Can increase the ventilation of the lungs. Studies have proved that eating foods containing at least 300 mg of vitamin C every day.

The product can reduce the incidence of bronchial asthma and bronchitis by 30%.

★ Onions Onions contain diphenyl sulfide sulfinate compounds, which have strong resistance.

Inflammatory activity. At the same time, allicin contained in onion has strong antibacterial and bactericidal ability, which can inhibit

The invasion of various bacteria and viruses has obvious effects on the prevention and treatment of respiratory and digestive diseases.

★ Garlic Garlic is rich in sugar, fat, protein, phosphorus and carotene.

And also contains important substances such as allicin, which has the function of inhibiting viruses and cancers.

The role of cell growth.

★ Douchi Japanese scholars have found that the bacteria contained in Douchi can produce a large number of B groups.

Vitamins help the human body to resist the invasion of external pathogenic factors.

★ Radish contains a lot of vitamin C, carotene, riboflavin, nicotinic acid, calcium,

Phosphorus, iron, etc. Eating raw radish often can prevent upper respiratory tract infection, sore throat and bronchitis.

And other symptoms.

★ Tremella tremella contains 17 kinds of essential amino acids, acidic heteropolysaccharide and organic compounds.

Organic phosphorus and other compounds are very beneficial to human health. Especially acidic isopolysaccharide,

Can enhance human immune function, and has obvious curative effect on bronchitis and pulmonary infection.

★ Lily has sedative and antitussive effects and is suitable for bronchitis, emphysema and tuberculosis.

For patients with hemoptysis and other diseases.

★ Quercetin in hawthorn can dilate trachea, promote the movement and excretion of tracheal cilia.

The effect of resolving phlegm and relieving asthma is suitable for the treatment of bronchitis.

★ Nuts, peanuts, walnuts, chestnuts, hazelnuts, pine nuts, melon seeds, lotus seeds, ginkgo, etc.

Fruit is rich in selenium. Selenium has the functions of promoting metabolism, enhancing immunity and improving resistance. Ruti

Selenium deficiency will lead to the decline of human immune function. Eating more foods rich in selenium is helpful for prevention.

Respiratory tract infection.

★ Siraitia grosvenorii has the functions of clearing heat and cooling blood, resolving phlegm and relieving cough, moistening lung and resisting tuberculosis.

Fever, cough with excessive phlegm, stomach heat constipation and bronchitis have certain curative effects.

★ Drinking 2500 ~ 3000ml of water every day is beneficial to virus discharge.

cough

Cough refers to the syndrome of lung qi vomiting against the sound. Common in upper respiratory tract infection, bronchitis, bronchiectasis, pneumonia, tuberculosis and other diseases.

Traditional Chinese medicine calls "voice out of thin air" cough; "Nothing is silent" is called coughing. Clinically, the two often appear together, so it is cough.

1, etiology and pathogenesis

Exogenous internal injury leads to visceral dysfunction, and when the lung fails to declare its descent, the lung qi coughs up; Spleen loses transport, water is wet and endogenous, accumulates into phlegm, and coughs up with upper and lower lung qi.

(1) exogenous pathogenic factors of six evils: wind-cold, dryness and heat invade the lung system by taking advantage of the deficiency of the human body, causing the lung to fail to declare, and the lung qi goes up, rushing out of the throat and making sounds, resulting in cough.

(2) Cough due to internal injury: the liver is damaged by the disorder of seven emotions, which leads to depressed fire and qi-fire invading the lungs; Improper diet, overwork will damage the spleen, the spleen is unhealthy, phlegm is endogenous, and the lungs are polluted; Or lung injury due to long-term illness, lung yin deficiency, fire deficiency and inflammation, lung failure and cough dysfunction.

2. Treatment based on syndrome differentiation

(1) Wind-cold attacking lung:

Symptoms: loud cough, thin and white sputum, accompanied by headache, stuffy nose, clear nose, aversion to cold, fever, no sweat, joint pain, itchy throat or chest pain when coughing, thin and white tongue coating, floating or tight pulse.

Treatment: dispersing wind and cold, dispersing lung and relieving cough.

Main party: Su Xing San.

(2) Wind-heat invading the lung:

Symptoms: cough with thick and yellow phlegm, uncomfortable expectoration, dry mouth and sore throat, accompanied by fever, headache, yellow nose, excessive sweating, thin yellow tongue coating and floating pulse.

Treatment: dispelling wind and clearing heat, dispersing lung and resolving phlegm.

Main prescription: Sangju drink.

(3) Dry heat damages the lungs:

Symptoms: cough with little phlegm or dry cough without phlegm, sticky phlegm, cough with chest pain, dry mouth and nasopharynx, or blood in sputum. At the initial stage, it may be accompanied by slight cold, body heat, stuffy nose, headache, red tongue, thin yellow fur and rapid pulse.

Treatment: dispel exogenous pathogenic factors, moisten lung and relieve cough.

Main prescription: Sangxing decoction.

(4) Phlegm dampness accumulates in lung:

Symptoms: cough with excessive phlegm, white and sticky sputum, easy to cough up, chest tightness, and sometimes nausea; Or listless, white and greasy tongue coating, slippery pulse.

Treatment: invigorating spleen and eliminating dampness, resolving phlegm and relieving cough.

Main prescription: Erchen decoction.

(5) Phlegm heat blocking the lung:

Symptoms: cough, shortness of breath, yellow and sticky sputum, or red face, thirst, wheezing and nasal agitation, constipation, red tongue, yellow body fluid and slippery pulse.

Treatment: clearing away heat and toxic materials, resolving phlegm and relieving cough.

Main prescription: Jinqing Huatan Decoction.

(6) lung qi deficiency:

Symptoms: shortness of breath, low cough, thin expectoration, spontaneous sweating and chills, dull complexion, susceptibility to exogenous diseases, pale tongue and weak pulse.

Treatment: tonifying lung qi, benefiting qi and consolidating exterior.

Main ingredient: Yupingfeng powder.

(7) Loss of lung yin:

Symptoms: dry cough without phlegm, little but sticky sputum, blood in sputum, itchy throat, hoarse voice, fever in hands and feet, or hot flashes in the afternoon, red mouth and cheeks, red tongue with little body fluid, and rapid pulse.

Treatment: nourishing yin and clearing heat, moistening lung and relieving cough.

Main prescription: Lily Gujin decoction.

3, dialectical nursing

(1) ordinary care:

① Observe the cough time, nature, cough sound, whether there is spitting, breathing during cough and accompanying systemic symptoms.

② Observe the expectoration amount, maximum expectoration time, expectoration character, color, difficulty and blood.

(3) Take samples for inspection in time for sputum examination.

④ Patients with cough need clean and fresh air most, and the ward is often ventilated with windows. Smoking is prohibited indoors to prevent the stimulation of smoke and special smell.

⑤ Wear a mask when going out to avoid the invasion of foreign evils. Keep warm, quit smoking and drinking.

⑥ Prepare calibrated sputum utensils, and clean and disinfect sputum utensils in time.

⑦ Those who can't expectorate or have difficulty in expectoration should assist in expectoration, turn over and pat the back regularly, and drain the body position to expectorate. Suck sputum if necessary.

8 If the sputum is sticky and difficult to cough up, ultrasonic atomization can be used to dilute the sputum for easy discharge.

Pet-name ruby cough with phlegm can't use narcotic antitussive, expectorant antitussive, anti-inflammatory antitussive, expectorant antitussive.

Indications: Acupuncture for relieving cough: Shu Fei, Legqog, Tiantu and Fenglong. Or auricular acupuncture at bronchial, lung and Shenmen points; Exogenous cough plus adrenal points; Internal injury cough plus spleen and kidney points.

(2) Cold and cough:

(1) Nursing according to "cold syndrome".

② General nursing contents.

③ When the cough is severe, you can temporarily take 10ml Zhike Mixture, or Compound Glycyrrhiza Mixture, or Tongxuanlifei Pill. Avoid taking pear cream, steamed pear juice with rock sugar or steamed pear juice with rock sugar, so as not to moisturize too early.

(4) Avoid eating cold fruits and vegetables, as well as fatty and greasy products.

(3) Wind-heat cough:

(1) refer to "wind-heat cold" nursing.

② General nursing contents.

③ When coughing, you can take 10 ~ 20 ml to relieve cough and prescribe the law, or take Hong Ju pills.

4 usually eat pears, loquat and other fruits.

5 avoid spicy, fat and thick taste, quit smoking and drink carefully.

⑥ Sputum is hard to come out. In addition to turning over and patting the back to expel phlegm, Houttuynia cordata Thunb or Scutellaria baicalensis Georgi injection can be atomized and inhaled to relieve inflammation, relieve cough and eliminate phlegm, which is convenient for discharge.

(4) Dry heat damages the lungs:

① General nursing contents.

② Refer to the nursing of "wind-heat cough".

③ For dry nose, itchy throat and dry cough, you can take Zhike Loquat Dew, Ziyin Qingfei Ointment, or Pear Ointment and Chuanbei Powder.

④ Usually, you can eat stewed pears with Fritillaria cirrhosa, lily and tremella soup.

⑤ When there is blood in dry cough, closely observe the amount of bleeding and report to the doctor for a long time.

(5) Syndrome of phlegm-dampness accumulating in lung:

① General nursing contents.

② Ward temperature should not be too high.

③ Keep warm to avoid catching a cold.

(4) Pay attention to diet care, eat a proper amount of food, eat more foods that strengthen the spleen, promote diuresis and eliminate phlegm, such as coix seed, red beans, yam, etc., and avoid sticky and sweet foods such as glutinous rice and fatty products to prevent spleen from promoting diuresis and generating phlegm.

(6) Syndrome of phlegm-heat obstructing lung:

① General nursing contents.

② Refer to the nursing contents of wind-heat cough syndrome.

③ Cough due to lung heat can be treated with Hong Ju Pill and loquat dew.

④ Lung-heat cough can be matched with loquat leaf porridge and fresh reed root porridge.

(7) Lung-qi deficiency syndrome:

(1) ordinary care.

(2) When you are unable to expectorate, you should assist in expectoration.

③ Lung-qi deficiency is easy to be invaded by external evils, so we should be cautious in our daily life to prevent colds, and the wind will not sweat.

(4) Pay attention to rest, and don't overwork, so as not to make fatigue hurt healthy qi.

(8) lung yin deficiency syndrome:

① General nursing contents.

(2) Refer to "hot cough" nursing.

③ Ziyin Qingfei Ointment 10g, twice a day.

④ When the dry cough is difficult to cough out, it can be atomized and inhaled to moisten the throat.

⑤ Observe whether there is blood in the sputum and how much blood there is, and report to the doctor to stop bleeding if necessary.

⑥ It can be matched with foods that nourish lung yin, such as Yuzhu porridge, Adenophora adenophora porridge, glutinous rice gelatin porridge, etc.

4. Health guidance

(1) Pay attention to physical exercise after the cough is cured, and enhance the ability to resist exogenous pathogens.

(2) Those who suffer from internal injuries, cough, and chronic illness should pay attention to reasonable aftercare, be careful to avoid cold, adjust diet, quit smoking and drinking, and supplement food. We should also take a proper walk, do light physical exercises such as breathing exercises, Tai Ji Chuan and Qigong according to our physical strength, and gradually enhance healthy qi.

asthma

Asthma is an paroxysmal disease with phlegm, wheezing and cough. During the attack, there is wheezing in the throat, shortness of breath, and even mouth opening, shoulder lifting and wheezing can't lie flat, and it will only be relieved after coughing up a lot of phlegm. The onset time is as short as a few minutes or hours, and the elderly can last for several days.

Wheezing in larynx is wheezing syndrome, and dyspnea is wheezing syndrome. Because wheezing and wheezing often occur at the same time, it is called asthma Clinically, asthma must be accompanied by asthma, but asthma does not necessarily have asthma. Bronchial asthma, asthmatic bronchitis, pneumonia, emphysema and cardiogenic asthma in western medicine can all be classified as this disease in the stages of dyspnea and shortness of breath.

1, etiology and pathogenesis

(1) Exogenous pathogens attack the lung, which leads to lung qi stagnation due to the stimulation of smoke and pollen. Cold coagulation of body fluid or hot steaming of body fluid can lead to phlegm turbidity, airway obstruction and asthma.

(2) In the case of improper diet or excessive drinking, the spleen loses its health, phlegm and dampness are endogenous, and the upper part is dry in the lungs, which blocks lung qi and causes asthma. Phlegm-dampness turns into heat over time, phlegm-heat is blocked, and lung qi stagnation leads to heat asthma or heat asthma.

(3) Emotional disorder, anxiety and qi stagnation, liver depression and qi stagnation, lung qi stagnation, depression that cannot be declared, and asthma.

(4) Lung injury due to chronic cough, loss of qi, kidney deficiency due to chronic illness, or kidney injury due to fatigue, leading to renal failure; Or the decline of kidney Yang Can can't convert qi into water, which leads to asthma.

2. Treatment based on syndrome differentiation

(1) Cold wheezing:

Symptoms: shortness of breath, wheezing in the pharynx, chest tightness and tightness in the diaphragm, mild cough, scanty sputum, vomiting, thirst, or hot drinks, cold weather or cold limbs, white and smooth tongue coating, tight or floating pulse.

Treatment: Warming lung and dispelling cold, resolving phlegm and relieving asthma.

Main prescription: Shegan Mahuang decoction.

(2) Hot wheezing:

Symptoms: heavy breathing, phlegm in the throat, chest tightness and cough, yellow and sticky phlegm, adverse vomiting, restlessness, excessive sweating, thirst, red tongue with yellow coating, slippery or stringy pulse.

Treatment: clearing heat and dispersing lung, resolving phlegm and relieving asthma.

Main prescription: Dingchuan decoction.

(3) Cold asthma:

Symptoms: wheezing, shortness of breath, cough, chest tightness, white and thin sputum, or aversion to cold, fever, headache, no sweat, thirst, thin and white fur and tight pulse.

Treatment: expelling wind and cold, dispersing lung and relieving asthma.

Main prescription: Mahuang decoction.

(4) Dyspnea due to fever:

Syndrome: Asthma leads to coarse breath, even nasal wheezing, cough, yellow sticky or bloody sputum, body heat upset, sweating, chills and thirst, yellow constipation, thin yellow fur and floating pulse.

Treatment: clearing away heat and relieving exterior syndrome, dispersing lung and relieving asthma.

Main prescription: Maxingshi dry soup.

(5) Phlegm and asthma:

Symptoms: excessive and sticky expectoration, unpleasant cough, phlegm in throat, chest tightness, or nausea, pale mouth, white and greasy tongue coating, and slippery pulse.

Treatment: resolving phlegm, descending adverse flow, dispersing lung and relieving asthma.

Main prescription: Sanzi Yangqin Decoction.

(6) Lung deficiency syndrome:

Symptoms: shortness of breath, low voice, weak cough, thin expectoration, spontaneous sweating and fear of wind, or throat discomfort, choking and coughing with less phlegm and sticky, red lips and thin tongue coating, or red tongue coating with weak or thin pulse.

Treatment: Bufei Yiqi Yangyin.

Main prescription: Shengmai Powder combined with Bufei Decoction.

(7) Kidney deficiency syndrome:

Symptoms: shortness of breath, shortness of breath, heavy breathing, less inspiratory, lack of breath, worse circulation of qi, mental fatigue, emaciation, cold sweat, blue face and purple lips, pale tongue and deep and thin pulse.

Treatment: Bushen Zener.

Main prescription: Jingui Shenqi Pill.

3, dialectical nursing

(1) ordinary care:

① Keep the indoor air fresh and the temperature and humidity appropriate, avoid the stimulation of smoke and dust odor, and avoid contact with irritants that induce asthma, such as dust mites, pollen and some allergic foods.

② Smoking is prohibited indoors, and patients must give up smoking.

③ When asthma attacks, you should take a semi-sitting position or an upright position.

④ Aerosol can be sprayed and inhaled to temporarily relieve asthma.

⑤ Those with excess syndrome should acupuncture Dazhui, Shu Fei, Zhongshan, Quchi, Tiantu and Fenglong; Deficiency syndrome can be moxibustion at Qihai, Guanyuan, Shenque, Sanyinjiao and Shenshu points.

⑥ Cough suppressants and sedatives should not be used casually without the doctor's permission.

(2) Asthma with cold syndrome:

① General nursing contents.

② Ward should be facing the sun, with extra clothes to keep warm, so as to avoid feeling the evil of wind and cold.

③ Traditional Chinese medicine decoction should be taken while it is hot.

4 diet should be warm, avoid cold and greasy.

(5) How long does it take to cough with phlegm? Refer to the relevant nursing contents of "Cough".

(3) Asthma with heat syndrome:

① General nursing contents.

② The ward should be cool and the clothes should not be too thick.

(3) those with fever symptoms should measure their body temperature regularly, 2-4 times a day. Observe the changes of illness and body temperature after taking the medicine.

④ Traditional Chinese medicine should be taken at a warm temperature.

⑤ The diet is light and easy to digest. People with sticky phlegm and dry mouth should be encouraged to drink more water and eat more fresh fruits, such as Sydney and Yali.

⑥ For those with phlegm, Fritillaria cirrhosa powder 1.5g of boiled water, Fritillaria cirrhosa liquid 1 tablet, dried tangerine peel of snake gall 1 tablet or 20ml of fresh bamboo juice can be taken orally. Eliminating phlegm is easy to cough up.

⑦ Strengthen oral care and help patients gargle after meals.

(4) Asthma due to qi deficiency:

① General nursing contents.

② This syndrome belongs to qi deficiency and is easy to change, so it is necessary to closely observe the changes of the disease. If the patient is found to be short of breath, with his mouth open and his shoulders lifted, agitated, with a blue face, purple lips, cold and sweaty limbs, and a large pulse without roots or knots, most of them are severe dyspnea syndrome with heart-kidney yang failure, so he should immediately report to the doctor, make preparations for rescue and record his condition in detail.

③ Patients with dyspnea or cyanosis of labia minora were given low-flow intermittent oxygen inhalation.

(4) Those who can't expectorate should assist in body position drainage, turn over and pat the back to expectorate. Or suck sputum.

⑤ Strengthen daily nursing to prevent complications. Such as preventing bedsore, oral inflammation, preventing the invasion of foreign evils, sheltering from the wind and cold, etc.

⑥ The diet is light and nutritious, so we should choose the corresponding nourishing food according to the deficiency of viscera, such as nourishing lung qi and nourishing lung and kidney yin.

4. Health guidance

(1) Live regularly, pay attention to cold and warmth, do a good job in indoor hygiene, and avoid the stimulation of smoke, pollen and other inducing factors.

(2) Diet should be moderate and light, and avoid greasy, sweet and spicy food, wine pulp and phlegm.

(3) Get rid of the habit of smoking.

(4) Keep a happy mood and avoid internal injuries caused by seven emotions.

(5) During the remission period (recovery period), we should pay attention to physical exercise, do qigong, and do breathing exercises with Tai Ji Chuan. To improve lung function.

Carbuncle of lung

Lung abscess is a disease caused by lung abscess. The main clinical symptoms are fever, cough, chest pain, excessive expectoration, foul smell or purulent blood. The clinical manifestations of pulmonary abscess, purulent pneumonia, pulmonary gangrene, bronchiectasis infection and suppuration in western medicine are similar to this disease, which can be used as a reference for diagnosis and treatment.

1, etiology and pathogenesis

(1) Wind-heat pathogen invades the lung, or wind-cold turns into heat. Pathogenic heat accumulates in the lung, heat toxin burns the lung, and heat is trapped in blood stasis, resulting in carbuncle, blood failure and pus.

(2) Deficiency of healthy qi and excess of phlegm heat; Or excessive drinking, improper diet, overeating spicy taste, leading to internal heat, wind-heat pathogen and toxin recurrence, internal and external evil knot.

(3) Diseases are generally divided into four stages:

① In the early stage, pathogenic wind and heat invaded the lungs, and the lungs lost their benefits, resulting in aversion to cold, fever, cough and other symptoms.

② Stage of carbuncle: pathogenic heat blocking the lung, steaming fluid to resolve phlegm, toxic heat invading the blood, damaging blood vessels, and heat blocking blood stasis, resulting in carbuncle.

(3) purulent stage: intense heat, rotten meat with blood, internal ulceration and exudation, coughing up a lot of smelly purulent sputum or purulent blood sputum.

(4) Recovery period: Tooth poison is gradually exhausted, and healthy qi is gradually restored (if it is delayed for a long time, the residual poison is not clean, and evil love is insufficient, it will consume gas and hurt yin, and turn into a chronic lung abscess).

2. dialectical therapy

(1) Initial stage:

Symptoms: aversion to cold and fever, cough and chest pain, scanty and sticky sputum, dyspnea, dry mouth and throat, thin and yellow tongue coating, and slippery pulse.

Treatment: dispelling wind and clearing heat, clearing lung and resolving phlegm.

Main prescription: Yinqiao powder.

(2) Maturity:

Symptoms: shivering, sweating with heat, chest tightness and pain, restlessness, cough, shortness of breath, uniform shortness of breath, cough and expectoration, unpleasant smell, dry mouth and throat, irritability, yellow and greasy tongue coating and slippery pulse.

Treatment: clearing away heat and toxic materials, removing blood stasis and eliminating carbuncle.

Main prescription: Qianjin Weijing Decoction.

(3) purulent stage:

Symptoms: Cough with purulent blood, or expectoration like rice porridge, with foul smell, chest tightness and pain, even asthma, unable to lie flat, red face, dry mouth and thirst, red tongue with yellow and greasy coating, and slippery pulse.

Treatment: expelling pus and removing blood stasis, clearing away heat and toxic materials.

Main prescription: orange stem soup and Qianjin reed stem soup.

(4) Recovery period:

Symptoms: body heat gradually recedes, cough is relieved, pus and phlegm become thinner, or dull pain in chest and hypochondrium, shortness of breath, spontaneous sweating and night sweats, low fever or hot flashes, pale face, emaciation, red tongue, thin fur and weak pulse can be seen.

Treatment: moistening lung and resolving phlegm, benefiting qi and nourishing yin.

Main prescription: Qingzao Jiufei Decoction.

3, dialectical nursing

(1) ordinary care:

① Keep the indoor air fresh, often open windows for ventilation and strengthen air disinfection.

② Strictly observe the cough and expectoration, and the characteristics of sputum are an important basis for staging. Do a good job in disinfection of sputum and sputum utensils.

③ Pay attention to oral cleaning and gargle after expectoration.

(2) initial care:

① Nursing care of treating lung-Wei syndrome from common cold and epidemic febrile diseases.

② Pay attention to the changes of chest pain and sputum volume. If expectoration increases, the amount and color of sputum should be recorded correctly for early diagnosis.

(3) Expansion in mature stage:

① Observe the changes of quantity, color and smell of fever, chest pain and phlegm. If the heat is strong, the phlegm is yellow and turbid, the smell is foul and the amount is large, which is an important performance of this period.

② Sputum is disinfected with "84" carbolic acid disinfectant and then dumped. Sputum utensils are often disinfected.

③ Do oral care every day and rinse your mouth after expectoration.

④ Patients with severe chest pain can take lateral position, or wrap the chest with wide adhesive tape to reduce local activities and relieve pain.

⑤ Diet should be vegetarian and semi-liquid, high fever should contain more fresh vegetables and fruits, and spicy, greasy and fried foods should be avoided.

⑥ High fever should be cooled in time, and the nursing contents of "wind-temperature-qi syndrome" can be referred to.

(4) purulent stage:

① The key point of nursing in this period is expectoration. According to the lesion site, use the hollow palm to pat the back or position to drain, so that the sputum can be discharged smoothly.

② Observe the difficulty of expectoration, the nature and quantity of sputum, and keep samples for inspection in time.

③ Disinfect sputum and sputum utensils.

④ Do oral cleaning care every day.

⑤ When phlegm is sticky and difficult to cough, you can take bamboo juice orally to eliminate phlegm according to the doctor's advice. Or the traditional Chinese medicine Houttuynia cordata liquid is atomized and inhaled, and those who are unable to cough up sputum should suck sputum.

⑥ After abscess and purulent sputum are discharged, appetite increases, and soft, digestible and nutritious food is still needed when the function of spleen and stomach is initially restored. Eat less greasy food, and eat a bowl of tonic such as soybean milk and barley porridge every day.

(5) Recovery period:

① You can get out of bed properly to gradually enhance your physical strength, but don't be overworked.

② Lung-nourishing food should be gradually added to the diet, greasy, spicy and spicy food should be avoided, and alcohol should be given up.

4. Health guidance

(1) According to the recovery of illness and physical condition, choose appropriate exercises, such as Qigong, breathing exercises, walking and Tai Ji Chuan.

(2) prevent colds.

(3) Quit smoking and eat fast and spicy food that hurts the yin.

(4) When symptoms of respiratory discomfort such as cough appear, seek medical advice in time for early diagnosis and timely treatment.

consume

Tuberculosis is a chronic debilitating disease, characterized by cough, hemoptysis, hot flashes, night sweats, and gradual weight loss. It is contagious and equivalent to tuberculosis in western medicine.

1. Etiology and pathogenesis: deficiency of vital qi, deficiency of essence and qi, infection with tuberculosis, and tuberculosis eroding the lungs, leading to this disease.

(1) Internal causes: congenital deficiency, acquired malnutrition, careless living, drunken fatigue, internal injuries in seven orifices, and lack of healthy qi.

(2) External cause: Tuberculosis worms take advantage of the situation and erode the human lung lobes, leading to the onset. The pathological changes are in the lung, lung damage and deficiency, and cough and hemoptysis due to lung yin deficiency; If the disease affects spleen and kidney for a long time, then lung, spleen, lung and kidney will suffer from the same disease. Yin deficiency and excessive fire, lung and kidney deficiency, hot flashes, night sweats and emaciation; Deficiency of both qi and yin due to lung and spleen diseases can be seen as anorexia, loose stool and fatigue. Long-term yin-yang deficiency, shortness of breath, palpitation, cold limbs and edema.

2. Treatment based on syndrome differentiation

(1) lung yin deficiency:

Symptoms: fever in the afternoon, flushing on cheeks, coughing and hemoptysis, or dry cough with little phlegm, blood in sputum, dry mouth and throat, red tongue with little fluid, thin yellow fur and rapid pulse.

Treatment: nourishing yin and moistening lung, relieving cough and resolving phlegm.

Main prescription: Yuehua Pill.

(2) Deficiency of both qi and yin:

Symptoms: fever in the afternoon, red cheekbones, night sweats, cough or hemoptysis, dull mouth, cold limbs and loose stool, fatigue, emaciation, shortness of breath, red tongue with little body fluid, thin and greasy tongue coating and weak pulse.

Treatment: invigorating spleen and moistening lung, benefiting qi and nourishing yin.

Main prescription: Baozhen decoction.

(3) Yin deficiency of lung and kidney:

Symptoms: bone steaming, hot flashes, fever in hands and feet, red cheekbones, night sweats, cough with little phlegm, yellow and sticky phlegm, hemoptysis, backache, insomnia, dizziness, tinnitus or nocturnal emission, irregular menstruation in women, red tongue and thready pulse.

Treatment: nourishing yin to reduce fire, nourishing lung and tonifying kidney.

Main prescription: Lily Gujin decoction.

3, dialectical nursing

(1) ordinary care:

① The disease is contagious, so it is best to live in a specialized hospital or ward and isolate the respiratory tract. The ward environment is sunny and the air is fresh. No smoking.

② Take the temperature 2 ~ 4 times a day, especially pay attention to the temperature changes in the afternoon and evening.

3 yin deficiency, night sweats, sweating, clothes and quilts should not be too warm at night; Dry it in time after sweating, and don't catch cold.

④ Patients with hemoptysis should closely observe the time, frequency, blood color and blood volume of hemoptysis, and report to the doctor when necessary. Closely observe the symptoms of massive hemoptysis, that is, bloody breath and itchy throat; In the event of massive hemoptysis, it is necessary to prevent the occurrence of hemoptysis and suffocation, make all rescue preparations, and cooperate with doctors to rescue. Please refer to "Blood Syndrome" for nursing.

⑤ For those with severe cough and expectoration, Qiuli Ointment and Fritillaria Fritillariae Cirrhosae Powder can be taken orally.

6 diet emphasizes increasing nutrition and is easy to digest. Eat eggs, milk, soybean milk, lean meat, fresh fruits and vegetables. Avoid spicy, alcohol and tobacco, warm and dry food. You can eat garlic (preferably 2 pieces of garlic) and cook japonica rice porridge every day, which has the effect of tonifying the lungs and fighting tuberculosis.

⑦ Chinese medicine for nourishing yin and tonifying lung should be taken on an empty stomach in the morning and evening.

(2) lung yin deficiency syndrome

(1) refer to "ordinary care".

② Pay attention to health care, regular diet and daily life, and avoid overwork.

(3) married women should not give birth for the time being, and pregnant women should terminate their pregnancy.

(4) With dietotherapy, for example, in winter, duck and broth can be stewed with Cordyceps, and turtle soup can also be eaten.

(3) Deficiency of both qi and yin:

① General nursing contents.

② Lung-qi deficiency reduces the function of defending against the outside world, and it is easy to catch a cold. It is necessary to strengthen daily life and meteorological care (wearing masks in public places), increase or decrease clothes and quilts with the weather changes, and take shelter from the wind after sweating.

(3) Those who sweat too much should be dried in time, and can be taken with Astragalus membranaceus, wheat and jujube soup, which has the effect of benefiting qi, astringing yin and stopping sweating.

(4) Those who eat less loose stool have weaker spleen and stomach functions, and should be accompanied by products that strengthen the spleen and replenish qi, such as yam, longan, lotus seeds, coix seed and red dates. Avoid eating soft-shelled turtle, eel and other things that nourish the spleen.

(4) Yin deficiency of lung and kidney:

① Refer to general treatment.

② Observing the changes of illness, such as chest tightness, irritability, itchy throat, bloody smell in the mouth, etc., are all precursors of bleeding. If you cough and bleed for a long time, give notoginseng and white powder orally according to the doctor's advice.

(3) found big hemoptysis, according to the "blood card" related content nursing.

(4) Do psychological care to eliminate tension and fear.

⑤ It is advisable to eat foods that tonify lung and kidney yin. Such as mulberry, tremella, turtle, lily, donkey-hide gelatin, cordyceps duck soup and so on.

4. Health guidance

(1) instruct patients to cover their nose and mouth with handkerchiefs when coughing or sneezing to prevent droplet germs from spreading to others.

(2) Continue to take medicine according to the doctor's advice to consolidate the curative effect.

(3) Improve nutrition, pay attention to proper rest and exercise, and enhance physical fitness.

(4) Thoroughly disinfect respiratory tract discharge in time.

(5) regular review, in order to timely health care or treatment.