Here, we are referring the toddler age within the range from an infant to 3 years-old kid. The symptom for night fever is daytime no fever, but only happen at night time.

Clinical symptoms / night fever in children
Generally kids having night fever issue yet daytime body temperature is normal. Besides night fever, we might see other symptoms such as crying occasionally, or crying till early morning, and started to sleep after dawn, blushing face with redden lip, now and then stomachache, bloated stomach and vomiting, sometimes get frightening, hoarse voice, rashes, bowel movement problem, hardening stool and etc. TCM considering kids having night fever due to these reasons such as cold stomach, heaty heart, get frightening, indigestion and etc.
Causes/children’s night fever
TCM considering kids having night fever due to these reasons such as cold stomach, heaty heart, get frightening, indigestion and etc.
(1) Cold stomach
Usually the symptoms are pale face, cold limbs, tending prone position, cold stomach, lie and curl up posture, keep crying, no appetite, loose stool, clear and profuse urine, pale tongue with whitish coating, thread and moderate pulse and light pinky fingerprint.
Remedy used is warming up the stomach.
First of all, for the cold stomach toddler, we would have few recommendations.
Firstly, we use warming treatment. For instance, we do manual moxibustion, electrical moxibustion, infra-red light warming treatment, heating pad etc. During the execution of the above treatments, we need to take precaution so to control the timing of moxibustion. Due to the delicate skin of the toddler, they easily got hurt, I would recommend the above moxibustion done by a Physician or at least obtain the consultation before the implementation of the above treatment.

Secondly, when we do feeding to the toddler, we could add some blended ginger liquid into their milk or rice paste or even porridge. After consuming, we will see obvious improvement for issue like bloating stomach, stomachache, running nose, cold limbs, profuse urine and loose stool.


Toddlers tiny shape of body easily gets cold, with the low temperature of air-conditional, the cold and wind attack their body. As a result, we might see other symptoms like fever, noisy nose, running nose, bloated stomach, stomachache, cold stomach, belching, clear and profuse urine, loose stool. At this point, they ought to see doctor as soon as possible in order to avoid worse sickness.
(2) Heaty heart
Usually the symptoms are blushing face and redden lip, fretful, heaty air coming from mouth and nose, not having good sound sleep, boggles, constipation, hot urination, redden tongue at the middle end, yellow coating tongue, slippery pulse.
Remedy used is releasing heat and calming mind.
For the blushing and redden lip toddler, they usually behave fretted and anxious, heaty air from the mouth and nose,we diagnose the body of the toddler is heaty type. Sometime, maybe he or she will get a constipation problem, hence we prohibit heaty herbal medicine. We ought to cool down the toddler.We would suggest the customized solution for the toddler. For instance: Toddler Tuina Massage Therapy, acupuncture, Gua-Sha therapy etc.

Toddlers are pure ‘Yang’constitution, having warm temperature, we touch them and feel the heat, heaty air from mouth and nose, blushing face and redden lip etc. Hence, we ought to differentiate the fever is regarded as normal temperature or a genuine night fever. Adults should notice if there are some other symptoms, if the toddler feels uncomfortable, bring him for remedy consultation.
(3) Easily get frightening
Usually the symptoms are easily get frightening and crying hardly, redden face or greenish, feeling ill at ease, worries, get awakening in the mid of sleep, crying while sleeping, snuggling up towards mom, no significant pulse and tongue diagnosis.
For the easily frightening type of toddler, usually they always feel ill at ease, over worrying, so we calm down the toddler.
First option is by oral prescription. Secondly, we could recommend children’s shower bag (containing herbs).The purpose is to enhance the immunity system of the toddler, strengthening the body, detoxification etc. When they feel comfortable, the night fever symptom alleviated as the sleeping quality will improve.
Toddlers are young and still growing up, they are timid and get horrify easily, facing a series of emotional feeling. Adults should have observed and take action to prevent the kid from frightening and hence caused a lower immunity system and get a night fever.
(4) Milk stagnation
Usually the symptoms are crying hardly, symptom of Anorexia, putrid belching with regurgitation of stomach acid, bloated stomachache, poor sleep, sour smell stool, heavy coated tongue, and purplish fingerprint.
Milk stagnation toddler having symptom of Anorexia, putrid belching with regurgitation of stomach acid etc.
We help resolve the indigestionproblem. When the food is fully digested, we avoid the storing of excessive food in the digestive system; the storing might causing the temperature increment in the intestine, gradually causing night fever due to over heatiness kept inside the intestine.
For example, we use grinder or blender machine to produce paste food.

Main food should contain starch food like: rice, millet, quinoa rice, potato etc.
Main food should contain starch food like: rice, millet, quinoa rice, potato etc.
Mix with little fruits like: avocado, red apple, banana, papaya, guava, grapes etc.
Mix with little vegetables like: pumpkin, carrot, cucumber, tomato, ginger etc. Usually we can mix all categories food where we pick from one to three types of food.
Digestive system for toddler have not been fully built, hence we can see putrid belching with regurgitation of stomach acid, bloated stomachache, constipation, sour smell stool, hardening stool or loose stool etc. If the bowel heaty kept in within, and not plenty exercising, night fever will be getting worse.
Overview of night fever in children
Weather is hot in Malaysia around 25-34 Celsius, hence the kids get excessive perspiration. If the weather is too hot, kids feel uncomfortable due to heavy sweats. In daytime, the kids sweat and the temperature of body decreased, hence less heaty then night. Night time, the weather temperature lower and the kids activity reduced at night time, less sweat and the heaty kept in the body. Mostly air-conditional environment will cause rashes, itchiness, redden skin, furthermore if the diaper get wet, the dampness was sucked through the skin and heaty kept in within the layers of the skin causing night fever. TCM provide herbal prescription to reduce heat rapidly without spoiling the energy flow in the stomach. Besides, we also recommend the kids for Tui Na and some traditional way of reducing heat.
Precaution
Firstly, please do not simply prescribe pills or tables or panadol and antibiotic medicines unless if necessarily, with guidance from a doctor. The dosage for panadol should not be heavy and period taken should not be too long. Infant below 3 months should take precaution before taking the Antipyretic analgesics medicines because it will lead to a weakening stage. We should understand all the side and effects which caused by over dosage or long term prescribing medicine. We recommend to let the kid drink more water, rest well and in normal circumstances they will recover within a week. If the condition is severe, the parents should bring them to see doctor.
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