Herpes pharyngitis is a self-limiting disease caused by an enterovirus and characterized by acute fever and herpes ulcers in the pharyngeal isthmus. The duration of the disease is usually 4-6 days, but in severe cases it can take up to 2 weeks. The disease is epidemic, often causing an epidemic in kindergartens or nurseries, with a slightly higher incidence in boys than in girls, and the same child may have multiple occurrences of herpes pharyngitis caused by different types of viruses (this is similar to hand, foot and mouth disease, viral colds, etc.). Although contagious, infection does not produce lifelong immunity. Affected children Herpes pharyngitis is an acute infectious, febrile disease caused by many group A coxsackieviruses and occasionally other enteroviruses, and is characterized by herpetic ulcerative mucosal damage. It is also said to occur secondary to acute rhinitis, pneumonia, influenza, malaria, epidemic meningitis, or alone, and herpes can occur in the oral mucosa in addition to the pharynx. The clinical features of the disease are sudden onset of high fever with sore throat, headache, anorexia, and often pain in the neck, abdomen and extremities. In infants, vomiting and convulsions often occur. Within 2 days of onset, a few (rarely more than 12) small (1-2 mm in diameter) grayish-white herpes appear on the oral mucosa, surrounded by a red halo, mostly on the anterior tonsils, but also on the soft palate, tonsils, uvula, tongue, etc. Within the next 24 hours, the blisters break down into shallow ulcers, usually less than 5 mm in diameter, and heal within 1-5 days. Complications are rare: symptoms usually disappear within 7 days. Long-lasting immunity is produced after infection, but other types of viruses in group A or other enteroviruses may also cause re-infection. Symptoms and diagnosis The disease is mainly characterized by acute fever, which may be persistent or recurrent. Older children often complain of sore throat, especially when swallowing, sometimes headache, abdominal pain or myalgia; infants and young children show irritability, refusal to eat, salivation and vomiting. Most children do not have cough or runny nose. Some children may have swollen or painful submandibular lymph nodes. Most routine blood tests are normal or slightly low blood counts. Diagnosis can be made based on symptoms and characteristic oral lesions. This is best confirmed by isolation of the virus from the lesions or by characteristic elevated antibody titers, but these tests are not routinely recommended. The differential diagnosis includes herpetic stomatitis (characterized by onset in any season and presenting with larger, longer-lasting ulcers), recurrent stomatitis, and Bednar’s stomatitis (which rarely occurs in the pharynx and is generally free of systemic symptoms). Coxsackie A group 10 virus also causes similar lesions (lymphadenopathy), but the damage in the oropharynx is prominent, presenting white to yellow nodules, and treatment is symptomatic. Treatment The disease is better treated with a combination of Western and Chinese medicine or mainly Chinese medicine. Treatment is not complicated, as there are no special antiviral drugs, and antibacterial drugs are also ineffective against viruses, treatment is based on Chinese herbal medicine for identification and treatment, antiviral and symptomatic treatment. Herpes pharyngitis is a damp-heat laryngeal paralysis, which is caused by external damp-heat attacking the pharynx, and is often treated by detoxifying the pharynx and relieving dampness and heat. Local treatment of pharyngeal isthmus can also be carried out by using pressurized or ultrasonic nebulized inhalation of antiviral drugs, sprinkling into tin-like dispersion, ice borax, watermelon cream spray, etc.; when fever is present, antelope horn powder can be used to clear the fire and reduce fever to prevent frightening wind, and physical therapy can also be used to lower the temperature, and antipyretic drugs such as Torn and Merlin can be used when the body temperature exceeds 38.5℃; when the body temperature exceeds 39.5℃, there is vomiting, convulsions, and affects diet and sleep, it can be combined with infusion support If the body temperature exceeds 39.5℃, vomiting, convulsions, affecting diet and sleep, we can cooperate with infusion support therapy and symptomatic central cooling measures; if the routine blood test indicates an increase in white blood cell count and neutrophils, we can use anti-bacterial drugs, otherwise, we should not use anti-bacterial drugs. Personal experience: the treatment of this disease, I advocate the combination of Chinese and Western medicine treatment or even Chinese medicine treatment is the main, according to the specific circumstances of evidence-based treatment, if you can take Chinese herbal medicine children try to cooperate, because the effect of antipyretic, ulcer healing and overall condition improvement, Chinese medicine evidence-based treatment effect is better than Western medicine, parents of children who have received treatment here I believe will have a deep experience, sometimes one or two doses of Chinese medicine fed down, antipyretic Sometimes, after one or two doses of herbal medicine, the fever goes down quickly, the ulcer heals quickly, and the child’s appetite is restored quickly. It is also important to take the medication and diet. I put this together in the hope that more people will benefit, because I have come into contact with too many such children, when the disease dare not stimulate food, drink, dare not drink more water, let people look really heartbroken. It is important to take a blood test during the visit to give the doctor a general direction on the medication to use, so that your child may use less medication. In addition, I would like to reiterate that I hope parents and friends pay attention and pay attention to the fact that “antiviral” is not the same as “detoxification”, “inflammation” is not the same as ” The “inflammation” is not the same as “fire”, and vice versa. In the treatment of this disease, do not use too many Chinese medicines such as Pu Di Lan Anti-inflammatory Oral Liquid, Qing Kai Ling, Shuang Huang Lian and An Gong Niu Huang Wan, which are mainly used to clear heat and detoxify toxins. Children with the disease should be isolated for 2 weeks, and used food utensils should be disinfected with boiling water to prevent cross infection. No vaccine has been developed for this disease. Because there are many types of intestinal viruses, the same child can be repeatedly infected with the disease. (Recently, I saw a child 6 months old who got it twice this month, 3 weeks apart.) During the treatment period, pay attention to rest, do not engage in strenuous activities, get enough sleep, drink enough water, eat less food, eat more vegetables, do not eat sorbet, do not drink drinks. The diet should be kept light, drink more warm water, give the child more vitamin-rich vegetables, fruits, etc., and eat as little fried and fried greasy food as possible. Avoid eating irritating food, such as acid, sweet, spicy, salty, hot, hard and so on, especially pay attention to not eat too hot, too cold food, to avoid stimulating the oral ulcers caused by pain. You can take appropriate amount of mung beans, bitter melon, barley, rice, etc. to cook porridge or soup, let it cool and give the affected children appropriate amount to drink. Food therapy: If it belongs to damp-heat type, use 3 mucuna pruriens (cloth wrapped decoction) and coix seeds (about 30 grams), add water and decoction, drink soup and eat barley. Complications It is often secondary to acute rhinitis, pneumonia, influenza, malaria, epidemic meningitis, and can occur alone, and herpes can occur in the oral mucosa in addition to the pharynx. If the disease occurs alone, there are often no systemic symptoms. Pain in the pharynx, affecting swallowing. In infants and young children, the disease is often characterized by crying during feeding, reluctance to eat, swollen submandibular lymph nodes with pressure pain, sometimes accompanied by fever, and examination of the pharynx herpes occurs more often. Prevention How to prevent herpes pharyngitis, children should wash their hands regularly, go to public places less often, ventilate more indoors, and also strengthen exercise to enhance resistance. If you find that your child has headache and other symptoms, go to the hospital in time. In addition, affected children mostly have difficulty swallowing due to pain in the throat. They can eat more easily digestible liquid or semi-liquid, and also eat more vegetables and fruits rich in vitamins.