Paediatrics – Clinical Case Record: Influenza A in a Child
Date: 2026-07-22

The high fever had settled, but the child was still tired and coughing constantly

Patient: Ching Ching, 7 years old, girl.

Symptoms: Recurrent low-grade fever and persistent cough after Influenza A, with vomiting, poor appetite and slow recovery of energy.

Two weeks earlier, Ching Ching developed fever, sore throat and vomiting. She was diagnosed with Influenza A after attending the emergency department. After taking Tamiflu for 5 days, her high fever settled on day 6. However, she then began to experience the following:

  • Recurrent low-grade fever, around 37.5–38°C
  • Persistent cough, especially at night, affecting sleep
  • Significantly reduced appetite
  • Occasional nausea
  • No clear improvement in energy levels

👨‍👩‍👧 Her father said, “The fever has gone down, but she still seems unwell. She does not want to eat, feels tired and sleepy, and we are worried it may affect her return to school and physical strength.”

🔍 Practitioner’s Observation

Although Ching Ching had passed the high-fever stage, there were still signs that the body had not fully cleared the infection. In addition, children’s digestive function is still developing. After fever, vomiting and medication, her body showed signs of incomplete lung recovery together with weakened spleen and stomach function, according to Traditional Chinese Medicine principles.

If this is simply treated as “a lingering cold”, the underlying reason for the prolonged recovery may be overlooked. The issue was not that the fever had not settled, but that the body had not fully completed the recovery and clearing process.

✨ TCM Treatment Approach

For the later stage of influenza, where the child has not fully recovered, the focus is not simply on reducing fever. The aim is to support the body in clearing the remaining symptoms and restoring strength. Key areas of observation include energy, appetite and cough frequency.

1. Clear lingering pathogens and reduce night-time coughing

Gentle herbal treatment was used to support lung qi and reduce airway sensitivity and frequent night coughing, helping the child sleep more soundly so her energy could recover.

2. Strengthen the spleen and harmonise the stomach to reduce nausea and improve appetite

For poor appetite and nausea, treatment focused on supporting digestive function, helping the child eat more comfortably and take in the energy needed for recovery.

3. Support healthy qi and reduce post-illness relapse

Many children continue to feel unwell after the fever has settled. Overall regulation can help restore daily activity and concentration, and reduce the likelihood of repeated symptoms.

✅ One-week Follow-up

  • Night-time coughing was significantly reduced
  • Body temperature became stable, with no further low-grade fever
  • Vomiting stopped and appetite gradually improved
  • The child began to regain energy and was more willing to eat and be active

👨‍⚕️ Practitioner’s Advice

For children, the key concern with influenza is not only the high-fever stage.

It is also important to observe whether the body has truly recovered after the fever settles.

Without timely TCM support, some children may experience recurrent low-grade fever, persistent cough or slow recovery of energy for up to one month.

Supporting the body to gradually clear lingering illness is important for preventing prolonged recovery and helping the child return to health sooner.

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