TCM Diagnosis According to Syndrome Differentiation
1. Syndrome of pathogen stagnated in lung-defense
Manifestation: fever without retreat, aversion to cold, sore throat, nasal obstruction, cough, pains all over the body, red tongue tip, yellow and thin coating, floating pulse.

2. Heavy Accumulation of Heat Toxins
Manifestation: fever without retreat, thirst, agitation, mouth ulcer, halitosis, flush face, breathing difficulties, redness of skin rash, constipation, red tongue, rapid pulse.

3. Phlegm-heat Obstructing Lungs
Manifestation: fever, shortness of breath, dysphoria, sore throat, hepatosplenomegaly, cyanosis of lips, red tongue, yellow and greasy coating, rapid pulse.

4. Multiple Abscess of Phlegm-Heat
Manifestation: fever without retreat, enlarged spleen, fever, thirst, yellow urine, constipation, distending pain in hypochondrium, red tongue, yelow coating.
 
Diagnosis in western medicine
Your doctor will ask you questions about your symptoms and perform a physical exam. The Epstein-Barr virus (EBV) is reliably detected by blood tests that look for antibodies and other cells that are only found in the presence of this infection.

Some doctor may choose not to test the blood for the virus since there's not much the doctor can do with the information. Blood tests may be done to check for other medical conditions that could cause similar symptoms.

It's important to eliminate the possibility of strep throat, which causes similar symptoms and could be treated with antibiotics. That's more easily done by testing for streptococcal bacteria with a throat swab than by testing the blood for EBV.