How is “dazibazi” (malaria), characterized by alternating chills and fever, treated?

The term “da baizi” (literally “shaking the rattle”) commonly refers to chills—a physiological response typically characterized by alternating sensations of coldness and heat. How should chills be managed? Management strategies include warming measures, timely fluid replacement, and pharmacological treatment. Specific approaches are outlined below:

1. Warming Measures: Cover the patient with a light blanket to prevent chilling. A warm (but not excessively hot) hot-water bottle may be placed near the feet—take care to avoid burns.

2. Timely Fluid Replacement: Prior to hospital admission, administer moderate amounts of warm boiled water to the patient to maintain hydration and prevent dehydration associated with high fever.

3. Pharmacological Treatment: After hospital admission, antiviral medications such as ribavirin or oseltamivir may be prescribed and administered under physician supervision, strictly following medical instructions.