1, the pathophysiological characteristics of pediatric fever pediatric body organs delicate, Wei external function is insufficient, the external environment adaptation and resistance to disease are poorer than adults, after suffering from external evils are very susceptible to fever, the so-called exogenous fever. Clinical occasion, although the surface, heat, real evidence is common, but because the children’s blood is not yet full, Yingwei are weak, the surface of the evil is easy to internal transmission, resulting in the aggravation of the condition, each easy to appear surface with the disease, or hostile stagnation, manifested as vomiting diarrhea, abdominal distension constipation, or hostile phlegm, manifested as coughing and sputum, or hostile alarm, manifested as high fever and irritability, syncope and stupor, the change of the evidence repeatedly appeared, not just one end. Respiratory infectious diseases, intestinal infectious diseases and rash infectious diseases are extremely common causes of fever in pediatrics. Warm disease in the so-called “warm evil up to receive, the first offense lung, reverse transmission pericardium,” the change of the disease situation characteristics also showed more obvious. In addition, due to the maintenance of inappropriate, visceral dysfunction, or food into heat, or heat knot intestinal congestion, or damp-heat paralysis, or blood stasis blockage, or Yingwei dissonance and other factors, all can lead to fever delayed. 2, pediatric fever identification points pediatric fever involves a wide range of diseases, different diseases have their own specific pathogenic factors, the development of the law and prognosis. The same disease is often clinically manifested in the diversity and uncertainty of the symptoms. Different diseases may also be manifested as “different diseases with the same evidence”. Therefore, it is equally important to make a correct diagnosis of the disease and a clear identification of the disease at an early stage, and the identification of the disease must be combined with the identification of the disease. For the clinical identification of pediatric fever, attention should be paid to two points, one is to identify and analyze the type of fever; the second is to identify and analyze the accompanying symptoms. (1) differential analysis of heat ① fever and cold: fever and cold in the early stages of the disease, often suggesting that the surface of the fever, for the fight between evil and positive, the disease in the superficial stage of the lungs and guards, to the wind-cold surface and the wind-heat surface evidence is common. The severity of the malignant cold is the key point of differentiation between the two. Infants and young children can not express the malignant cold, if the high fever and the face is not red or show greenish-yellow, or like people to snuggle, or hair follicles corn up, or no sweating accompanied by the hands and feet are not warm, vomiting, abdominal distension, diarrhea, etc., can often help in the diagnosis of wind-cold episodes. At the beginning of wind-heat syndrome, although it can be seen briefly cold, but the color of the face is red. Hand and foot warmth can also be seen in the persistent high fever “heat deep syncope deep”; yellow face must be considered in conjunction with the body, and should pay attention to the signs of shock or heart yang deficiency. ② cold and fever: the early stage of the disease or delayed for a few days, fever and chills alternated several times a day. Often suggests that the disease has gradually deepened, is still in the surface of the evil has not yet stopped, the evidence is not yet in the transitional stage, the evidence is “half surface and half inside” or “evil ambush membrane original”. Strong heat: ③ Mostly high fever that does not subside and prolongs for several days, with no cold but bad heat, or flaccid heat, or lingering heat. Often suggests that either the lungs, stomach qi solid heat evidence, or for the stomach and intestines of the accumulation of heat evidence, or for the damp-heat paralytic blockage of the meridians, or for the dampness and warmth blocking the triple jiao, or for the heat of the summer steam steam, or for the evil heat Lord Zhang qi camp two burnt evidence. Hot flashes: the fever fluctuates and comes and goes at regular intervals. Afternoon to evening hot flashes, it is appropriate to distinguish between lung heat and yin deficiency evidence of the difference; evening “sun feeding hot flashes” if there is excessive sweating, thirst, abdominal fullness and pain, constipation, it is often “gastric solid” evidence. (2) differential analysis of the accompanying symptoms ① accompanied by red, swollen and painful throat, or nasal obstruction, shortness of breath, coughing and phlegm, often suggesting that the evil in the lungs of the wind-heat surface evidence, or for the loss of the lungs of the purging and lowering of the air, phlegm and congestion of the lungs of the lungs of the heat of the real evidence. ② accompanied by bad breath and dullness, abdominal fullness and distension, constipation and diarrhea, often suggesting that the gastrointestinal heat of the middle Jiao solid evidence. (3) accompanied by alarm, irritability, wind, when very easy to occur because of, mostly due to the heat of the Lord Zhang, heat extreme wind liver meridian heat; if there is fontanelle filling, vomiting, headache, drowsiness, delirium, coma, limb paralysis or repeated spasms, is mostly due to the warm toxin deep into the camp blood, involving the heart and liver meridians. ④ When accompanied by a rash, the relationship between fever and rash should be based on the relationship between fever and rash to identify the common rash infectious diseases, drug rash or hemorrhagic rash that occurs when heat enters the Ying and Blood. In Chinese medicine clinic, the shape and character of the rash is often used as an important basis for the selection of therapeutic drugs, such as rash shape small color red for the wind heat in the lungs, the treatment should be Qing Xuan penetration; rash shape big color red for the poisonous heat in the stomach, the treatment should be clearing the heat of the spot; rash shape big dense and rash color red, for the severe evidence of warm disease poisonous heat inside the burnt flickering blood, the treatment should be clearing the camp to cool the blood, the blood stasis elimination spot. 3, pediatric fever treatment methods (1) pungent temperature relief method: for the autumn and winter seasons or early spring at the beginning of the first warm and cold when the external wind and cold, the disease in the lungs and guards of the surface evidence. There are three common clinical prescriptions. The first is the onion and black beans and orange terrier soup flavored formula, for the pungent and slightly warm light agent, can be used in winter and spring season common cold fever, the condition is mild and no evidence of the person, the original formula plus mustard, dahuric dahuric dahuric dahuric even more help to evacuate the wind and cold, can alleviate the congestion of the nose and headache and other symptoms. The second is the apricot suzan flavored formula, the original formula for the pungent and warming agent, add Pueraria lobata, Scutellaria baicalensis, mustard, mint and the efficacy of the lungs and the spleen, used for the treatment of wind-cold external cold associated with the loss of the lungs and coughing, accompanied by the spleen and stomach and thinning of stools, it is more appropriate. The third is the Jing anti-septic powder, for the pungent and warm agent, can be used for the larger children in the fall and winter season body heat without sweating, cold body pain of the external wind-cold evidence. In addition, the children wind-cold in the table is very easy to internalization of heat, or factors have internal heat and wind-cold, thus forming “external cold and internal heat” evidence, at this time can be in the corresponding formula in the appropriate amount of adding forsythia, scutellaria, gardenia or gypsum, can receive the effect of the surface of the double solution. (2) Pungent and cool method of resolving the surface: applicable to the lung and guard surface evidence of external wind-heat in all seasons. Cite all upper respiratory tract infection, many kinds of rash infectious disease of early need to clear to solve through the hair can cure this method. It is often added and subtracted with Yin Qiao San, Sang Ju Drink and other formulas. In view of the wide range of application of the method of Xinliang relief, the clinical occasion can not seek the sword, must be based on different diseases and conditions need to be flexible selection of the formula tailoring. For example, tonsillitis, pharyngitis, laryngitis, you can Yin Qiao San main formula plus the raw land, yuan ginseng, shoot Gan, fruit olive, cicadas to clear the heat of the pharynx; rotting throat cholera plus Qing Ye, gypsum, Zhi Mou, danpi to clear the heat of the rash, cool blood spot; mumps or lymphadenitis, plus Chai Hu, silkworms, gypsum, Gong Ying, fleabites, mushroom, zhe Beimian, or the Zong Li Dongyuan “Pu Ji disinfectant drinks” tailored to remove heat and toxins, dissipation of the knot and swelling. Lung heat and phlegm, coughing and wheezing, can be Zong Sang Ju drink or Yin Qiao San plus Dai Clam San, Qian Hu, Psoralea vulgaris, Zhe Bei Mu, Citrus aurantium dulcis, sizzling ephedra, gypsum, purging lung heat, phlegm cough; small infants irritability palpitation or fever and spasms, can be added to hooker, silkworms, antelope horns, or another Zixue San, diarrhea and Qing Puan, clearing the heat spasm and quenching the wind, or add a needle pricked ten wells, ten Xuan to vent the heat of the body. (3) Reconciliation and heat-clearing method: It is suitable for half-expression and half-ri evidence of external surface evidence that fails to dissolve, and half-expression and half-ri evidence of internal transmission to the Shaoyang Yang, the original evidence of dampness, heat, and evil ambush film, or the combination of surface and internal evidence of surface and internal evidence that has become. Symptoms of the disease are prolonged for several days with high fever that does not subside, sweat out of the body heat does not resolve or chills and heat exchanges. Clinically used Da Chaihu Tang with flavor, composed of Da Chaihu Tang with Red Peony, Houpu, Zhimu, Artemisia, Mustard Fringe and Mint from the Treatise on Typhoid Fever. This formula has the efficacy of conciliating and clearing heat, and solving both superficial and internal problems, and is used for fever that has been prolonged for days, and the superficial evil has not been solved and the internal reality has been established, and it has great effect in reducing fever. (4) Harmonizing and clearing away heat: applicable to external symptoms with food stagnation, gastrointestinal colds and the early stage of intestinal infections. Clinically used empirical formula Huo Lian Bao He Tang, to Bao He Pill plus Huo Xiang, Huang Lian, Hou Pu, Hovenia, mustard, mint, can be used for external sensation of food or food obstruction of fever and vomiting. If for the summer and autumn season for the external wind-cold, dampness and obstruction, gastrointestinal disharmony and evidence of fever, cold, vomiting and diarrhea, abdominal distension and abdominal pain, can be used for patchouli zhengqi san flavored, that is, the original formula plus Pueraria lobata, Huanglian, Gan Jiang, Jiao Sanxian; belonging to the summer and autumn season of dampness-heat accumulation, the surface of the illness of the intestinal tract in the early stages of the disease, commonly used Ge Ge Ge Scutellaria Lian Lian Tang flavored, the original formula with patchouli, Houpu, half-summer, Poria, Atractylodis macrocephalae, Jiao Sanxian, mustard spike, peppermint, Liuyi San. The original formula of Liang Diaphragm San is flavored with Hou Pu, Jiao Betel Nut, Mustard Seed, and Jiao San Xian. This method focuses on clearing heat and catharticizing the real, applicable to the combined disease of the surface and the interior where the surface evils are transmitted internally and heat is transformed into heat, and the interior has become real and the surface evils are not purified. (5) Method of clearing summer heat and resolving dampness: It is applicable to summer heat and dampness in the season of moist summer, which is embedded in the Qi division, or dampness and warmth. Clinically used Chen Bao-yi’s experienced formula Summer Heat Ning Combination, which consists of Xin Jia Elshotsholtzia Drink with silver flowers, big green leaves, Huo Xiang, edamame beans, and half-summer, etc. It is effective for those who have summer heat injury to the epidermis and are hot without sweating in the body in the summer. Ganlu Sterilizing Dan is also a commonly used clinical formula for dampness-warmth syndrome in which the dampness evil pervades the triple jiao and the dampness and heat are both severe. When applying, often go wood pass to avoid medicine liquid is too bitter unfavorable children accept, add almond, gardenia to promote lung and clear the six meridians of heat. (6) Clearing gas and draining heat method: applicable to the surface evil has been solved, the evil heat congestion of lung and stomach of the qi heat. Can be seen high fever does not go away, irritability, thirst to drink, sweat out of the body heat does not reduce, face red tongue red, moss white or yellow thick, pulse slippery. The treatment is based on clearing Qi and draining heat with pungent and cool agents. Clinically used Yin Qiao Bai Hu Tang plus reduction. This formula is a combination of Yin Qiao San and Bai Hu Tang, which is used for the evidence of solid heat in the qi of the lungs and stomach, and can be used when the surface evil has been resolved or when the surface evil has not been purged. The empirical formula plus flavored Jade Maiden Decoction (Jade Maiden Decoction combined with Gui Zhi Paeoniae Zhi Mu Tang) is often used in the treatment of dampness-heat retained in the joints, heat paralysis, and persistent heat, which is used to nourish yin and clear away heat and promote paralysis and clear the collaterals. (7) Cooling liver and clearing heat method: it is applicable to the internal transmission of surface evils, involving the heart, liver meridians or surface evidence not resolved within the liver and stomach with solid heat, visible fever does not go away for a long time, or to the night fever is dominated by night sleep, restlessness, irritability and alarm, spasm, convulsions, and so on. Clinical application of flavored diarrhea Qing Tang (“Children’s medicinal evidence straight” diarrhea Qing Pill with scutellaria, mustard, silkworm, licorice). This formula has the efficacy of relieving surface and clearing heat, cooling the liver and calming convulsions, and is used for febrile convulsions caused by external wind-cold, internal and internal heat, or solid heat in the liver meridian. (8) Method of Clearing Ying and Transpelling Heat: It is applicable to the internal transmission of warm poison, the burnt Qi and Ying or the heat into Ying and Blood. Clinically, it is often used to clear the plague and poison drink and Qingying Tang with additions and subtractions. Clear plague and poison drink in the two burnt qi camp evidence, the treatment focuses on clearing qi cool camp; clear camp soup for heat into the camp blood evidence, the treatment focuses on clearing camp cool blood; clinical treatment, if the fever does not go away, spasm and convulsions, can be added to the purple snow powder, and the Palace Niu Huang Pills.