The autumn climate is relatively dry, the air humidity is not enough, and the dust concentration increases, which is easy to induce chronic pharyngitis. Chronic pharyngitis is a kind of chronic inflammation produced in pharyngeal mucosa, submucosa and lymphoid tissue, with local symptoms as the main symptoms, which has the characteristics of long course and easy recurrence. The disease is easy to occur in adults, with long course and stubborn symptoms, which is difficult to cure. In recent years, the incidence of the disease has been increasing, and the main symptoms of patients are dry throat, itching and irritating cough.

Second, the drug treatment of chronic pharyngitis

Many people think that chronic pharyngitis is a minor illness, but why is it more difficult to treat? The main reason is that everyone has different causes of illness. Therefore, how to correctly "prescribe the right medicine" needs to be mastered very well. If it is inappropriate, it will not only be ineffective, but will aggravate the symptoms. The treatment of chronic pharyngitis is mainly divided into Chinese medicine treatment and western medicine treatment. Traditional Chinese medicine treatment of chronic pharyngitis focuses on the root cause, and syndrome differentiation and classification are effective. Western medicine is generally a local treatment, with quick results.

(A) Chinese medicine treatment

1, liver depression and heat transfer type

This kind of patients are more common in people who are usually irritable or sulking, and they are unhappy. The main symptoms are: I often feel that there is an obstruction in my throat and there is a more obvious sense of oppression. When depressed, the condition is aggravated, often accompanied by fullness in the chest and hypochondrium, sigh of heating, bitter mouth and dry throat, restless night sleep and so on.

The treatment should be drugs that soothe the liver and clear heat, resolve phlegm and relieve sore throat. Xiaoyao Powder combined with Banxia Houpu Decoction can be modified, and Cortex Moutan and Fructus Gardeniae can be added if accompanied by fever. If you have insufficient blood gas's disease, you can halve the dosage of Pinellia ternata and Magnolia officinalis, and add Scrophularia root and Ophiopogon japonicus at the same time, which can often achieve better results.

2, lung and stomach heat accumulation type

Most of these patients smoke and drink for a long time, or have the habit of eating spicy barbecue food for a long time. Clinically, dry throat, drinking water can not be effectively relieved, dry cough is less and yellow, red tongue with yellow fur, yellow urine, dry stool and other symptoms are common.

To treat this chronic pharyngitis, it is necessary to clear lung and stomach heat, resolve phlegm and relieve sore throat. Qingfei Powder and Wei Qing Powder can be added or subtracted.

3. Deficiency of lung and kidney yin

This kind of patients usually mainly show as follows:

(1) lung deficiency: dry throat, burning pain, heavier in the afternoon;

(2) Kidney deficiency: five vexations and fever, red tongue and little body fluid, dry mouth and throat, slight pain and itching in the throat, frequent dry cough or retching, and little phlegm.

To treat this symptom, we should choose a prescription that nourishes lung and kidney, clears away heat and relieves sore throat. For patients with lung yin deficiency, Yangyin Qingfei decoction is modified; For patients with kidney yin deficiency, Liuwei Dihuang Pill is modified.

(2) Western medicine treatment

Because most chronic pharyngitis is not induced by bacterial infection, antibiotics are generally not recommended. The types of diseases and commonly used therapeutic drugs are shown in the following table.

Tips: Before using traditional Chinese medicine or western medicine to treat chronic pharyngitis, you must consult a doctor or pharmacist. Patients should not blindly choose drugs to avoid delaying or aggravating their illness.

Third, the "misunderstanding" that patients with chronic pharyngitis are easy to step into

1, lasting for 3 months is considered chronic: many patients are lucky enough to think that pharyngitis lasting for 3 months (or more) is "chronic inflammation", and those who have been ill for less than 3 months do not need to be taken seriously. However, experts pointed out that this time limit does not refer to a certain point in time, but highlights the persistence of inflammation, so it is necessary to treat it early.

2. Dependence on throat moistening tablets: Long-term use of throat moistening tablets will inhibit the growth of normal flora in the mouth and throat, leading to diseases such as flora imbalance. If you need to take throat lozenges, you must master the dosage and course of treatment. Long-term use may lead to thickening of vocal cords and ventricular bands.

3, the first choice of antibiotics: chronic pharyngitis is not a bacterial infection, abuse of antibiotics may lead to the imbalance of normal flora in the throat, causing double infection, resulting in the use of more advanced antibiotics, the longer the medication time.

4. Atomization is effective for pharyngitis and can be used for a long time: atomization is not effective for all patients with chronic pharyngitis and should be used according to the doctor's advice. In addition, different atomized drugs have different components, some contain antibiotics and some contain hormones, so it is not recommended for patients to use them for a long time.

Fourth, preventive measures for chronic pharyngitis

Patients with chronic pharyngitis should bear in mind that "prevention before illness" is the "nemesis" of chronic pharyngitis! Preventive measures are as follows:

1, diet: avoid spicy food, drink plenty of water, and avoid eating too hot or too cold food;

2. Exercise and health preservation: strengthen exercise, enhance physical fitness, and achieve the goal of "keeping healthy qi in the interior, and evil can't be done";

3, careful living: pay attention to the hygiene of the room, while ensuring that the room has a certain humidity;

4, anti-exogenous: pay attention to keep warm in autumn and winter, cold weather is easy to induce respiratory infections, actively prevent and treat mouth, nose and throat diseases, and avoid escalating into chronic pharyngitis.

References:

[1]. Song Ji, Xie Qiang, research progress on treatment of chronic pharyngitis in recent three years. Jiangxi traditional Chinese medicine, 20 16. 47(2): 73-75.

[2]. Meng Huiju et al. Research progress in treatment and prevention of chronic pharyngitis. Clinical New Drugs in China, 20 13( 12): Page 122 1- 1225.

[3]. Li Peiyong, etc. Research progress on internal treatment of chronic pharyngitis. Massage and Rehabilitation Medicine, 20 18. 90(0): Page 87-89.

[4]. Ray Wu, Wang Zhufeng, Wei Junping, TCM treatment of chronic pharyngitis. Information of traditional Chinese medicine, 20 18. 35(5): 63-65.

[5]. Zhu Shiqiang, Clinical Observation on Chronic Pharyngitis Treated by Traditional Chinese Medicine. World Clinical Medicine, 20 16. 10( 12): Page 166.

[6]. Wang Huimin et al. Clinical efficacy of traditional Chinese medicine in treating chronic pharyngitis. Shaanxi traditional Chinese medicine, 20 17. 38(4): 487-489.