As a pediatrician, I often face fever in my clinical work and young parents who are anxious and worried because of their children’s fever. I can understand this feeling of parents, because I also have children, and I have to face the same problem. About fever, how do we scientifically respond, combined with my clinical experience and my own childcare experience, from the two aspects of Chinese and Western medicine to talk about my views. A. What is fever, how to recognize fever Fever is not a disease, only a symptom, the common cold caused by fever is the body’s immune system in order to resist infection and produce an immune protective response. Studies have proven that various immune functions in the body are better during fever than when the body temperature is normal, including increased metabolism, increased antibody synthesis and enhanced phagocytic activity. These immune functions inhibit the growth and reproduction of pathogens and facilitate the patient’s recovery. There is a saying that the reproduction of viral bacteria in the body will be significantly inhibited when the body temperature exceeds 38°C. The inhibitory effect of fever on viruses in the body far exceeds the role of drugs, so do not rush to give your child fever-reducing drugs, parents need to know that fever is not all bad. The common cold is basically caused by viral infection, itself is a self-limiting disease, there is no specific clinical drugs, virus infection after the body about 3 days to produce relevant antibodies, 5 days to reach a higher concentration and the ability to resist the virus, so the course of the disease is generally 3-5 days, generally not more than 7 days, in this time, if the baby has no special performance, continuous fever, not as abnormal. Special note is part of the allergic cough, allergic asthma baby, allergic disease mechanism is the body’s immune dysfunction, clinical drugs no fundamental, efficacious and reliable drugs, effective common cold caused by fever on the body’s immune function has a very good promotion, for the parents of this type of physical baby, I often say a phrase: in order to better relieve the baby’s allergy symptoms, I Look forward to your baby’s fever, a fever that, if handled properly, will significantly relieve allergy symptoms. Therefore, fever caused by the common cold is definitely not a flood of anything! Second, how to do a good home care when the baby has a fever The first thing to do is: rest, drink more water, light diet, and appropriate medication. If the temperature does not exceed 38.5℃, no special treatment is needed. 2, observe the mental state and face, when the child has a fever, if the spirit is very good, can eat and play, most of the common cold, parents do not need to be very nervous. 3, if the temperature exceeds 38,5 degrees but the child does not have chills and fear of cold performance, you can temporarily do not use antipyretic drugs, first choose physical cooling: bare the limbs, with slightly lower than the body temperature of warm water, wipe the head and neck and limbs (hands and feet, thigh roots, armpits, N fossa, etc.), to the skin slightly flushed as degree, it is not recommended to choose alcohol and ice (stimulation of the child will be large, there will be discomfort, and sometimes will stimulate The body temperature rises even higher), and do not use the commercially available “ice ice patch”, not much value. 4, feed the child boiled water (if necessary, add a small amount of sucrose, glucose, rock sugar, to slightly sweet taste can be), a small amount of frequent serving, to replenish energy, help diuretic, and the role of the infusion is similar, 5, if the child usually stool on the dry side, when the fever does not stool for a few days, give an open plug a (available in hospitals) into the anus, to eliminate the accumulated food residues in the body, to help reduce fever, the mechanism of Chinese medicine for The mechanism of Chinese medicine is to “vent heat from the internal organs” to help restore the body temperature to normal. 6, do not give children to eat greasy food, mainly light, temporarily stop fish, shrimp, meat, eggs, eggs and other high-protein, high-calorie supplements, while paying attention to control the amount of food, children do not want to eat, do not force-feed, in the recovery process of infectious diseases, Chinese medicine is very diet control, “more food is left, eating meat is restored”, meaning that the disease Recovery period, eating too much food, easy to make the disease prolonged, too much meat, easy to make the disease repeated, clinical very meaningful. Third, how to use medicine 1, there is no special medicine for colds, theoretically speaking, even without medicine, children with colds for about 5 days to 1 week can also be good, for children, the market is sold in the Western class of cold medicine, there is no evidence to prove that it can be beneficial to the recovery of children with colds, on the contrary, there are great safety risks, I do not advocate taking Western class of cold medicine. 2, when the cold, according to the child’s physique, you can give appropriate Chinese medicine soup or pure Chinese medicine preparations (without Western medicine ingredients), absolutely avoid in order to make all the child’s discomfort are gone, eat five or six kinds of drugs, will increase the child’s gastrointestinal discomfort and liver and kidney burden, and even aggravate the disease. 3, antipyretic medicine choose ibuprofen or acetaminophen any kind of atmosphere on the line, do not use other drugs. 4, antipyretic drugs are only symptomatic drugs, when the child has a fever, we need to determine the cause of the child’s fever. 5, the significance of Chinese medicine in children’s fever: Chinese medicine in the treatment. Many parents judge the level of a doctor’s standard is to eat whose medicine can reduce fever with a single payment, and even some Chinese medicine doctors boast of this, to their own one payment can reduce fever and self-congratulation, which is very wrong, any disease has its own law, contrary to the law, a single application of bitter cold This is very wrong. Any disease has its own law, and if you go against the law and forcefully apply bitter and cold drugs to reduce fever, the damage to your body is no different from that of antibiotics and hormones. The reasonable use of Chinese medicine after a cold can help reduce the baby’s fever symptoms, adjust the body and strengthen the resistance. Fourth, grasp the timing of using antipyretic drugs Usually pediatricians recommend two main components of antipyretic agents for infants and children: acetaminophen and ibuprofen, while aspirin can cause Reye’s syndrome and nimesulide can cause acute liver failure, so it cannot be given to children under 12 years old. Fever is one of the body’s self-protection mechanisms, and it is usually necessary to reduce fever for body temperatures above 38,5°C. Because high fever will make the body metabolism too high, resulting in a significant increase in body consumption. children before the age of 3 years old are not mature enough, high fever may lead to abnormal excitation of the nervous system, high fever convulsions, so that the child’s nervous system is damaged. Therefore, when a child’s body temperature exceeds 38,5°C, antipyretic treatment should be taken. It is generally believed that the antipyretic effect of acetaminophen is weaker than that of ibuprofen (but acetaminophen is the antipyretic recommended by the World Health Organization for use in children and is relatively safe), so acetaminophen is used when the body temperature is 38.5℃-39.0℃, and ibuprofen is used when the body temperature is greater than 39.0℃. However, many parents reacted “how can the fever not go down even after taking antipyretics?” What if the antipyretic medicine can only be used four times in 24 hours?” In China, the antipyretic drugs acetaminophen and ibuprofen are over-the-counter drugs, and as over-the-counter drugs, their dosage is much more conservative compared to the application of clinicians. For example, the recommended dose of ibuprofen suspension on the drug instructions is actually the maximum amount of the clinically applied dose. In actual application, due to conservative parents and adherence to the measuring cup, in fact, many times even the minimum amount cannot be reached, while the maximum amount applied by clinicians is two times the drug instructions. 2, to reduce fever in children, if the temperature is difficult to control, it is best to use two drugs alternately. This will reduce the number of times each drug is used within 24 hours and also reduce the side effects of the drug. The two drugs have different ingredients and have different side effects on infants and children. Ibuprofen may be chosen 4 hours after the use of acetaminophen; acetaminophen may be chosen 6 hours after the use of ibuprofen. If the antipyretic effect is not satisfactory, the dose can be made up if the dose of the drug used earlier is not sufficient, or another antipyretic drug can be chosen. If the child has febrile convulsions, two drugs can be used at the same time, and the dose of each drug remains the same. 3, taking a drug if vomiting occurs, estimate the amount of vomiting, make up the amount of vomiting, but the total amount of 2 times should not exceed 2 times the recommended dose of the drug instructions. Or another drug should be chosen. 4.If the child cannot tolerate oral medication, suppositories for intra-rectal use can be chosen. 5.Even if the drug is chosen correctly and the dose is appropriate, the child should be allowed to take in enough fluid to achieve the desired effect, so as to ensure that the body achieves the effect of reducing fever through heat dissipation. 6.It is recommended to abandon the remaining liquid after each dose, and to use a new bottle with unopened packaging next time to prevent the drug from expiring and affecting the therapeutic effect. 7. Both solutions are suspensions, so be sure to shake well before use. 8, the antipyretic agent is only for the reduction of fever. There are many causes of fever. If your baby has a fever that lasts for 3 days with other symptoms, consult your doctor and choose the appropriate treatment for the cause. V. When to go to the hospital Many parents are very torn about going to the hospital: worried about cross-infection, worried about the abuse of drugs by doctors, etc. However, when the following manifestations occur in the home care of fever, it is recommended to seek medical attention immediately: 1. When there is severe vomiting and inability to eat or drink at the same time as the fever. 2.When fever is present, the baby’s spirit is very poor and his face changes. If you have severe diarrhea when you have a fever, you should bring the stool to the hospital when you send your child to the hospital. 4.When a child younger than 6 months old has a fever with poor mental response. 5.When all children have a fever over 40 degrees, take oral antipyretics immediately and take the child to the hospital quickly. 6.If a rash of an unspecified nature is found on the skin along with fever. 7.When there is an epidemic of some infectious disease in the baby’s area (such as hand, foot and mouth disease, measles, etc.), it is necessary to go to the hospital and ask the doctor for differential diagnosis. 8.Other factors that parents cannot determine. The first thing to do is to follow the doctor’s advice and have the blood test, if there is diarrhea, the stool test, and the urine test when vomiting is obvious, and if the three routines are normal, do not take the initiative to give the child fluids. 2, unless the child has high fever, or gastrointestinal symptoms, can not take oral medication, all treatment should be based on oral, if the child’s blood routine leads to normal or slightly higher than normal white blood cells, the child can eat into the drug, you can temporarily take medicine to observe. 3, if the child’s white blood cells are very high or significantly reduced, consider the combination of serious infection, or to listen to the doctor’s advice early infusion treatment, control the acute infection (generally not more than three days), and fever receded, but also adhere to the medication, must adhere to about a week, if the child’s white blood cell count significantly reduced, consider the existence of bone marrow transient inhibition, it is not recommended to take oral ibuprofen or acetaminophen, because It can aggravate the leukopenia, fever is obvious, you can give fluids and hormonal drugs. 4. Improve chest X-ray and other auxiliary examinations: If the baby has a cough, the doctor will recommend taking a chest X-ray and other examinations for symptomatic treatment.