Question
Why isn’t my son’s fever going down? He has a neural headache now, and we administered an intravenous infusion of medication prescribed by a senior physician yesterday. However, he is still running a fever of up to 39.3 degrees Celsius today. What should we do?
Answer
Hello: Traditional Chinese Medicine Diagnosis and Treatment for Pediatric Migraine Migraine affects approximately 2% to 5% of children. If a child has recurrent headaches with completely normal intervals between attacks and meets at least three of the following criteria, they can be diagnosed with migraine:
- The headache is on one side;
- The headache is throbbing;
- There is associated abdominal pain during or after the headache, or nausea or vomiting during the headache;
- The headache completely or largely resolves with rest or sleep;
- There are visual disturbances as an aura;
- There is a family history of migraine. Visual disturbances include bright spots and flashes in front of the eyes, blurred vision, diplopia, and balls of light. Electroencephalograms may show abnormalities, but there is no specific pattern, and they may present with seizures. Western medicine treats migraine with symptomatic therapy, which can provide short-term relief. Traditional Chinese Medicine (TCM) focuses on differential diagnosis and treatment for migraines. The author categorizes pediatric migraines into four types for treatment, with significant effects, which are introduced here. One type is Qi Deficiency Headache: characterized by headache with fatigue, exacerbated by exertion, sweating, shortness of breath, aversion to wind and cold. Treatment involves strengthening Qi and consolidating the essence, using the formula for Invigorating the Middle Jiao and Benefiting Qi: Taiizi Ginseng, Astragalus, Atractylodes, Licorice, Angelica Sinensis, and Cimicifuga.