Chinese and Western medicine treatment and prevention of costochondritis

  The rib cartilage (Cartilago costalis) is located on the ventral side of the ribs and is composed of hyaline cartilage. The rib cartilage of the first few pairs of ribs is directly connected to the sternum and is called true ribs or sternal ribs; the rib cartilage of the remaining ribs is connected by connective tissue in sequence to form rib arches (Arcus costails), which become pseudoribs or arch ribs. Some ribs have free rib cartilage ends, called floating ribs.  Western medical treatment: 1, symptomatic treatment, taking pain medication, can be added with prednisone anti-inflammatory pain relief.  2, antiviral drugs. Viralin 0.1g, 3 times a day.  3, local when closed with nufcaine and prednisolone.  4, smoking is prone to serious complications of costochondritis A study at Sinai Hospital, Mo. found that the risk of costochondritis is directly proportional to smoking, while there is no significant correlation with gender, race, age, hypertension and diabetes. Thus, smoking is an important factor in the development of serious complications of costochondritis. Long-term smoking also triggers a higher incidence of cancer.  The clinical treatment is based on the following three types of evidence: 1, liver depression and blood stasis type: clinical manifestations of pain in the chest and hypochondrium, pain has a fixed place does not move, accompanied by headache and irritability, dizziness and dizziness, local swelling and pressure pain is obvious, the skin temperature is normal, the tip of the tongue has petechiae or petechiae, the pulse is stringent and astringent, the treatment is appropriate: dredge the liver and regulate the qi, resolve stasis and open the ligament. Herbs: 20g of Paeonia lactiflora, 15g of Radix Bupleurum, Radix Angelicae Sinensis, Citrus aurantium, Citrus aurantium and Radix et Rhizoma, 10g of Euphorbiae, Pericarpium glaucum and Phellodendron, 5g of Boswellia and Myrrh. Decoction in 3 doses, 1 dose daily.  2, heat and stasis interlocking type: clinical manifestations are intolerable pain in the chest and hypochondrium, aggravated by squeezing the chest wall or moving the affected upper limbs, with a burning sensation at the painful area, accompanied by bitter mouth and dry throat, short yellow urine, dry stool, red tongue and string pulse, etc. Treatment: Drain heat from the liver and activate blood circulation. Herbs: 30 grams of Xia Ku Cao, 20 grams of Dandelion, 15 grams each of Angelica Sinensis and Smallpox Powder, 5 grams of Rhubarb, 10 grams each of Andrographis paniculata, Red Herb, Peach kernel and Licorice. Decoction in 3 doses, 1 dose daily.  3, the body is weak and cold type: clinical manifestations for the chest pain, the pain is reduced by heat, increased by cold, accompanied by body fatigue, cold form, cold limbs, pale face, pale tongue, weak pulse, etc., treatment should be: to support the cold, warm the meridians, prescription: roasted astragalus 30 grams, red dates, cinnamon, angelica, atractylodes 15 grams each, Chuanxiong, heliotrope, roasted licorice 10 grams each, Hang Shao, Wei Ling Xian 20 grams each, water decoction in 3 times.  Preventive measures: 1, the weather has turned cold to avoid colds, often open the window ventilation, keep the indoor air fresh; 2, participate in more physical activities to enhance their resistance, pay attention to the combination of work and rest, do not overwork; 3, usually pay attention to keep warm, do not immediately undress when the body sweats, so as not to catch a cold; 4, pay attention to raise awareness of protection when working, lifting heavy objects to correct posture, beware of thoracic cartilage, ligament 5, can eat more leeks, orange, dog meat, adzuki beans and other foods, has the auxiliary therapeutic effect of soothing tendons and relieving pain.