Different types of symptoms will be accompanied by different general symptoms and tongue and pulse. The Yin deficiency type may be accompanied by menstrual disorders, high or low volume, red color, dizziness and tinnitus, fever, soreness and weakness of the waist and knees, red tongue with little moss and fine pulse; the Damp heat type may be accompanied by high menstrual volume, disorder of the cycle, high amount of hypochondrium, dullness, loose stools, white and greasy tongue moss and moist pulse; the actual heat in the intestines and stomach may be accompanied by thirst, heartburn, abdominal distension, constipation, thick yellow moss and fine pulse. Hot flashes, also known as flushes, are common in menopause or pre-menopause, often accompanied by sweating and palpitations and dry symptoms, then hot flushes should also be distinguished from each other with diseases that can cause recurrent fever: 1, brucellosis: epidemiological data is an important basis for diagnosis, such as the onset of the region, occupation and sick animals (sheep, cattle, pigs) contact history of drinking unsterilized cow and goat milk, eating uncooked animal meat history of clinical manifestations of recurrent Recurrent fever with excessive sweating, wandering arthralgia neuralgia, orchitis, enlarged liver, spleen and lymph nodes, etc. Positive blood and bone marrow culture, serum agglutination test 1:100 see above immunosorbent test 1:320 above, can help to diagnose. 2.Malaria: Inter-day malaria and three-day malaria are more common. In case of paroxysmal chills with high fever and sweating, the diagnosis can be confirmed by timely examination of blood smear for Plasmodium vivax in inter-day or inter-2-day cycles. 3, lymphoma: lesions in the viscera, often manifested as periodic fever (PeI-Ebstein fever type) is seen in Hodgkin’s disease. In some cases, superficial lymph node enlargement is not significant but symptoms appear with deep lymph node enlargement compressing adjacent organs, such as mediastinal lymph node enlargement causing pulmonary atelectasis and superior vena cava syndrome. Timely bone marrow smear examination to find Reed-Sternberg cells or bone marrow biopsy can be helpful for diagnosis. 4, regression fever: clinical manifestations of periodic fever, rapid onset, chills and high fever lasting 2-9 d followed by a sudden drop in body temperature, profuse sweating, fever-free period lasting 7-9 d and sudden high fever, symptoms reappear, repeated 2-3 times generalized aches and pains, hepatosplenomegaly, jaundice with hemorrhagic tendency in severe cases, combined with the onset of the season, the presence of body lice or a history of wild life cicada bites must be considered to this disease. The diagnosis can be confirmed by finding the regression fever spirochete according to blood and bone marrow smear.