First, why is the respiratory tract so fragile?
? Many people feel that their throats are cold and they can't pull the plug. They are hot, dry and itchy, and they have a lot of phlegm. If they are not careful, they will keep coughing.
The respiratory tract is divided into upper and lower parts. The upper respiratory tract includes mouth, nose, throat and larynx, and the lower respiratory tract consists of trachea, bronchus and lung. Respiratory tract is the internal organ that people have the most contact with the outside world, and it is vulnerable to various external stimuli, such as cold, heat, dryness and infection. But the lung is a relatively lovely organ. It feels neither cold nor hot, and it doesn't hurt or touch. Frankly, I don't feel anything. The biggest response to injury is coughing. When the airway is stimulated, the nerve reflex will make the human body produce a series of actions: the glottis are closed, and the respiratory muscles contract rapidly to produce respiratory actions; Because the glottis are closed, the breath can't go out, and the pressure in the chest cavity rises sharply, thus pushing the glottis open; Then, the gas is ejected at high speed to take out the "bad" things in the trachea-this is the protective defense mechanism of the lungs. Therefore, coughing is not necessarily a "disease", and coughing when you are ill is not necessarily a bad thing. It can help people get rid of germs in their bodies and help them get better.
Of course, coughing is annoying. Cough during the day, cough at night, talk too much, inhale cold air and cough. Some people will retch when coughing violently, which will affect their sleep and even cause pneumothorax. If the pleura on the lung surface ruptures, chest pain and suffocation will occur, which will be life-threatening in severe cases. Some patients with severe cough can lead to loss of consciousness, which is called "cough syncope" in medicine. This situation is very dangerous when driving or working at high altitude. Therefore, patients with relevant medical history should go to the hospital for symptomatic treatment as soon as possible.
? However, when it comes to coughing, we must first distinguish whether it is really a cough. Some people call it "clearing your throat" to cough, usually once or twice, because you feel that your throat is uncomfortable or something is stuck; Common in smokers, mostly caused by pharyngitis. Real cough is mostly manifested as a series of continuous coughs. In medicine, according to the length of cough, cough can be divided into acute cough, subacute cough and chronic cough.
Acute cough: cough within 3 weeks, mostly after infection, caused by colds, bronchitis and other diseases;
Subacute cough: Cough lasts for 3-8 weeks, mostly occurring in elderly patients, mainly after infection;
? Chronic cough: Cough for more than 8 weeks, the main causes are cough variant asthma, postnasal drip syndrome (upper airway cough syndrome), eosinophilic bronchitis, gastroesophageal reflux cough, allergic cough, etc.
? When changing seasons, hot and cold alternate obviously. Many people don't pay attention to adding clothes to keep warm in time. The decline of immunity will create opportunities for bacteria and viruses to invade the human body, and then there will be bacterial or viral infection in the respiratory tract, and the incidence of cough after infection will be higher. At the same time, respiratory tract infection is easy to induce cough variant asthma. This is also the main reason why people think it is easy to cough in autumn and winter. Secondly, the dry and cold climate is unfriendly to the airway, and cold itself is a kind of stimulation. Low temperature reduces the moisture content in the air, and the airway is more sensitive when it is short of water, leading to cough and wheezing. The nasal cavity can warm and moisten the inhaled air, but it is too dry, and breathing with the mouth open and strenuous exercise may reduce the airway humidity and increase the airway sensitivity. There are also allergic factors, which are prone to allergic cough, allergic rhinitis and asthma.
Why do you cough after respiratory tract infection? In fact, cough after infection is a respiratory symptom caused by airway inflammation repair. After the infection gets better, it will be cured simply with antitussive drugs, and the course of disease is relatively short. The essence of cough variant asthma is the increase of airway sensitivity caused by chronic airway inflammation, which is non-infectious and can be induced by respiratory infection without taking anti-inflammatory drugs. May or may not be allergic. Although it is called "asthma", the patient is not breathing and his lung function is normal. However, some patients can turn into typical asthma. Therefore, correct treatment can reduce the incidence of typical asthma.
It should be reminded that cough variant asthma, postnasal drip syndrome, eosinophilic bronchitis and allergic cough are all related to allergies to some extent. If you cough at the same time, there will be sneezing, runny nose, itchy eyes and nose, tears and other symptoms. Going to the hospital for examination found that eosinophils were on the high side and total lgE (immunoglobulin E) was on the high side, so it was very effective to receive antiallergic treatment.
Why do diagnostic tests often choose CT? In theory, lung CT is not a necessary examination to see cough, but doctors must first rule out some serious diseases, such as tuberculosis, lung cancer, bronchiectasis and so on. The treatment of these diseases is mainly to treat the primary disease, not simply to treat cough. Doctors should first see if there is any disease in the lungs, and the best way to "see" the lungs is lung CT and X-ray chest film.
? Which is clearer, lung CT or X-ray chest film? Lung CT is relatively clear, X-ray chest film will produce many artifacts, and heart blood vessels and bones may also block the focus, so bronchiectasis and lung cancer are mostly diagnosed by lung CT, while infectious diseases such as tuberculosis and pneumonia can be diagnosed according to X-ray chest film.
? Should I take medicine for my cough? Many old people give medicine when they see their children coughing, saying "keep the disease down"; Some patients are afraid of tracheitis, and then turn into chronic cough, and take medicine as soon as cough appears. But as long as it is medicine, it will have side effects, especially for children. Therefore, if you don't have a bad cough, don't take cough medicine in a hurry, and see a doctor in time.
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? Second, cough should be treated in stages.
Children's cough is generally caused by exogenous factors, so the correct way to treat cough should be to clear exogenous factors mainly:
Cough when you catch a cold and drink a cup of perilla leaf water.
This kind of cough appears almost at the same time as a cold, mostly caused by cold attacking the lungs. The nose is clear and the sputum is white. Hands and feet are cold and afraid of cold, and some older children will have a headache when they blow, especially near the route followed by the bladder meridian in the back and back half of the neck.
? You need 3 grams of perilla leaf water, put it in a pot, add two glasses of water, and cook it over high fire. After boiling, turn to low heat, turn off the heat after boiling for three minutes, and simmer for seven or eight minutes before drinking. If you have a bad cough, you can also add a little orange to cook together. Pay attention, let the children eat something before eating. Take it on an empty stomach, lack of vitality, can't sweat, and cough is difficult to heal.
It's good to cough with cold outside and heat inside.
? At this time, the child's nose becomes yellow and sticky. Phlegm also began to turn yellow, some turned yellow alternately, but most of them were yellow. Cough is a deep voiced sound, and you will hear phlegm in your throat or trachea. There are also children who cough without phlegm. In severe cases, you will have a sore throat, thirst and fever. Putting the back of your hand in front of your child's nose will feel very hot, which is called "hot air hand spray" in Chinese medicine. This is a cough caused by external cold and internal heat. If it is not controlled during this period, cold pathogens will move into the body, compete with healthy qi and gradually turn into heat.
? Cough caused by external cold and internal heat can be treated with Zhi Zhi syrup if there is no medical basis. However, chicken juice syrup is very thick and needs to be diluted with hot water before taking it.
Exterior heat cough is suitable for compound fresh bamboo juice.
? When exogenous pathogens completely enter the body, a school of heat syndrome appears. High fever, runny nose, coughing up yellow phlegm, and sometimes even yellow-green. At this time, the cough is obviously deepened, which feels like it is coming from the chest, and there are many "hissing" sounds, such as the bursting of bubbles.
? At this time, you can take Chinese patent medicine compound fresh bamboo juice, which has a good effect of removing heat and resolving phlegm. But it must be that the child coughs a lot of phlegm, and the sputum must be yellow. This medicine is not suitable for cold syndrome with white phlegm and clear nose. Although the drug has a good expectorant effect, it can only eliminate symptoms, but it can't drive away exogenous pathogens. Therefore, it is necessary to cooperate with the drugs of exogenous pathogens, otherwise, although the phlegm will melt, the exogenous pathogens will still exist, and once the drug is stopped, the sputum will regenerate. If the drug is stopped before the exogenous pathogen is removed, the child's condition will be repeated. However, if the child has obvious lung infection at this time, he should seek medical treatment as soon as possible.
When the cough is just right, use mountain medicine to strengthen the spleen.
? After the child's exogenous pathogens were removed, the cough gradually recovered. In order to completely prevent and treat cough, the spleen should be supplemented for the child at this time. I recommend you to drink mountain potion. Choose 30 grams of Dioscorea opposita (this is the dosage of children over 5 years old, and children should reduce it), and take boiled water instead of tea for two or three days.
If the child's stool is not shaped, he can even eat yam meat. If the stool is dry, drink mountain potion. Because yam has the function of astringing stool. If the stool is severely dry, it is necessary to add 6 grams of almonds when cooking yam soup, because almonds can ventilate and facilitate defecation. Note that this yam must be dried, not the yam in the vegetable market.
When coughing fast, it is hot. Cough, cough, a bowl of stewed pears with Chuanbei.
Some children cough hot when they cough quickly. Cough has no or little phlegm, but it is very sticky, often a dry cough. Red tongue, dry stool, fever in hands and feet, yellow urine.
Recommend stewed pear with Chuanbei. 3 grams of Fritillaria cirrhosa powder, made in Pak Lei 1 piece. Dig out the pear core, put the fritillary bulb powder in, and then cover it. Put pears in a bowl, add water, steam in a steamer for about 30 minutes, take out the bowl and heat it, eat pears and drink soup. Note: After catching a cold, most cold pathogens remain. It is often that children are too hot, or have recently got angry, or the weather is hot in summer and autumn, and the heating in the north is hot in winter.
Soak your feet when you cough quickly and use cold cough powder.
? At this time, cough enters the fourth stage of returning to the cold. At this time, the sputum is less, or it turns white again, and the nose is innocent. The nasal sound is still a little heavy, slightly stuffy, and I cough occasionally. At this time, the internal heat has disappeared, and the cold evil has also retreated into the body surface. At this time, you only need to use a little medicine to spread the lung and eliminate evil, and help your body to continue to eliminate external evil.
? Select 3 grams of Schizonepeta tenuifolia, 6 grams of dried tangerine peel, 6 grams of platycodon grandiflorum, 6 grams of Rhizoma Cynanchi Stauntonii, 6 grams of Radix Asteris and 6 grams of Radix Glycyrrhizae. This is the number of children over five years old, and the number of children should be reduced. Boil the water for 10 minute, then add warm water to soak the children's feet twice a day for 15 minute each time. Two or three days. This prescription must be used after the child has recovered from his cold, but it should not be used if he still has a cold.
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? Wu: In the process of serious study and practice, in addition to feeling that "you can cope with the plan calmly when you are fully prepared", adults' self-physical and mental health has also gained greater benefits! For example, when children have early performance, the whole family's diet, such as white radish, houttuynia cordata, pear, orange, lily, mushroom chicken soup, San 'ao soup and so on. , also started at the same time, often with the feeling of quick results, less tossing, giving the whole family a calm and controllable happiness. May all families be happy and healthy!
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? Third, is the cough incomplete because of the lungs? Treatment of strange cough based on TCM syndrome differentiation
The ancients called the sound without phlegm cough, and the cough with phlegm cough. Cough without phlegm is often called dry cough in clinic, and cough with phlegm and sound is collectively called cough. Cough is the main symptom of respiratory diseases, but it is not always caused by the lungs, and it can also affect the lungs when the internal organs are sick.
? Cough in the heart: when coughing, there is pain in the heart and chest, there seems to be a foreign body obstruction in the throat, and even a tumor in the throat. Treat with Qingxinlianzi decoction, and add or subtract according to the condition.
? Liver cough: When coughing, the hypochondriac aches, and even the body can't turn. If you can lean sideways, the liver area will be full and uncomfortable. Treat with Shugan Hewei Pill.
? Spleen cough: when coughing, the pain in the right rib spreads to the shoulder and back, and you can't move even if you move. Cough gets worse when you move. Treat with Wenpi decoction, and add or subtract according to the condition.
? Lung cough: You can smell wheezing when coughing, spit when coughing, and even cough with bleeding silk, which is also called genuine cough. Treat with Qingzao Jiufei Decoction, and add or subtract according to the condition.
? Renal cough: Cough causes low back pain, accompanied by backache, fatigue and even drooling. Treat with Bushen decoction, and add or subtract according to the condition.
? Bile cough: Vomiting bile or blue bitter water when coughing, causing rib pain. Treat with Wendan decoction, and add or subtract according to the condition.
? Stomach cough: Vomiting when coughing, or even spitting ascaris when coughing. Treat with Wu Mei Pill and Baohe Pill.
? Large intestine cough: fecal incontinence when coughing. Treatment with Qiqi decoction, depending on the condition.
? Small intestine cough: fart when coughing, cough and fart appear almost at the same time. Treated with Jiawei Aster Decoction.
? Bladder cough: urinary incontinence occurs when coughing. Treat with Baihe Gujin Decoction, and add or subtract according to the condition.
? Triple energizer cough: when coughing, the abdomen is full and I don't want to eat. Treat with Liujunzi decoction, and add or subtract according to the condition.
? Dry cough: choking without phlegm, mild cough for more than ten times, heavy cough with high voice and itchy throat. Treat with Shashen Maidong Decoction, and add or subtract according to the condition.
Phlegm cough: more common in emphysema and tracheitis, coughing due to phlegm. Treat with Sangjuyin decoction, and increase or decrease according to the degree of illness.
Cough in summer: cough due to cold in summer, less phlegm, body heat and thirst. Treat with Huoxiang Zhengqi Decoction, and add or subtract according to the condition.
? Next, attach a copy of the "First Decoction of Coix Seed Lily Runfei Zhike Decoction" related to the "Daimeng" lung original point:
Fourth, resolving phlegm can cure many diseases.
? Phlegm is the pathological product of abnormal metabolism of body fluid and is also the pathogenic factor of many diseases. Phlegm in traditional Chinese medicine often includes visible sputum discharged by coughing and vomiting, as well as invisible sputum scattered in meridians and viscera of the whole body. "All diseases are caused by phlegm", which also means that removing phlegm can prevent and treat many diseases.
Lung disease. The phlegm discharged by coughing is mainly divided into hot phlegm, cold phlegm and wet phlegm. One of the most representative is hot phlegm, which generally has the symptoms of yellow and thick phlegm and yellow and greasy tongue coating. Most of these people suffer from lung diseases such as pneumonia and asthma. Treatment mostly adopts the method of "clearing away heat and resolving phlegm" and uses drugs with lung moistening and cough relieving effects. The common prescription is Qingqi Huatan Pill.
Obesity. Traditional Chinese medicine believes that obese people have more phlegm because the spleen and stomach of obese people are weak, and the metabolism of water and moisture is blocked, which also affects the digestive function. This kind of obesity is actually a kind of puffiness, which needs to be treated by eliminating dampness and resolving phlegm or strengthening spleen and resolving phlegm. The common prescription is "Erchen Decoction", that is, dried tangerine peel and Pinellia tuber. It should be reminded that obese people should dialectically eliminate phlegm. This kind of prescription is mainly suitable for obese people with thick and greasy tongue coating and shapeless stool.
Stroke. Stroke patients are often gluttonous and obese, or obese, leading to wet phlegm, phlegm stasis and heat. Chinese medicine believes that obese people who often eat fat meat are prone to hemiplegia. Generally, the method of resolving phlegm and dredging collaterals is used for treatment. The most common prescription is Huatan Tongluo Decoction, which is mainly composed of Concha Haliotidis, Herba Taxilli, Pericarpium Citri Tangerinae and Rhizoma Pinelliae, and can be taken by decoction.
Hypertension (dizziness). Hypertension, which is often said in Chinese medicine, is mainly manifested as dizziness. Traditional Chinese medicine believes that "no phlegm and no dizziness" is precisely because of uncontrolled diet and spleen and stomach injury, which leads to dizziness, chest tightness, vomiting and other discomfort. The common prescription is "Banxia Baizhu Tianma Decoction", which is mainly composed of drugs such as Banxia, Poria, Baizhu, etc.
Insomnia Chinese medicine believes that insomnia is mostly caused by emotional or visceral imbalance and yin-yang imbalance. These people are characterized by excessive phlegm, chest tightness and greasy yellow tongue coating, which are mostly caused by phlegm-dampness stagnation and poor qi movement. Through the treatment of Wendan decoction, which can regulate qi and eliminate phlegm, clear gallbladder and regulate stomach, the effect is good. Wendan decoction is mainly composed of ginger, Pinellia ternata, dried tangerine peel and bamboo shavings. If the patient is uneasy, he can also add some poria cocos as appropriate to calm his mind.
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? References:
1 .Life Times 20211.30 Health Lecture Hall Edition.
2. Health Times 20 16 1 1.22 infant edition.
3. Longevity Health Daily 20 16 10 14 traditional edition.
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Bai 202 1. 12.8.