those of the control group (P<0.01). The levels of CD4+(33.42% ± 3.53 % vs. 27.38% ± 3.06%, t=8.177), CD4+/CD8+(1.37 ± 0.28 vs. 0.97 ± 0.19, t=7.170) in observation group were significantly higher than the control group (P<0.01), and the levels of CD8+(24.32% ± 2.10% vs. 28.03% ± 2.51%, t=7.476) was significantly lower than the control group ( P<0.01). Conclusions The modificatied Chushi-Jiedu decoction combined with external application of purslane is safe and effective for the treatment of acute eczema with damp heat and skin type, and it can alleviate the inflammatory reaction and improve the immunity of the body.