Chronic bronchiectasis and bronchiectasis test case

  Lu, female, 47 years old. Initial diagnosis: 2007.9.5. Complaint: Recurrent cough for more than six years, aggravated for more than one month.  History: Recurrent cough for six years, with easy onset during hot and cold climate changes. She had a history of sinusitis for more than 10 years and had a lot of sputum all year round, mostly yellow-purulent sputum. Western medicine diagnosed chronic bronchial complications with bronchiectasis. However, there was no history of hemoptysis. One month ago, he had a cough with yellow sputum with nasal congestion and chest tightness due to a cold, which was not cured after several weeks of treatment with antibiotics and Chinese and Western medicines to relieve cough and phlegm. The cough, nasal congestion, yellow pus sputum with chest tightness and dizziness, dry mouth and inability to drink, decreased appetite and dry stools, one line per day.  Tongue and pulse: white and greasy tongue coating, yellow and thick greasiness at the root of the tongue, thin and slippery pulse.  Differentiation: Phlegm-heat in the lung, loss of clearing and purification of the lung, and liver-wood bias.  Treatment: Clearing the lung and resolving phlegm, pacifying the liver and clearing the internal organs. Drug prescription: Chai Qian Hu (each) 9g, Scutellaria Baicalensis 9g, Kai Jin Lock 18g, Flea Hu 12g, Ping Di Mu 30g, Mao Lu Root (each) 15g, Sheng Mi Ren 15g, Cang Bai Zhu (each) 12g, Xin Yi 6g (decoction), Cang Er Cao 30g, Citrus Aurantium (each) 9g, Jin Fo Cao 18g, Gua Gu Ren 12g, Grain and Wheat Bud (each) 25g, seven doses.  Medical advice: Avoid cold, spicy and seafood products in the diet and drink more water.  Second consultation: 2007.9.11. After the medicine, the yellow sputum was obviously reduced, the color of sputum turned white, and the stool was also smooth. However, the cough is still sporadic, with poor appetite and dizziness. The coating is thin and yellowish, and the pulse is thin and slippery.  Herbs: Radix Bupleurum (each) 9g, Radix Scutellariae Sinensis 9g, Rhizoma Pinelliae 30g, Radix Rehmanniae (each) 15g, Rhizoma Rice 15g, Rhizoma Atractylodes (each) 12g, Radix Fructus Erinaceus 12g, Rhizoma Scissors 18g, Radix Sinensis 6g (decoction), Rhizoma Caulis 30g, Rhizoma Gastrodiae 9, Rhizoma Stachybotrys 15, Radix Psidium Guajavae 9g, Rhizoma Gumma (each) 30g Fourteen doses.  Third Diagnosis: 2007.9.26. After the medicine, dizziness was relieved, coughing and phlegm were significantly reduced, nose was cleared, secretion was reduced and the quality became clear, and nasal discharge could be regulated. The moss is thin and greasy, slightly yellow, and the pulse is thin and slippery. Take the original formula again for two weeks for consolidation.  Follow-up: After two weeks, the symptoms were stabilized and the treatment was continued with Chinese herbs to benefit the lung and spleen, calm the liver and resolve phlegm, and the treatment of chronic paranasal sinusitis was ordered to the Department of Five Gases.  Press: Recurrent chronic paranasal sinusitis is one of the hidden dangers leading to recurrent airway infections, and it is clinically found that there is a correlation with the incidence of bronchial dilatation. Therefore, strengthening the treatment of the nose while treating the lung can serve the purpose of combining prevention and treatment.