Eighteen Ways to Reduce Fever

This is the 4162nd article of Da Yi Xiao Hu

The normal body temperature of a person is that the surface temperature does not exceed 37.3 degrees. Any temperature above this is considered a fever. High fever means that the surface temperature exceeds 39 degrees. Continuous high fever can cause damage to multiple systems such as the nervous system, and even cause serious consequences, so timely cooling is very necessary.

During the epidemic, people pay too much attention to hoarding medicines. In fact, there is no need to hoard medicines, and there is no need to panic. It is more important to scientifically master and choose cooling methods.

This article introduces 18 tips to reduce fever.

Physical cooling

1. Put a cold towel in a fresh-keeping bag or wrap an ice pack with a dry towel and place it in the armpits, carotid arteries, groin and other places where large blood vessels pass; (Be careful to prevent frostbite here);

2. Wipe the trunk, limbs, soles of feet, forehead and back with warm water, cold water or alcohol (not for use if you are allergic to alcohol);

3. Apply ice patch on forehead;

Cooling down your life

4. The patient should sit or lie down in a cool and well-ventilated environment;

5. Stop the air conditioner and heater, and choose summer and autumn quilts for sleeping;

6. Take more showers or baths, and try to keep the water temperature between 30-37 degrees;

7. Drink more cold boiled water, increase liquid food intake, and promote metabolism;

8. To induce sweating and reduce fever, take Mahuang decoction and scallion and ginger decoction orally and cover yourself with a blanket to induce sweating. This method is suitable for people with good physical fitness.

Drug cooling

9. Oral acetaminophen (including sustained-release tablets, drops, etc.);

10. Indomethacin suppository, for anal administration;

11. Oral profen drugs: ibuprofen, aminoprofen, dexketoprofen, loxoprofen, fenoprofen;

12. Oral analgesics, such as Sanlitong, Lesong and other drugs labeled as antipyretic and analgesic, are acceptable;

13. Intravenous fluid replacement, including balanced solution, normal saline, glucose solution, etc.;

14. Glucocorticoids are only used in patients with severe infection, persistent high fever, central fever, or other cooling methods that are ineffective;

15. Cold saline enema (use sparingly);

Chinese medicine cooling

16. Chinese patent medicines with antipyretic effects;

17. Treatment with Chinese herbal medicine Qingfei Paidu Decoction;

18. When acupuncture or massage of the Dazhui, Twelve Wells, Shixuan, Quchi, Hegu and other acupoints, attention should be paid to the accuracy of the acupoints and the control of the technique.

Note: Persistent high fever and drug treatment must be carried out under the guidance of a doctor!

Author: Shanghai Tenth People's Hospital

Qian Mingping, deputy chief physician of general surgery