1.What is chronic bronchitis?
The so-called chronic air bronchitis is due to infection (such as bacterial, viral infection) or non-infectious factors (such as smoking, atmospheric pollution) caused by inflammatory changes in the bronchial mucosa, early symptoms are mild, mostly in the winter onset of spring remission; late inflammation aggravated, symptoms can exist for years, regardless of the season, this is the so-called chronic bronchitis.
2, the diagnosis of chronic bronchitis points.
After excluding heart, lung and other diseases, anyone who has chronic or recurrent cough and sputum, the onset of which lasts for at least 3 months each year and for more than 2 consecutive years, can be identified as having chronic bronchitis. (What diseases should be excluded? ) Such as tuberculosis, bronchial asthma, bronchiectasis, silicosis, lung cancer, and also with heart disease, including rheumatic heart disease, hypertensive heart disease, and coronary heart disease, as these diseases are often associated with cough. Of course, it should also be distinguished from acute bronchitis, which has no history of chronic cough, sputum and wheezing; the onset of the disease is fast, starting with cough and later coughing up mucous or purulent sputum; systemic symptoms such as fever improve within 3 – 5 days, but cough and sputum symptoms often last 2 – 3 weeks before recovery.
3. Common causes of chronic bronchitis.
(1) Common external causes include: smoking, atmospheric pollution, cold and exposure to cold, allergens (e.g., some people are allergic to certain pollen, food, dust, chemical gases, etc. causing cough, cough and wheeze. There are many chronic bronchitis patients with asthma who have a history of allergies; infectious factors (such as viruses and bacteria), etc. Some people put atmospheric pollution at the top of the list of external causes, while others put cold and exposure to cold at the top. However, the top three causes are smoking, atmospheric pollution and cold. Therefore, to prevent the occurrence or exacerbation of chronic tracheo-bronchitis, we should also start from these aspects.
(2) Common internal causes are.
This is in line with the theory of Chinese medicine that “if you have the right qi inside, the evil cannot dry out, and if you have the right qi, it will be weak”. The normal human respiratory tract has perfect defense functions, which can filter, warm and moisten the inhaled air; the oscillation of bronchial cilia and the cough reflex can eliminate foreign bodies and excess secretions; the phagocytes in the bronchi and alveoli can destroy the invading germs. If the respiratory function of the whole body is diminished, the immune function is decreased. It is the intrinsic condition for the development of chronic bronchitis. The reason why there is a high prevalence of chronic bronchitis in middle-aged and elderly people is because of the aging of their respiratory tissues.
② Phytonadic dysfunction: Some people’s respiratory nerves are particularly sensitive, and even weak stimulation of external harmful substances that do not work for normal people can cause contraction and spasm of the bronchial smooth muscle in these people. The secretion of mucus increases. The cough, sputum and wheezing will form chronic bronchitis after years of repetition.
③Allergic factors: Patients with chronic bronchitis have a history of allergies more than healthy controls (allergies to certain pollens, foods, dust, germs, chemical gases, etc., can cause coughing, coughing & wheezing) especially those with wheezing type.
④ The influence of other upper respiratory tract lesions: For example, some young and middle-aged patients, who do not smoke and live in a good environment, are found to have lesions in their upper respiratory tract after careful examination, such as chronic rhinitis, sinusitis, pharyngitis, tonsillitis, etc. These lesions develop repeatedly and are not treated in time, and the infectious material of the lesions goes down into the lower respiratory tract and causes inflammation so repeatedly. This is a good way to get the most out of your life.
The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of things.
4, the complications of chronic bronchitis: its complications are mainly 3 kinds.
(1) obstructive emphysema: chronic bronchitis is the basis of obstructive emphysema, obstructive emphysema is the most common complication of chronic bronchitis, the two are closely related obstructive emphysema during functional compensation, although there is pulmonary hypertension and ventricular hypertrophy, but no heart failure performance. If the disease continues to worsen, it can be complicated by pulmonary heart disease (referred to as pulmonary heart disease). Heart failure can be induced.
(2) Bronchopneumonia: Chronic bronchitis spreads to the peribronchial lung tissue. Then bronchopneumonia occurs. This is when the patient has chills and fever. The cough increases. The sputum volume increases and is seen to be purulent and other symptoms. On laboratory examination, the total number of white blood cells and neutrophils increase. x-ray examination, there are spots or small shadows in the two lower lung fields.
(3) Bronchiectasis; recurrent episodes of chronic bronchiectasis. The bronchial mucosa is congested, edematous, ulcers are formed, the wall fibroplasia, the lumen is more or less deformed, or dilated or narrowed. The dilated part is mostly columnar change.
5. Regarding the treatment of acute and chronic bronchitis.
Acute bronchitis belongs to the category of external cough in Chinese medicine, mostly due to external evil attacking the lung guard with superficial evidence, and can be divided into 5 types: wind-cold, wind-heat, wind-dry, phlegm-heat and wind-heat with dampness. The treatment of acute bronchitis and chronic bronchitis during acute exacerbation is mainly infection control, expectorant and cough relief, antispasmodic and asthma relief, and nebulization, but the effect is not ideal, some patients still have no effect after one or two weeks of treatment, and some do not solve the problem even after one month or even half a year of treatment, costing several thousand dollars or even more; I have for many years, according to the principle of Chinese medicine based on the whole, according to the chronic bronchitis I have been using Chinese medicine for many years to treat acute and chronic bronchitis according to the different stages of chronic bronchitis, which are divided into wind-cold type, wind-heat type, spleen deficiency, phlegm-damp type, etc. The combination of evidence and disease identification has achieved satisfactory results. According to the principle of “treating the symptoms when it is urgent, and treating the root cause when it is slow” in Chinese medicine. During the remission period, the treatment principle of supporting the root of the problem and strengthening the spleen and kidney was adopted, which effectively reduced and prevented the recurrence of chronic bronchitis.
6.Talk about the dietary contraindications for patients with chronic bronchitis. What foods are appropriate to eat first?
Chronic bronchitis patients are advised to eat more fresh vegetables and fruits to supplement adequate amount of vitamins and inorganic salts. Among the vegetables, radish, cut beans, mushrooms, loofah and soy products, and among the fruits, pear, batch handle, caper, lotus root, watermelon, etc. are suitable.
When more food yam powder, silver fungus, lily, walnuts, almond cream, etc.. When available, they can also be eaten together. Some foods such as loquat, orange, lily, jujube, pear, honey, radish, almond, etc.. The actual foodstuffs, such as lozenges, oranges, lilies, dates, pears, honey, radishes, almonds, etc., have the effect of strengthening the spleen, tonifying the kidneys, relieving cough, resolving phlegm, and benefiting the lungs.
Then talk about what foods you should not eat. The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that there are also four gases, hot, warm and cool, and five flavors of pungent, sweet, sour, bitter and salty. The patient with diffuse bronchitis should not eat spicy, sea fishy, greasy food. The spicy class such as onion, garlic, chili, leek, alcohol and other foods, irritating, can cause acute attacks of chronic bronchitis or aggravate the condition; greasy class such as animal fat, fatty pork, fried food, etc., can hurt the spleen and stomach, and help wet phlegm malady, easy to make the disease relapse or aggravate; fishy class such as fish, shrimp, crab, etc. for foreign body protein, easy to trigger allergic reactions. It can trigger wheezing attacks in patients with asthmatic slow-onset. People with a history of allergies should avoid eating them. There is a folk proverb that says: “Fish produces fire, meat produces phlegm, cabbage and tofu keep safe.” There is a lot of scientific truth to this. Chronic bronchitis patient’s diet should be light, do not eat too much fat, sweet and thick taste, is some greasy things can not eat more.
7, then talk about chronic trachea – bronchitis patient health care.
(1) First of all, we must be emotionally stable and optimistic. As the recurring attacks of chronic bronchitis, the patient’s psychology and physiology have many adverse effects. Therefore, patients should always maintain emotional stability, mental optimism, psychological balance, avoid the stimulation of tension, anxiety, depression and other adverse factors, establish confidence to overcome the disease, and actively cooperate with treatment. Studies have shown that a good mood can enhance the immune function of the body and promote the recovery of the disease.
(2) To improve the living room environment. Chinese medicine believes that “heaven and man correspond”. A sudden drop in temperature, excessive wind speed, high or low air pressure, dryness and humidity of the air and pollution of the ambient air can lead to an acute attack of slow-onset. Therefore, according to the changes in the weather, you should always increase or decrease your clothes, shoes, hats and bedding to prevent the invasion of cold evil and induce disease. The living room should be quiet, clean, air circulation, fresh, no smoke pollution, but also sufficient sunlight. Room temperature is best controlled at about 18 ℃ ~ 20 ℃, relative humidity at about 40% to 50%.
(3) to pay attention to the prevention and treatment of colds. Clinical medical research shows that colds are an important trigger for the onset and acute attack of Lonichiasis. According to statistics, more than 9o% of patients with chronic branch colds can cause an acute attack. Therefore, attention should be paid to the prevention and treatment of colds. In addition to paying attention to finding out the regularity of susceptible to colds, taking the initiative to avoid and eliminate the good factors for the purpose of prevention, gammaglobulin can also be used under the guidance of doctors. The latest research proves that taking BCG vaccine also has obvious preventive effect. You can also take some traditional Chinese medicine to support the root of the disease and benefit the qi and fix the surface. More importantly, strengthen cold exercise and insist on washing your face with cold water from the beginning of autumn. Practice has proved that this method can effectively enhance the body’s ability to resist cold and prevent the occurrence of colds.
(4) To absolutely quit smoking and limit alcohol. Smoking is an important cause of “slow-onset”. Research shows that cigarette smoke can make the bronchial epithelium damaged, cilia off, resulting in low lung defense function, bacteria take advantage of the situation, aggravate the respiratory tract infection, inducing “chronic” acute attacks. According to statistics, 70% of patients with “chronic bronchial disease” can be relieved to varying degrees after quitting smoking. Alcohol can produce moisture and accumulate phlegm, stimulating the respiratory tract and causing violent coughing, which is extremely detrimental to the recovery and stability of the disease.
(5) To appropriate physical exercise. According to the hobbies, interests and physique of each person, actively participate in various physical exercises as far as possible, the intensity varies from one person to another, and it is appropriate to be comfortable, so that the pulse rate after exercise does not exceed 120 times/minute and no shortness of breath. In the project can choose jogging, aerobics, taijiquan, qigong, mountain climbing, etc. These activities can enhance physical fitness, improve the body’s ability to resist disease and adapt to external climate change. Breathing exercises, chest expansion exercises, abdominal breathing and other training can also be carried out, which can improve lung capacity and enhance effective breathing.
(6) Scientific dietary regimen. The digestion and absorption of nutrients are often affected by the poor transport function of the spleen in patients with “slow branching”. Therefore, the daily diet should be mainly for strengthening the spleen and appetite, light, warm and soft is appropriate. The main thing is to supplement the food rich in vitamins, trace elements and high-quality protein. Nutrition believes that pears, lotus seeds, lilies, dates, walnuts, honey and fresh vegetables have the effect of expectorant, strengthening the spleen, tonifying the kidneys and nourishing the lungs, and are suitable for regular consumption. Winter cold, should eat more food containing high heat, such as mutton, poultry eggs, soybean products, etc., to enhance the body’s ability to resist the cold. Salty and spicy, thick and greasy, dry and hot products should be eaten sparingly or forbidden.
Finally, four sentences as the end of this article, may be helpful to everyone, that is: reasonable diet, moderate exercise, psychological balance, quit smoking and alcohol.