The guest invited in this program is Wang Qi, the leader of the basic theory of traditional Chinese medicine and now the doctoral supervisor of Beijing University of Chinese Medicine. He tells us something about cough.
The following is the video online viewing and main content introduction:
Common diseases that cause cough
1. Upper respiratory tract infection:
That is, the cold is caused by the virus entering the human body through the nasal cavity and throat, causing inflammation of the upper respiratory tract mucosa. When children catch a cold, they usually have symptoms of coughing.
2. Bronchitis:
Mostly because of the spread of upper respiratory tract infection, the onset is more urgent. At first, it was mostly dry cough, and then gradually there was discomfort such as cough and expectoration. In severe cases, there is hypoxia due to dyspnea, and the lips are blue and purple.
3. Pneumonia:
Children under 2 years old are mostly bronchopneumonia, mostly caused by upper respiratory tract infection or bronchitis. Generally, there will be dry cough, shortness of breath, cyanosis of lips and flapping of nose. Except for newborns, they usually have a fever of 39℃.
4. Acute laryngitis:
When viruses or bacteria pass through the throat, they can also cause throat infections. The most typical symptoms of acute laryngitis are hoarseness and even no sound except dry cough and sore throat. When inhaling air, it will make a dog-like cough, and in severe cases, it will produce a throat wheezing sound.
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Guest introduction in this issue
Qi Wang
Male, from Gaoyou, Jiangsu, 1943, leader of basic theory of traditional Chinese medicine, a national key discipline. He is currently a doctoral supervisor of Beijing University of Chinese Medicine, a member of the Academic Committee of Beijing University of Chinese Medicine, the director of the Research Center for Constitution and Reproductive Medicine of Traditional Chinese Medicine, an outstanding expert enjoying the special allowance of the State Council, and one of the second and third batch of 500 old Chinese medicine candidates from the Ministry of Personnel, the Ministry of Health and the Administration of Traditional Chinese Medicine.
He is also a member of the National Committee for Examination and Approval of Scientific and Technical Terminology, an expert member of the National Natural Science Foundation of China, a member of the expert database of medical malpractice technical appraisal of the Chinese Medical Association, a director of the Chinese Medical Association, an executive director of the Chinese Medical Association, a chairman of the Constitutional Branch of the Chinese Medical Association, a chairman of the International Constitutional Research Association, a deputy director of the Expert Committee on Clinical Drug Evaluation of the Chinese Medical Association, a member of the Expert Steering Committee of state administration of traditional chinese medicine Excellent Clinical Talents Training Project, an executive director of china sexology association, and an assistant editor of China Sexual Science.
clinical picture
1. The nature of cough is a cough with no or little phlegm, which is called dry cough. Dry cough or irritating cough is common in acute and chronic pharyngolaryngitis, laryngeal cancer, early acute bronchitis, tracheal compression, bronchial foreign bodies, bronchial tumors, pleural diseases, primary pulmonary hypertension and mitral stenosis. Cough with phlegm is called wet cough, which is common in chronic bronchitis, bronchiectasis, pneumonia, lung abscess and cavitary pulmonary tuberculosis.
2. Time and regularity of cough Sudden cough is often caused by inhalation of irritating gas or foreign bodies, lymph nodes or tumors compressing trachea or bronchial bifurcation. Paroxysmal cough can be seen in whooping cough, endobronchial tuberculosis and bronchial asthma (variant asthma) with cough as the main symptom. Long-term chronic cough is more common in chronic bronchitis, bronchiectasis, lung abscess and tuberculosis. Cough at night is common in patients with left heart failure and pulmonary tuberculosis. The cause of nocturnal cough may be related to the aggravation of pulmonary congestion and the increase of vagus nerve excitability at night.
3. The timbre of cough refers to the characteristics of cough sound. For example: ① Cough and hoarseness are mostly caused by vocal cord inflammation or tumor compression of recurrent laryngeal nerve; (2) Cockcrow-like cough, characterized by persistent paroxysmal severe cough accompanied by high-pitched inspiratory echo, which is more common in whooping cough, epiglottis, laryngeal diseases or tracheal compression; (3) Metal cough is mostly caused by mediastinal tumor, aortic aneurysm or bronchial cancer directly compressing trachea; ④ Low or weak cough sounds are seen in severe emphysema, vocal cord paralysis and extreme weakness.
Concurrent syndrome
1. Cough with fever is more common in acute upper and lower respiratory tract infection, tuberculosis and pleurisy.
2. Cough with chest pain is common in pneumonia, pleurisy, bronchopulmonary carcinoma, pulmonary embolism and spontaneous pneumothorax.
3. Cough and asthma are seen in laryngeal edema, laryngeal tumor, bronchial asthma, chronic obstructive pulmonary disease and severe lung.
Inflammation, tuberculosis, massive pleural effusion, pneumothorax, pulmonary congestion, pulmonary edema and foreign bodies in trachea or bronchus.
4. Cough and hemoptysis are common in bronchiectasis, tuberculosis, lung abscess, bronchial lung cancer, mitral stenosis, bronchial stones, pulmonary hemosiderosis and so on.
5. Coughing up a lot of purulent sputum is common in bronchiectasis, lung abscess, pulmonary cyst's complicated infection and bronchopleural fistula.
6. Cough with wheezing sounds is more common in bronchial asthma, chronic asthmatic bronchitis, cardiogenic asthma, diffuse panbronchiolitis and tracheobronchial foreign bodies. When bronchial lung cancer causes incomplete obstruction of trachea and bronchus, inspiratory wheezing with localized distribution may occur.
7. Cough with clubbed fingers (toes) is common in bronchiectasis, chronic lung abscess, bronchial lung cancer and empyema.