(Disclaimer: This article is for scientific use only, and the information in the following content has been processed to protect patient privacy)
Abstract: A 21-year-old female patient reported a sudden onset of coughing 4 days ago, which was ignored at the time, followed by coughing up yellow sputum and fear of cold 1 day ago, with a temperature of 37.4°C. She came to the hospital for consultation and treatment because of the strong discomfort. After the diagnosis of TCM, the patient was diagnosed with pulmonary fever, and was prescribed medication and TCM physiotherapy treatment.
Basic information】Female, 21 years old
Type of disease】Pulmonary fever
Hospital】Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine
Consultation time】July 2019
Treatment plan】Oral medication (Niuhuang Qinglung Tablets, Qinglung Fire Suppression Tablets) + TCM physical therapy (acupuncture and moxibustion at Dazhi point, Quchi point, Hegu point, Fengchi point)
[Treatment period] Hospitalization for 7 days, followed by discomfort after discharge
Effectiveness】The disease has been cured and the symptoms of cough, yellow phlegm, fever and chills have disappeared.
I. Initial consultation
When I first saw the patient, I saw his face was tired. The patient reported that he suddenly had a cough 4 days ago and did not pay attention to it at that time, and one day ago he had coughing sputum and chills. After careful questioning, the patient was found to be in good health and not suffering from chronic diseases such as hypertension. During physical examination, the patient was found to have a body temperature of 37.9℃, a red tongue with yellow coating, a floating pulse and yellow sputum.
II. Treatment history
The patient was told that the disease was caused by heat attacking the lungs, resulting in a loss of lung purification, and that heat-clearing herbs and TCM physical therapy should be used to improve the condition. First, the patient was given Niuhuang Qinglung Tablets and Qinglung Fire Suppressing Tablets, both of which have the effect of clearing heat and detoxifying the lungs and relieving cough, which can effectively improve the situation of excessive heat in the lungs after entering the body. The acupuncture points include Dazhi, Quchi, Hegu, and Fengchi, which can improve the peripheral blood flow and promote blood circulation, thus helping to reduce the adverse symptoms of coughing and yellow phlegm.
III. Treatment effect
On the first day of treatment, the patient’s symptoms of coughing, coughing yellow sputum and chills were reduced, body temperature was 36.8℃, body temperature had returned to normal, and mental status was good. On the 7th day of treatment, the body temperature was 36.6℃, the patient’s symptoms of cough, yellow sputum, fever and chills disappeared, and there were no other adverse symptoms such as nausea, vomiting, weakness and dizziness, etc. The patient had a normal pulse, light red tongue and thin white moss, and the disease was cured.
IV. Notes
As the patient’s illness slowly healed, my heart was very happy. When the patient was discharged, I advised him to take more rest, avoid staying up late, do some exercises such as walking and jogging, and reasonably increase his nutritional intake to ensure that his daily nutritional intake is sufficient and varied, which will help strengthen his body and prevent the re-entry of evil qi into his body.
Advise patients that a good, optimistic state of mind is also beneficial to their own health. In addition, if you find that you have fever, cough, yellow phlegm, etc., after returning home, you should seek medical advice promptly and formulate a treatment plan taking into account the evidence and the severity of the disease.
V. Personal insight
Coughing can be triggered by cold, cold air, low humidity, etc. However, it should be noted that certain illnesses can also trigger coughing symptoms at an early stage, such as pulmonary fever, as in the case of the female patient in this case, who initially ignored the symptoms of coughing and allowed the disease to progress and aggravate her discomfort. However, the patient in this case had a relatively mild condition and was cured after active treatment, and I felt relieved.