Patients with chronic pharyngitis often complain of pharyngeal discomfort, itching and coughing, throat obstruction, spitting out, swallowing, and from time to time, the sound of “uttering and clicking”. This is a condition called “slow laryngeal paralysis” in Chinese medicine. This disease occurs mostly in middle-aged people, with a long course of illness, more symptoms, repeated attacks, and not easy to cure. Chinese medicine believes that the throat is the gateway to the lungs and stomach, if the lungs and stomach contain heat, fire and heat on the inflammation, fumigation of the throat; or due to the lack of kidney water, false fire on the inflammation, burning fluid, can lead to chronic congestion in the throat, dry mucous membrane, throat loss of nourishment and disease. The following talk about how Chinese medicine is the treatment of chronic pharyngitis.
One, before the disease first prevention
1, careful living: keep the indoor air fresh is one of the effective measures to prevent chronic pharyngitis. The room should also maintain the appropriate temperature and humidity. The air is dry and too cold, too hot, too wet can affect the defense function of the pharyngeal mucosa, resulting in abnormal sensation of the pharynx, resulting in chronic pharyngitis lesions over time. Also do the morning, after meals and before going to bed rinse, brush your teeth, keep your mouth clean.
2, adjust the diet: diet should be light, less fatty, sweet and thick flavors and oil pressed food. In spring and autumn, eat more foods with acid and sweet nourishing yin, such as oranges, olives, duck pears, green fruits and fresh vegetables, etc.
3, move health: strengthen exercise, enhance physical fitness, to achieve the purpose of “positive energy within, evil can not dry”. Reduce the stimulation of tobacco, alcohol and dust, and correct bad habits such as open-mouth breathing. Also avoid excessive pronunciation.
4. Prevention of external infection: actively prevent respiratory tract infection, actively prevent and treat diseases of the mouth, nose and throat.
Second, both disease prevention and change
Chronic pharyngitis can exist independently, but also secondary to inflammation in other parts of the upper respiratory tract or many systemic diseases. Chronic pharyngitis treatment is not timely, but also can cause general discomfort, and even mute. Therefore, it must be treated urgently. The clinical manifestations of chronic pharyngitis can be divided into different types of symptoms, such as heat in the lung and stomach, liver depression and phlegm heat, and lung and kidney yin deficiency.
1.Treatment by evidence
(1) Heat in the lung and stomach
Clinical symptoms: dry mouth, dry tongue, unfavorable throat, dry cough with little yellow phlegm, red and red pharyngeal mucosa, yellow urine, dry stool, red tongue with yellow coating, and number or solid pulse.
Treatment: Clearing heat from the lung and stomach, removing phlegm and relieving pharynx.
Prescription: Clearing the lung and combining with clearing the stomach
Prescription: Forsythia 10g, Chuanxiong 10g, Angelica dahurica 10g, Huang Lian 10g, Yuan Shen 10g, Fatty Sea 10g, Sang Bai Pi 10g, Scutellaria baicalensis 10g, Gardenia jasminoides 10g, Bayberry 10g, Radix Angelicae Sinensis 5g, Glycyrrhiza glabra 6g.
(2) Liver stagnation and phlegm fire
Clinical symptoms: Dry and slightly painful pharynx, obvious foreign body sensation in the pharynx, not being able to vomit, not being able to swallow, especially when the mood is not good, impatience and irritability, stuffiness and distension in the chest, hyperplasia of follicles in the back wall of the pharynx, irregular bowel movements, red or light red tongue, yellowish greasy moss, and stringiness of the pulse.
Treatment: Dredge the liver and clear heat, resolve phlegm and promote pharynx.
Formula: Danjuania Easy-going San plus or minus.
Prescription: Dan Pi 10g, Gardenia 10g, Chai Hu 10g, Yu Jin 10g, Poria 12g, Peppermint 6g, Angelica 10g, Radix Paeoniae Alba 10g, Su Stem 10g, Mucuna Pruriens 6g, Zhe Bei Mu 10g, Licorice 6g.
(3) Yin deficiency of lung and kidney
Clinical symptoms: dryness of the pharynx, burning pain, heavier in the afternoon, or unfavorable pharynx, dry cough with little and thick sputum, dark red mucous membrane of the pharynx, irritable heat in the five hearts, red tongue with little fluid, thin pulse.
Treatment: Nourishing the lung and kidney, clearing heat and promoting pharynx.
Formula: For deficiency of lung yin, nourish yin and clear lung with addition and reduction; for deficiency of kidney yin, add and reduce Liu Wei Di Huang Wan.
Prescription: For lung yin deficiency, Xuan Shen 10g, Bai Shao 10g, Mai Dong 10g, Sheng Di Huang 15g, Mint 6g, Bei Mu 15g, Mudan Pi 10g, Kratom 10g, Hop Huan Hua 15g, Mab 10g, Sheng Gan Cao 6g. For kidney yin deficiency, Cornus Officinalis 10g, Yam 10g, Ze Di 10g, Mudan Pi 10g, Poria 10g, Shu Di Huang 10g, Sheng Di Huang 10g 10g, yu zhu 10g, shamrock 5g, eucommia 5g, raw licorice 6g.
(1) Watermelon cream lozenges: composed of watermelon cream, ice chips, menthol oil and menthol. Effects: Clearing heat and throat, reducing swelling and pain, suitable for chronic pharyngitis and sore throat. Take 2 tablets every hour.
(2) Nourishing Yin and clearing lung cream: composed of Di Huang, Mai Dong, Xuan Shen, Chuan Bei Mu, Bai Shao, Peony Peony, Peppermint, Licorice, etc. Effects: Nourishing Yin and moistening dryness, clearing the lung and improving pharynx, suitable for chronic pharyngitis with lung Yin deficiency. 10-20ml once, 2-3 times a day.
(3) Zhi Bai Di Huang Wan: It is composed of Zhi Mu, Huang Bai, Di Huang, Fu Ling, Ze Di, Shan Yu Pei, Mudan Pi and Shan Yao. Effects: Nourishing kidney yin and clearing phlegmatic fire, suitable for chronic pharyngitis with kidney yin deficiency and fire. 10-20 capsules once, 2-3 times a day.
(4) Golden Throat Health: This product is a spray, made of Einaricum oil, large fruit wood ginger seed oil, menthol, glycyrrhetinic acid monoamine salt, ethanol. Effects: Expel wind and detoxify, relieve swelling and pain, clear the throat. Spray the affected area, each time the appropriate amount, several times a day.
3.Prescriptions
(1) tea drink: chrysanthemum 10g, fat sea 10g, maitake 10g, wood butterfly 10g, raw licorice 6g infusion tea drink, drink several times a day. Efficacy: clear heat and throat, for chronic pharyngitis pharyngeal disadvantage.
(2) Luohan fruit tea: Luohan fruit 1, umeboshi 1. Luohan fruit chopped, into the plum, brewed with boiling water for ten minutes, drink several times a day. Effect: Clear the lungs and moisten the throat, for chronic pharyngitis, sore throat, itchy throat, etc.,.
Third, the diagnosis and treatment instructions
When patients visit the clinic, it is important to take a detailed medical history to exclude pharyngeal symptoms caused by early esophageal cancer, hyoid bone syndrome, tuberculosis, pharyngeal tumors and other diseases, and if necessary, ask for an ENT specialist examination to help confirm the diagnosis. If chronic pharyngitis is diagnosed, first avoid triggering factors, and then choose the appropriate medication according to clinical manifestations and classification. In addition, it should be noted that long-term use of lozenges can inhibit the growth of normal oral and pharyngeal flora, causing dysbiosis and other diseases. If you need to take lozenges, be sure to follow the dosage and the course of treatment.
Warm tip: please combine the specific medication with clinical, by the doctor’s face to face guidance shall prevail.