Gestalt syndrome is also known as bed catching and gestalt sign. Groping is most often seen in delirium with severe illness, such as typhoid, typhus, epidemic B encephalitis, severe pneumonia, hepatic coma and other toxemia, alcohol intoxication, and after overdose of sedatives and atropine intoxication. It manifests as an unconscious groping movement of the upper limbs mainly at the elbow, wrist and hand joints. It is usually accompanied by impaired consciousness and high fever, and is seen in the hyperthermic phase of meningitis, typhoid fever and sepsis. So what tests do we need to do? 1.Disorders of consciousness: To determine the degree or type of disorders of consciousness, the commonly used methods are: clinical classification method, mainly by giving words and various stimuli, observe the patient’s response to judge. Such as breathing their names, pushing and shaking their shoulders and arms, compressing the supraorbital notch, needling the skin, talking to them and asking them to perform purposeful movements, etc. 2.Glasgow coma scale assessment method: This method is mainly based on the response to eye opening, verbal stimulation and command actions to assess the degree of impaired consciousness. 3.Focus on neurological signs and meningeal stimulation signs: pay attention to body temperature, respiration, pulse, blood pressure, pupils, sclera, face, lip color, oral and ear conditions, odor of exhaled breath, etc. 4.Laboratory tests: such as blood picture, venous blood, urine, anal finger, stomach content, chest X-ray, electrocardiogram, ultrasound, cerebrospinal fluid, cranial uptake, CT and MRI, etc. 5, high fever: is a common symptom of many diseases, so the patient with fever must be investigated and analyzed in many aspects in order to identify the cause. Generally, the following aspects must be carried out. Take detailed and accurate medical history, paying attention to age, season of onset, epidemiological history, history of contact with infectious diseases, history of vaccination, urgency of onset, length of illness, fever type and accompanying main symptoms. Comprehensive and careful physical examination. The examination should be detailed and comprehensive, combined with the medical history and symptoms, and then make an in-depth examination.