Due to the influence of disease factors such as pediatric rabies, mania alternating with lethargy and cranky abnormality during attacks occur. Rabies is a zoonotic acute infectious disease of the central nervous system caused by rabies virus. What is the differential diagnosis of diseases related to alternating mania and lethargy? 1, mania: mania and restlessness, hand and foot agitation, is a kind of evidence of mental disorder. 2, puerperal mania: puerperal mania: 1 to 2 weeks after delivery. It is characterized by less sleep, excitement and talk, good movement, singing, high emotion, good boasting, busy day and night, full of energy, memory enhancement, and good self-consciousness. The manic state may develop into depressive state after sedation, so it is also called bipolar state. 3.Somnolence: motor and speech inhibition with impaired consciousness is called somnolence or coma. 4, hysteria: the original note of the word hysteria for the mind disease also, also known as hysteria, is a more common psychosis,. At present, it is believed that patients with hysteria are more suggestible, exaggerated, emotional and highly egocentric personality characteristics, often due to psychiatric factors or bad suggestion caused by the onset. They may present with a variety of clinical symptoms, such as sensory and motor dysfunction, dysfunction of internal organs and vegetative nerves, and psychiatric abnormalities. Such symptoms have no basis in organic damage, and it can arise, change or disappear as a result of suggestion. Hysteria is one of the more common types of neurological disorders in various clinical departments, but its incidence has decreased in recent years. It is also less common in the psychological consultation clinics of general hospitals, accounting for only 0.3% of all consultation cases. 5, neurosis: neurosis, also known as neurosis, psychosis, is a group of non-psychotic functional disorders. The common features are: is a group of psychogenic disorders, personality factors, psychosocial factors are the main causative factors, but not stress disorders, is a group of functional disorders, the nature of the disorder is functional non-organic; with mental and physical symptoms; with a certain personality trait basis but not personality disorders; each subtype has its characteristic clinical phase; neurosis is reversible, exogenous stress aggravated, and vice versa symptoms reduce The neurosis is reversible, worsens when exogenous stress is high, and decreases or disappears.