First of all, there is the dilemma about having a fever without having a high temperature.

何濟公止痛退熱散

On the clinic, especially the bottom hospital outpatient, the accurate measurement of body temperature is the most common clinic new item. It is generally felt that the usual human body temperature is in the middle of 36.0 degrees to 37.0 degrees.

I do not know, many partners feel fever, headache, sleepy, after measuring the body temperature, not on 37 degrees, think they "did not have a high fever", is this a bit of a problem?

何濟公止痛退熱散

I feel feverish, headache, sleepy, but the precise measurement of body temperature is normal, where is the problem? The "no fever" mentioned here is precisely a body temperature of no more than 37.0 degrees. Even many clinicians often feel that a body temperature of no more than 37 degrees is not considered feverish, let alone those who are not physicians.

何濟公止痛退熱散

In fact, all normal body temperature 36.0 degrees - 37.0 degrees, does not mean that the body temperature only exceeds 37.0 degrees is feverish, not more than also not feverish! A reasonable expression of this definition of all normal body temperature would be that the vast majority of people have a normal body temperature within this standard, in other words yours is 36.4 degrees, his may be 36.2 degrees, and some may have a body temperature of 36.1 degrees, in short, the vast majority of people are within this range.

There are also, the human body temperature is relatively stable, but can also fluctuate in a small area (1.0 degrees), for example, the morning value is slightly lower, is 36.1 degrees, to the afternoon may be 36.3 degrees, and diet with a period of time after the body temperature is likely to 36.8 degrees, in the ovulation period with the ladies body temperature can also do 37 degrees to 37.2 degrees. But this condition, I am not feverish, sleepy and many other uncomfortable feeling.

Therefore, when the body temperature is within 37.0 degrees, it is not possible to distinguish the absence of fever for this reason, so how to treat the temperature condition? Naturally, it is based on clinical medical conditions.

If there is a feeling of fever, headache, drowsiness, etc., and accompanied by other major manifestations of chronic inflammation, such as sore throat, tooth sensation seven, body cyst or intestinal carbuncle and other infection symptoms, or if there are other chronic diseases such as rheumatism type, psoriasis, lupus erythematosus disease and its lesions these, even though the body temperature does not exceed 37.0 degrees, it should be treated as fever. The actual temperature of the patient is 36.6 degrees, and the temperature may be 36.1 degrees when the patient is not feverish.

In clinical medicine, we encountered many patients whose temperature was 36.7 degrees, but after treatment and recovery, some of them had a normal temperature of 35.8 degrees, and naturally the majority of them had a temperature between 36.1 and 36.5 degrees.

The words "should actually be integrated with clinical medical conditions" can always be seen in the final report of many imaging results, indicating that the way of diagnosis is only a reference and cannot be used as a definite basis for diagnosis.

Secondly, the resolution of the non-febrile condition.

As a physician, the specific clinical medical guidance I received before was "only use antipyretics when the body temperature exceeds 38.5 degrees", but now the specific clinical medical guidance I received is "when the body temperature reaches 38.5 degrees and the mental outlook is good, antipyretics are not needed, and when the body temperature reaches 39.0 degrees, antipyretics can be used. Antipyretic drugs can be used when the body temperature reaches 39.0 degrees". According to this regulation, the body temperature below 37 degrees, can not apply antipyretic drugs.

However, the details of the situation are specific. I have encountered some patients who complained that their body temperature was only 37.5 degrees when they had a fever and cold, but they were already sore and could not move, and they were extremely uncomfortable. His 37.5 degrees may be equal to other people's 39.5 degrees or 40 degrees, so I propose to use some antipyretic painkillers when encountering such a situation, because the clinical medicine specific guidance standard is dull and unlikely to include every actual disease condition live, the medication standard or to clinical medicine specific for the condition as the standard. Therefore, some patients, despite having a temperature of only 36.8 degrees, have significant all-over illness, and I can prescribe a little antipyretic medication to alleviate the illness after expressing it to the patient.

In addition, another criterion for the application of antipyretic drugs is to stop using them as soon as the heat and pain go away. Special cases such as rheumatic fever, inflammatory diseases, etc. are excluded.

There are many basin friends fever and cold after the prescription, fever subsided after the antipyretic medicine has been taking, so it is very easy to cover up the disease, (not fever, stop taking antipyretic medicine, if the body temperature will not rise again, indicating that the condition has improved, if you have been taking antipyretic medicine, it is impossible to determine the effect of antipyretic medicine or because the condition has improved and the body temperature did not rise). In addition, antipyretic drugs have a lot of adverse effects, so it is better to use them sparingly.

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