Tonsils are a part of the whole body lymphatic system, and are usually regarded as a "barrier" against the invasion of bacteria and other exogenous pathogenic factors. If the tonsils are removed, it is equivalent to destroying the "barrier". Judging from the overall and long-term health of the human body, it is obviously more harmful than beneficial. Most patients who choose surgery think that even as a "barrier", tonsillar enlargement will affect breathing and bring potential risks, so it should be removed. If there is a way to reduce the swelling of tonsil and restore its function to the greatest extent, will patients still choose tonsillectomy?
Medical record: Patient Liu, male, 12 years old. 20 17 1 13 was admitted to the hospital because of "May with scattered papules and scales all over the body". Upon admission, the physical examination found that the pharynx was red, the bilateral tonsils were enlarged in the third degree, and there was no gap between the bilateral tonsils. Before coming to our hospital for treatment, I have been examined in many hospitals. The doctor asked for "tonsillectomy", but the parents of the children wanted to use sweating method and did not accept surgical advice. The symptoms are: the child's abdomen is afraid of cold, and the stool is not formed at ordinary times, and it is 1 2~3 times a day. The whole body sweats a lot, especially the upper body is prone to sweating, and it is easy to snore and breathe with the mouth open when sleeping.
After many discussions, it is concluded that this patient's tonsillar enlargement does not belong to acute stage, but belongs to yin syndrome, which can be treated slowly. When formulating the treatment plan, we did not pay attention to the skin lesions or tonsillar enlargement, but focused on "the child's abdomen is afraid of cold, and the stool is not shaped at ordinary times, and the frequency is too high". Prescription Lizhong Decoction plus Coptidis Rhizoma, the prescription (all decoction-free granules) is as follows: raw Atractylodis Rhizoma 30g, Codonopsis pilosula 30g, Glycyrrhiza uralensis 30g, Zingiberis Rhizoma 30g, and Coptidis Rhizoma 9g (Coptidis Rhizoma is opened separately, so it is convenient to adjust the dosage). Lizhong decoction 1 dose daily, water 100 ml, taken before meals in the morning and evening. 9 grams of Rhizoma Coptidis, starting with 65,438+0 doses per day, is gradually increased according to the "interest method" according to the doctor's advice, and the amount of water is 65,438+000 ml, and the medication is adjusted according to the stool situation (interest method refers to all auxiliary methods that help the drug to exert its curative effect and help patients recover, and is a series of measures taken according to the disease location, disease nature, treatment method and clinical manifestations.
20 17,65438+10 month,17, in order to strengthen the treatment of chronic diarrhea, Wu Mei decoction was used, and the prescription was as follows: 6 g of codonopsis pilosula, 0/0 g of dried ginger, 6 g of aconite, and 0/6 g of coptis chinensis. Start with 1 dose, and gradually increase the dose according to the "interest method" according to the doctor's advice, and take it before meals in the morning and evening.
20 1 7,65438+1 0, 19, take Wu Mei decoction for 3 doses until1,and the dosage will continue to increase, increasing1dose every day. At the same time, in order to emphasize the power of moderate coke, dried ginger and fried atractylodes are added, and the prescription is as follows: 30g of dried ginger and 30g of fried atractylodes. Take 1 dose every day starting from 1 dose every day, and both parties should take it before brunch.
2017 65438+1October 19 was discharged to celebrate the Spring Festival. At that time, the tonsils were swollen and the skin lesions had obviously improved. After leaving the hospital, I took three doses of dried ginger and atractylodes macrocephala with Wumei decoction every day, and gradually increased the dose until the Spring Festival.
2065 438+07-02-06 I was hospitalized for the second time, and my stool was slightly shaped, twice a day 1, and my snoring became smaller at night, and my respiratory symptoms were obviously alleviated. The left tonsil is enlarged to the second degree, the right tonsil is enlarged to the third degree, and the bilateral tonsil space is widened. Because it is difficult for patients with poor taste to take Wu Mei Decoction, we changed it to Lilian Decoction: Coptidis Rhizoma 12g, and the rest 30g each, starting from 1 dose, one dose per day, and adjusted the medication according to the stool condition, and took it before meals in the morning and evening.
20 17 He was discharged on February 16. During the medication, Sini decoction was added for cold limbs, with 30 grams of each flavor, and the amount was reduced after the hands and feet became hot. According to the patient's stool condition, the raw Atractylodes macrocephala was changed to fried atractylodes in the later stage of treatment. Lizhong decoction was taken out from the hospital, and the prescription was: fried atractylodes 30g, Codonopsis pilosula 30g, Glycyrrhiza uralensis 30g and dried ginger 30g. 40 doses, every day 1 dose, and adjust the medication according to the stool situation. At the time of discharge, the patient's spirit, appetite and sleep were good. Stool once a day/kloc-0 times before discharge, and the urine is normal. The whole body is warm and slightly sweaty, and there are basically no symptoms such as snoring and mouth breathing. The skin lesions of the whole body gradually became thinner and lighter, and partially subsided. The pharynx is red, the left tonsil is swollen once, and the right tonsil is swollen twice, which is obviously smaller than before. Bilateral tonsillar spaces gradually widened, posterior pharyngeal wall scattered in follicles, and there was no secretion in pharynx. The symptoms of tonsillar enlargement and skin lesions continued to improve steadily in the subsequent follow-up.
Pan-sweating system does not consider skin lesions and tonsillar enlargement, and adopts the treatment idea of "treating people with traditional Chinese medicine and treating people with diseases" to treat patients' stools with traditional Chinese medicine, and achieves the effect of "curing without treating" skin lesions and tonsillar enlargement.
My child has been snoring for a year or two, especially when he has a cold. Penyou recommended the official account of WeChat, a parenting expert from Luo Dalun, and began to pay attention to the related knowledge of Chinese medicine. Considering the safety of external use, she used it for nearly 20 days, snoring heavily and breathing silently. Now she breathes heavily occasionally. I am very satisfied. One thing to emphasize is that my family hasn't stopped snoring since the first time.