A small child shaking with fever is not necessarily a precursor to convulsions, but may be physiologic or hyperthermic chills. 1. physiological factors: small children fever shaking a little, generally because of the small children nervous system is not well developed, during the fever because of increased nerve sensitivity to the phenomenon of jumping and shaking. 2. Fever and chills: the child’s body temperature rises too quickly, there will often be cold hands and feet, shivering, and even pale or lips purple, this time belongs to the fever and chills, most often seen in acute infectious diseases, part of the child can be triggered by high fever convulsions. 3. febrile convulsions: small children fever suddenly shaking a little, for about a week old or before the history of febrile convulsions, but also to be vigilant about febrile convulsions attack. Need to monitor the body temperature, more soothing, strengthen the care, hot water foot soak, high temperature follow the doctor’s instructions to give medication to cool down, to prevent febrile convulsions. Children with fever shaking need to be combined with the accompanying symptoms to identify the cause, persistent high fever or fever repeated need to go to the hospital for further examination, clear cause of the disease to comply with the doctor’s instructions standardized treatment.