Chronic pharyngitis occurs in young and middle-aged people, and its incidence is increasing due to factors such as increasing stress in life and worsening air pollution. The use of Chinese medicine for evidence-based treatment is more satisfactory. However, patients taking tonics often give up halfway because of the long and time-consuming course of treatment and the poor taste of the medicine. Although there are many varieties of proprietary Chinese medicines, they have a single functional subject, mostly for nourishing yin and clearing heat to benefit the throat, which is far from being able to adapt to complex conditions. We often use Chinese medicine tea in the clinic, because the taste is light, easy to take, easy to adhere to, and achieved better results.
The five senses are located in the head and face, residing in the highest position, for the clear and empty orifices, the power of medicine is often difficult to reach, so the ancients had the admonition: “treatment of the upper jiao like feathers, non-light does not lift.” The treatment of throat diseases is characterized by the lightness of the medicine, the taste of the medicine should be small, the nature of the medicine should be clear, the amount of medicine should be light, light and clear upward, in order to directly reach the disease. All drugs can dispel evil, can hurt the right, where the deficiency, can stay evil. Chronic pharyngitis is a long course of treatment, if the use of bitter, cold, pungent, hot, forceful and severe products, the patient’s organism caused by the new imbalance of qi, blood, yin and Yang, the old disease has not gone, but add new diseases. Therefore, it is advisable to take calm medicine, nourishing Yin to prevent greasiness, nourishing Qi to prevent congestion, clearing heat to prevent injury to the stomach, regulating Qi to prevent depletion of Qi, resolving phlegm to prevent injury to Yin, in order to slow down the treatment of the figure. Suitable for making Chinese medicine tea, to the body light and loose taste of sweet and light leaves, flowers, fruits, seeds and fresh products, the taste of medicine is generally less than 3 flavors, just in line with the characteristics of throat disease medicine.
China’s Guangdong area has the habit of drinking herbal tea in the summer, its ingredients are mostly Gangmei root, honeysuckle and other medicinal cold detoxifying drugs, on the sore throat, mouth and tongue sores, constipation and other “fire” symptoms more effective. As a result, many people mistakenly take herbal tea as a common drink for the treatment of pharyngitis, not knowing that not all pharyngitis are suitable for taking herbal tea.
Pharyngitis, known as laryngeal paralysis, common wind-heat attack, lung and stomach heat, spleen qi weakness, heart fire, yin deficiency fire, qi stagnation phlegm condensation several types of evidence. Among them, wind-heat attack, lung and stomach heat belongs to acute pharyngitis or chronic pharyngitis acute attack, other evidence belongs to chronic pharyngitis. The herbal tea is cold and has the effect of clearing heat and detoxification, and is only suitable for acute pharyngitis with heat and toxicity. If used improperly, not only can not be effective, but also vainly hurt the spleen and stomach. Chinese herbal teas, like tonics, need to be chosen on the basis of evidence. We often use the following teas for various types of chronic pharyngitis.
A, spleen qi weakness
Main evidence: unfavorable pharynx, phlegm sticky feeling, throat dryness and slight pain, dry mouth does not want to drink or prefer hot drinks, throat congestion and obstruction, white secretions, nausea and dry vomiting, fatigue, more speech after the symptoms aggravated. Systemic manifestations include body fatigue, poor appetite, abdominal distension after eating, unformed or loose stools, heavy and weak limbs, and fear of cold in winter. The mucous membrane of the pharynx is pale and swollen, and the lymphatic follicles are enlarged and hyperplastic.
Herbs: fried lentils 10g, fried yam 10g, fried barley 10g.
These medicines are of the same origin as medicine and food, not dry and not greasy, and can be taken for a long time. If the spleen is deficient in phlegm and dampness, and the secretion is white in color and quantity, raw lentils and raw barley can be used to strengthen the effect of dampness.
The treatment should be beneficial to the spleen and spleen pharynx, if you mistakenly take herbal tea, it is like adding insult to injury.
Second, the heart fire hyperactivity
Main evidence: unfavorable throat, like frequent throat clearing, dry throat and sore throat, like to drink cold water or even ice water, painful tongue and mouth erosion. The heart is disturbed, temperamental, insomnia, sleeplessness, fatigue, burning urine, dry stool. The mucous membrane of the pharynx is bright red and the small blood vessels are exposed and dilated.
This evidence is often caused by internal fire of emotion and will, or excessive consumption of spicy and warm tonic things. Modern lifestyle, fierce competition, worrying and straining, constant entertaining; coupled with the improvement of living standards, the corresponding lack of health knowledge, blindly taking tonic, resulting in the increasing number of this evidence.
Medication.
1. 3g of lotus seed heart, 6g of light bamboo leaf, 10g of maitake.
Lian Zi Xin is bitter-cold and should not be taken for a long time. Light bamboo leaf and maitong are sweet and cold to produce fluid, which is effective for dry throat and thirst due to heat injury.
2.Golden lotus flower 6g, green fruit 2 pieces.
The green fruit is olive, has the effect of clearing heat, generating fluid and throat, is a common medicine for dry throat and sore throat, need to pat crack and then soak, to facilitate the leaching of active ingredients, can also be taken.
Golden lotus clears heat and detoxifies, and is mainly used to clear the fire of the five senses of the head and face, especially for chronic inflammation. Chinese medicine has the effect of clearing heat detoxification more bitter cold can not be used for a long time, but this product is smooth and desirable, does not hurt the spleen and stomach, no side effects, can often take no harm. Because of the fragrant smell, the tea soup is clear, known as the “Dragon Well”. This product with 6g of orris, 10g of dendrobium and 3g of raw licorice can prevent acute attack of tonsillitis.
3. 6g of golden lotus flower, 3g of bitter clove tea.
Bitter ding tea is good at clearing the head and eyes, removing irritation and thirst, and is also a meridian inducing medicine for the ear, so it is especially suitable for those with hyperactive heart fire, pharyngeal discomfort with tinnitus and red eyes. Because of its cold nature, it is only suitable for the evidence of real fire, and its prolonged use hurts the spleen and stomach.
Three, Yin deficiency fire
Main symptoms: severe dryness of the pharynx, frequent drinking of water, cold water and refusal of warmth, burning and stinging pain in the pharynx, paroxysms of itching, causing intense dry cough, no phlegm or little phlegm and sticky, difficult to clear. Dizziness and tinnitus, impatience and irritability, heat in the hands and feet, constipation. The pharyngeal mucosa is obscure and congested, with small blood vessels exposed to the net, dry and with little fluid.
Most of the patients with this disease are caused by wanton sexual indulgence, or straining and staying up all night, or yin deficiency in the body, or long term illness and injury to yin, or over consumption of warm and dry yin medicine, resulting in kidney yin deficiency and delusional movement of phase fire, which inflames the pharynx. “Smoke for the pungent heat of the kui …… where ginger, pepper, mustard, garlic and all spicy hot things, very can hurt yin”, long-term smoking, addicted to spicy hot abduction jerk ben Yong Na search for the slugs of the sea FeiZhuZhuFang trickery
Medication.
1. 10g of Bei Sha Shen, 10g of Sheng Di, 10g of Tian Dong.
Bei Sha Shen and Sheng Di have great power to nourish yin and generate fluid, while Tian Dong has strong power to clear fire. If the patient has obvious yin deficiency and no fire symptoms such as burning and tingling in the throat, asparagus can be replaced with maitong. However, both of them are cold and should be used with caution for those with loose stools.
You can also add umeboshi to strengthen the power of the production of Jin; can also be contained orally to relieve dry cough.
2.Dendrobium 10g, maitong 10g.
Commonly used in people with deficiency of lung and kidney yin, dry throat and sore throat, cracked tongue and pain.
3.Dendrobium 6g, Xuan Shen 6g, Zang Qing Guo 3g.
Mostly used in the post-acute pharyngitis recuperation, clear residual heat, nourish yin fluid and prevent recurrence. Or for intermittent period of recurrent acute pharyngitis.
4.Western ginseng 3g, Dendrobium 10g.
This formula is used for head and neck tumor after radiotherapy, damage to the mucosal glands of the pharynx, which is known as robbing of fluid in Chinese medicine. The symptoms are dry throat, dry cracking pain, dry and shiny mucous membrane of the pharynx, a large number of dry crusts attached, difficult to clean. Take the above two flavors of medicine repeatedly bubble, or lightly decocted over a light fire, drink frequently and slowly to moisten the throat.
Fourth, phlegm stagnation
Main evidence: foreign body sensation in the throat, obstruction, stuffiness, obvious when emptying the throat, frequent throat clearing, dryness and vomiting in the morning, no obstruction to breathing when eating. The mucous membrane of the pharynx is dark, swollen and thickened, and the lymphatic follicles of the posterior pharyngeal wall are hyperplastic and fused, or there are secretions attached. The whole body is characterized by chest tightness, depression, good tai-qi, and irregular menstruation.
The symptoms are similar to those of plum kernel gas, but there is no abnormality in the pharyngeal examination of plum kernel gas, while positive signs of pharyngeal mucosa are seen in this evidence. Because of the foreign body sensation in the pharynx, patients often suspect that they have a tumor in the pharynx.
In some patients, the disease is caused by emotional factors, and in others, it is caused by incomplete treatment of acute pharyngitis and prolonged stagnation of evil toxins in the mucous membrane of the pharynx.
Remedies used.
1. 2g of green calyx plum flower, 6g of rose flower and 6g of Buddha’s hand flower.
The three herbs are flowers, qi clear and light, light and clear up in the clear air of the orifice, regulate the qi without the drawbacks of dryness. It is used for people with mainly stagnant qi and non-heavy phlegm condensation.
If accompanied by dry throat, or hoarseness, add 2g of wood butterfly, which has the effect of regulating qi, nourishing yin and opening the voice.
2. 6g of peppermint stalk.
Peppermint is cool in nature, not only can clear the throat, there is also the function of draining the liver and relieving depression, the most suitable for the throat caused by qi stagnation. Because mint can ward off obscene gas, so it can be used for pharyngitis or tonsillitis caused by bad breath, and the first choice for the summer heat and humidity season. Peppermint stalks than leaves strong effect of Qi, no stalks available leaves, but peppermint leaves sweating power, easy to consume Qi and hurt Yin, should not be used for a long time.
3, orange luo 6g, geranium 10g.
Orange luo can regulate the qi, can resolve phlegm, without the dryness of Chen Pi and the drawbacks of qi consumption.
Tianzhu Huang clears heat and dissolves phlegm, calms the mind and nourishes Yin and nourishes fluid. It resolves phlegm with phlegm, and can moisten without phlegm, and is commonly used in the treatment of chronic pharyngitis. It is not only used for Qi stagnation and phlegm coagulation, but also for Yin deficiency and dry phlegm coagulation of the pharynx. Because of its function of calming the nerves, it can also be used for foreign body sensation in the pharynx of plum kernel gas.
Each of the above prescriptions is for its own evidence and should not be misused. However, there is another formula that is suitable for all types of pharyngitis. This formula is widely used in treating pharyngeal discomfort, and many famous pharyngeal formulas in ancient and modern times are made by adding flavor to it. This formula has been widely used in the treatment of pharyngeal discomfort. The “Epidemic Laryngology” is considered as “Zhong Sheng’s special cubic formula for laryngology at the beginning, which is a method not easy for thousands of years, so all the books on laryngology by previous sages are adopted.
The raw licorice enters the twelve meridians, exorcises the fire and moistens the lung to benefit the pharynx, while the orris promotes the lung to benefit the pharynx, opens and disperses the stagnant qi, and carries the medicine upward, so the two together can be effective for all causes of throat discomfort. Because they are mild in nature, there is no harm in using them in small quantities for a long time. If phlegm stagnation in the throat does not dissolve, coughing, you can add 12g of lycopodium (radish tassel) with the bubble to lower the gas and phlegm. Lycopodium for throat disorders, folk have a long history, a single taste of tea drink, the curative effect is also good. The herb “Compendium of Materia Medica” says: “Lycopodium, root and leaves are used together.” Therefore, you can also use white radish juice, into the tea to drink together. It is said that the lycopodium breaks the qi and is not suitable for deficient people, but there is no need to worry about small amounts, just be careful not to take it together with ginseng. Licorice anti seaweed, drinking this tea, avoid taking seaweed and other seaweed food at the same time.
Many people like to use fat sea to make tea and drink it regularly to treat pharyngitis. Fat sea is cold in nature, clears lung heat, clears the bowels and laxatives, and is suitable for sore throat, hoarseness, and hot knotted constipation caused by external wind-heat. All other types are not the right evidence. Fat sea can promote intestinal peristalsis, spleen deficiency loose stool people take aggravate the symptoms. Fat sea also has a small poison. Therefore, the general acute pharyngitis to take about 3 days, see the effect on the stop, never long-term drinking on behalf of tea.
Chinese medicine tea for chronic pharyngitis, the need for evidence-based treatment; at the same time to consider the side effects of drugs, can not be taken as a drink for a long time. The course of treatment more than 1 to 3 months, weak spleen, can serve more than half a year. As long as the identification is accurate, adhere to take, and maintain a healthy lifestyle, more will see results.