There is phlegm in the throat. No cough

Category: Medical/Disease >> Internal Medicine

Problem description:

After returning from traveling in October last year, I had a cold for more than a week, and I had a cough with phlegm in my throat. I finally recovered from the cold, but I still feel like there is phlegm in my throat and no cough symptoms. If I want to cough up the phlegm, I will feel vomiting.

What disease is this?

What medicine to use?

Thank you

Analysis:

1. Symptoms of chronic pharyngitis

Etiology classification

Chronic pharyngitis is A common disease is diffuse pharyngeal lesions caused by chronic infection, mainly inflammation of the pharyngeal mucosa. It mostly occurs in adults, and its main causes include repeated acute pharyngitis, long-term exposure to dust or harmful gases, excessive smoking and alcohol or other bad living habits, sinusitis secretions, allergies or reduced body resistance, etc. Chronic pharyngitis can also be a local manifestation of certain systemic diseases, such as anemia, diabetes, cirrhosis and chronic nephritis.

Key points for self-diagnosis

Pharyngeal discomfort, foreign body sensation, always feeling that there is something in the pharynx that cannot be swallowed or spit out, *** Cough, dryness, swelling, and blockage , itching, etc., but rarely sore throat. Vomiting thick phlegm often in the morning can easily cause nausea. Since cancer of the esophagus or hypopharynx will also have similar symptoms in the early stages, you should go to the hospital for detailed examination after discovering the above symptoms to confirm the diagnosis.

Treatment recommendations

Targeted treatment should be carried out by a doctor based on the cause. For local symptomatic treatment, Chinese patent medicines can be used, such as Liyanling, Caohuoling Lozenges, Baobao Powder, etc., which can be combined with tea: equal parts of Shuanghua, Ophiopogon japonicus, Pangda Dahai, and raw licorice, brewed with boiling water and taken frequently. Qingyan drink: 50 grams each of black plum meat, raw licorice, adenophora, Ophiopogon japonicus, Platycodon grandiflorum, and Radix ginseng. Mash and mix well. Take about 15 grams 3 times a day, and drink with boiling water.

Precautions

Pay attention to oral hygiene and brush your teeth in the morning and evening and after meals. Reduce tobacco, alcohol and dust ***, and correct the bad habit of mouth breathing. Physical exercise should be strengthened, physical fitness should be strengthened, respiratory tract infections should be prevented, tobacco and alcohol should be used less, and diseases of organs around the pharynx should be actively treated. Arrange your life reasonably, keep your mood comfortable, and avoid worries and depression. Maintain appropriate indoor temperature and humidity and fresh air. It is advisable to eat foods that are light, sour, sweet and nourishing yin, such as fruits, fresh vegetables, green fruits, etc. Regularly take Four Seasons throat lozenges, peppermint throat lozenges, etc.

Chronic pharyngitis

Chronic pharyngitis is a chronic inflammation of the pharyngeal mucosa. Diffuse inflammation is often part of the chronic catarrhal inflammation of the upper respiratory tract, and localized inflammation is often accompanied by pharyngeal inflammation. Inflammation of lymphoid tissue. This disease is equivalent to chronic laryngitis in traditional Chinese medicine.

1. Western medicine diagnostic criteria:

(l) Medical history: There is often a history of repeated episodes of acute pharyngitis, or long-term mouth breathing due to rhinitis, excessive smoking and alcohol, dry air in the environment, dust and harmful gas pollution, etc. .

(2) Symptoms: Pharyngeal discomfort, pain, itching, dryness, burning, smoke, foreign body sensation, etc.; *** Sexual cough, coughing up secretions with force in the morning , or even nausea. The disease lasts for more than 2 months, and symptoms are often caused by colds, colds, fatigue, talkativeness, etc.

(3) Examination: Chronic congestion in the pharynx is aggravated. Dark red, or dendritic congestion; hyperplasia of lymph follicles on the posterior pharyngeal wall, or swelling of the lateral pharyngeal cords; hyperplasia and hypertrophy of the pharyngeal mucosa, or dryness, atrophy, thinning, and attachment of secretions. Each of the above symptoms and 1 or more The diagnosis can be made if more than one examination is found.

2. TCM syndrome differentiation:

Deficiency of fire and inflammation, deficiency of lung and spleen, phlegm-heat syndrome, mutual obstruction of phlegm and blood stasis

Acute inflammation of the pharynx is very similar to acute inflammation of the tonsils. Both pharyngitis and tonsillitis can be caused by the same bacteria and viruses, but the symptoms of pharyngitis are not as severe as those of tonsils. Some medical professionals refer to these two diseases as acute pharyngitis.

Chronic pharyngitis is a diffuse pharyngeal lesion caused by chronic infection, mainly inflammation of the pharyngeal mucosa. It mostly occurs in adults, and its incidence rate accounts for about 10% to 20% of throat diseases among urban residents. Because of its long course and stubborn symptoms, it is difficult to see significant effects in the short term, so it is not easy to cure. The main causes are as follows:

1. Repeated episodes of acute pharyngitis that cannot be completely cured and become chronic, long-term exposure to dust or harmful gases, excessive smoking and alcohol or other bad living habits, sinusitis secretions ***, allergies or reduced body resistance, etc.

2. Chronic pharyngitis can also be a local manifestation of certain systemic diseases, such as anemia, indigestion, long-term constipation, heart disease, bronchitis, asthma, liver disease, diabetes and chronic nephritis, etc. .

3. Occupational factors. It mainly occurs in voice workers, such as teachers, actors, etc. Due to long-term multilingualism and singing, it can infect the pharynx, causing chronic congestion and causing disease. Key points for self-diagnosis of chronic pharyngitis: Symptoms include various symptoms, including pharyngeal discomfort, foreign body sensation, sticky phlegm, always feeling like there is something in the pharynx that cannot be swallowed or spit out, congestion, swelling, burning, dryness, itching, ** * Cough, slight sore throat, etc.

Coughing is often used to clear secretions, especially when coughing hard in the morning to clear pharyngeal secretions, the symptoms are temporarily relieved. Since cancer of the esophagus or hypopharynx will also have similar symptoms in the early stages, you should go to the hospital for detailed examination after discovering the above symptoms to confirm the diagnosis.

After the formation of chronic pharyngitis, it can be divided into three types of pathological changes:

1. Chronic simple pharyngitis. It manifests as chronic congestion of the pharyngeal mucosa;

Second, it is hypertrophic pharyngitis. The main manifestations are congestion and hypertrophy of the pharyngeal mucosa, and extensive connective tissue and lymphoid tissue proliferation under the mucosa;

Third, it is chronic atrophic pharyngitis. The main manifestations are atrophy and thinning of the mucosal layer and submucosa, scab attachment on the posterior pharyngeal wall, and decreased secretion.

Traditional Chinese medicine classifies this disease into three types:

1. Yin deficiency and fire inflammation type: throat discomfort, vague pain, foreign body sensation, small amount of phlegm, accompanied by Tired of heat in the afternoon, soreness and weakness in waist and legs, red tongue, and thready pulse.

2. Phlegm obstruction and blood stasis type: Dry throat, stinging pain, dark red pharyngeal muscle membrane, nausea and discomfort often caused by frequent throat clearing. The tongue is red, the coating is yellow and greasy, and the pulse is slippery and rapid.

3. Type of yin deficiency and body fluid dryness: dry and itchy throat, burning and pain, the pain can be relieved after drinking water, obvious foreign body sensation, dreaminess at night, tinnitus and dazzling eyes. The tongue is red and less fluid, and the pulse is thready and rapid.

In the treatment of chronic pharyngitis, Western medicine generally focuses on topical medication, such as: mouthwash medicine, using 2% acid solution, 3% saline and 1:5000 nitrofuracil solution to rinse the mouth repeatedly, or using 2% iodine glycerin, 5% strong protein silver solution can be applied to the pharyngeal wall, or iodine lozenges, dumiphene, mint, etc. can be used in the mouth, etc., which can relieve symptoms to a certain extent. For local symptomatic treatment, Chinese patent medicines can also be used, such as grass coral lozenges, watermelon cream, etc.

Traditional Chinese medicine (TCM) focuses on treating the root cause of this disease and uses medicine according to the dialectical classification method, which has good curative effect. The general medication is: For patients with yin deficiency and fire inflammation, use Yangyin Qingfei Decoction (Ophiopogon japonicus, raw rehmannia root, scrophulariaceae, white peony root, licorice, raw gypsum, mint, Sichuan clam powder, paeonol, mulberry leaves, etc.); for phlegm-blocking blood stasis For those with the type of yin deficiency, use Xiaoluo Pills with flavored ingredients (Spicyrum, oysters, Sichuan clams, raw rehmannia, Ophiopogon japonicus, Trigonella striata, kelp, seaweed, etc.); for those with yin deficiency and body fluid dryness, use Shengmai drink with flavored ingredients (white sun ginseng, Ophiopogon japonicus, etc.) , Schisandra chinensis, dendrobium, Polygonatum odorifera, Imperata cognac root, bamboo root, etc.), take one dose per day, take it frequently to moisten the throat.

Notes: Avoid spicy food, tobacco and alcohol***. Pay attention to oral hygiene.

(Strengthen physical exercise, enhance physical fitness, prevent respiratory tract infections, arrange life reasonably, keep a comfortable mood, avoid worries and depression, etc.)

Dietary conditioning: Soothing tea: Shuanghua , Ophiopogon japonicus, Ophiopogon japonicus, Pseudomonas aeruginosa, 3-5 grams each of raw licorice, brew with boiling water and take frequently. Qingyan drink: 50 grams each of black plum meat, raw licorice, adenophora, Ophiopogon japonicus, Platycodon grandiflorum, and Radix ginseng. Mash and mix well. Take about 15 grams 3 times a day, and drink with boiling water.

After chronic pharyngitis is cured, in order to consolidate the curative effect and prevent recurrence, you can eat the following foods regularly: Mung bean and kelp soup

Ingredients: one ounce of mung beans, one ounce of kelp, and a little sugar.

Preparation method: Put mung beans and kelp (cut into shreds) in a pot, add water and boil until mashed, then add sugar for seasoning and drink it as tea every day.

Watermelon juice: Cut the watermelon into pieces to extract the juice, and drink it frequently as tea. It can clear away heat and relieve troubles, nourish yin and moisturize dryness, so it is very suitable to be eaten regularly.

Use herbal tea skillfully to treat chronic pharyngitis

Chronic pharyngitis is a chronic inflammation of the pharyngeal mucosa, submucosa and lymphoid tissue. Depending on the disease, it can be divided into simple, proliferative and Three types of atrophy. There are many causes of chronic pharyngitis, such as repeated attacks of acute pharyngitis and diseases of adjacent organs (chronic tonsillitis, gingivitis, chronic rhinitis, chronic sinusitis). People with external factors such as cold and dry climate, air pollution in the working environment by dust and chemical gases, long-term exposure to tobacco, alcohol and spicy food, and excessive voice use due to occupational factors are susceptible to chronic pharyngitis. In addition, long-term irregular living, fatigue, and mental stress can reduce the body's resistance, making it easy for bacteria and viruses to be repeatedly infected, and can also cause chronic pharyngitis.

At present, there are many methods to treat chronic pharyngitis. Western medicine generally advocates the use of mouthwashes such as Kotai and compound borax solution, and the oral administration of Huasu tablets, Anji lozenges, and G-bacteria lozenges. Long-term use of these drugs can lead to a disorder of the oral environment. For hypertrophic pharyngitis, laser, microwave, freezing and other methods can be used. However, these therapies are currently being abused. In outpatient clinics, we often see patients who come to see us because of severe hyperplasia and contracture of pharyngeal scars after surgery and worsening of their condition.

Chronic pharyngitis is equivalent to the "deficiency fire throat paralysis" in traditional Chinese medicine. Its etiology and pathogenesis are the rise of deficiency fire and throat malnutrition caused by lung and kidney yin deficiency. Treatment should nourish the lungs and kidneys, clear away heat and resolve phlegm, moisten the throat and soothe the throat. Experience has proven that the correct application of herbal tea can help treat chronic pharyngitis. The following ten medicinal tea recipes are available.

Luo Han Guo Tea

1 Luo Han Guo. Chop Luo Han Guo into pieces, brew it with boiling water for 10 minutes, and drink it at any time. 1 to 2 times a day, 1 pill each time. It functions to clear the lungs and resolve phlegm, quenches thirst and moisturizes the throat. It is mainly used to treat chronic pharyngitis, dry throat and discomfort caused by insufficient lung yin and phlegm and heat, sore throat, loss of voice, or dry mouth due to cough. "Food, Chinese Medicine and Recipes" states: "Those who need to protect their vocal organs, such as actors, teachers, broadcasters, etc., often chop Luo Han Guo into pieces and soak it in water instead of tea.

”

Olive tea

Take two olives and 1g of green tea. Cut the olives in half with the core, put them into a cup with the green tea, pour in boiling water, cover and simmer for 5 Drink after 10 minutes. Suitable for those with chronic pharyngitis and foreign body sensation in the throat.

Haishengdi tea

Take 5 pieces of Pangdahai, 12g of raw rehmannia, 30g of rock sugar, and add appropriate amount of tea**. *Put it in a thermos, brew half a bottle with boiling water, cover and simmer for about 15 minutes, take 2 to 3 doses of tea daily according to the patient's drinking capacity. Chronic pharyngitis is caused by lung yin deficiency, such as hoarseness, excessive talking, dryness and itching in the throat or dry cough, dark red throat, thick vocal cords, even incomplete closure of the glottis, nodules on the vocal cords, red tongue with less coating, etc. It is most suitable for those with chronic laryngitis due to insufficient lung yin, deficiency of fire and dry stool.

Olive and sea honey tea

3g of olives and 3 pieces of Panghai. 3g of green tea, 1 spoon of honey. Boil the olives in water for a while, then brew the seaweed and green tea, cover it for a while, mix it with honey, and drink it slowly for 1 to 2 doses daily. Soothes the throat. It is mainly used to treat chronic pharyngitis, dry and uncomfortable throat, or hoarseness, etc.

Erlv Ligustrum Tea

Green calyx plum, green tea, orange. 3g each of Ligustrum lucidum and 6g of Ligustrum lucidum. First, mash Ligustrum lucidum and the first three ingredients into a cup and brew it with boiling water. Drink it at any time to nourish yin and relieve throat. , promotes qi and resolves phlegm. Drinking Mulberry Chrysanthemum Almond Tea is good for those with liver and kidney yin deficiency, rising fire, qi stagnation and phlegm accumulation, sore throat and foreign body sensation in the throat. p> 10g mulberry leaves, 10g chrysanthemums, 10g almonds, appropriate amount of rock sugar. Mash the almonds, put them in a thermos with the mulberry leaves, chrysanthemums and rock sugar, add boiling water to brew, cover and simmer for about 15 minutes, then it's ready. Drink as tea, add boiled water while drinking, take 1 dose per day. It has the functions of clearing away heat, dispelling wind, resolving phlegm and soothing the throat.

Double root sea tea

Isatis root 15g, mountain tofu root 10g. 10g of licorice, 5g of Pangdahai. Put it in a thermos, brew it with boiling water, cover it and simmer it for 20 minutes before drinking it as tea. You can also add water to boil it, pour it into the thermos bottle and drink it slowly, one dose a day. It has the functions of clearing away heat, detoxifying and soothing the throat. It is suitable for those with chronic pharyngitis and severe throat pain.

Verbena and Mung Bean Honey Tea

50g of fresh verbena, 30g of mung beans, and 30g of honey. Wash and drain the mung beans, wash the fresh verbena roots, tie them into 2 small bundles with thread, put them in the pot with the mung beans, add 1500 ml of water and simmer over low heat for 1 hour, until the mung beans are crispy, remove from the heat and remove the verbena. Add honey to the soup while it is hot and drink it as a soup. Take it twice a day for several days.

Medicinal Pangdahai. 5g, 3g of cicada, and 15g of dendrobium. Decoction in water can nourish yin and moisturize the throat, soothe the throat and treat muteness. It is suitable for patients with chronic pharyngitis and hoarseness.

Hawthorn Soothing Tea

Medicinal raw hawthorn 20g, salvia 20g, prunella vulgaris 15g. When using, first wash away the floating dust with clean water, then add water to simmer for 30 minutes, filter out the concoction, and drink it as tea several times a day. Function: Promoting blood circulation and dispersing stagnation, clearing away heat and soothing throat. It is suitable for patients with chronic pharyngitis and obvious hyperplasia of lymphatic follicles in the pharynx.

1. Treatment of chronic pharyngitis

Use medicinal tea to treat chronic pharyngitis

Chronic pharyngitis is a chronic inflammation of the pharyngeal mucosa, submucosa and lymphoid tissue. The lesions can be divided into three types: simple, proliferative and atrophic. There are many causes of chronic pharyngitis, such as repeated attacks of acute pharyngitis and diseases of adjacent organs (chronic tonsillitis, gingivitis, chronic rhinitis, chronic sinusitis). People with external factors such as cold and dry climate, air pollution in the working environment by dust and chemical gases, long-term exposure to tobacco, alcohol and spicy food, and excessive voice use due to occupational factors are susceptible to chronic pharyngitis. In addition, long-term irregular living, fatigue, and mental stress can reduce the body's resistance, making it easy for bacteria and viruses to be repeatedly infected, and can also cause chronic pharyngitis.

At present, there are many methods to treat chronic pharyngitis. Western medicine generally advocates the use of mouthwashes such as Kotai and compound borax solution, and the oral administration of Huasu tablets, Anji lozenges, and G-bacteria lozenges. Long-term use of these drugs can lead to a disorder of the oral environment. For hypertrophic pharyngitis, laser, microwave, freezing and other methods can be used. However, these therapies are currently being abused. In outpatient clinics, we often see patients who come to see us because of severe hyperplasia and contracture of pharyngeal scars after surgery and worsening of their condition.

Chronic pharyngitis is equivalent to "deficiency fire throat paralysis" in traditional Chinese medicine. Its etiology and pathogenesis are the rise of deficiency fire and throat malnutrition caused by lung and kidney yin deficiency. Treatment should nourish the lungs and kidneys, clear away heat and resolve phlegm, moisten the throat and soothe the throat. Experience has proven that the correct application of medicinal tea can help treat chronic pharyngitis. The following ten medicinal tea recipes are available.

Luo Han Guo Tea

1 Luo Han Guo. Chop Luo Han Guo into pieces, brew it with boiling water for 10 minutes, and drink it at any time. 1 to 2 times a day, 1 pill each time. It functions to clear the lungs and resolve phlegm, quenches thirst and moisturizes the throat. It is mainly used to treat chronic pharyngitis, dry throat and discomfort caused by insufficient lung yin and phlegm and heat, sore throat, loss of voice, or dry mouth due to cough.

"Food, Chinese Medicine and Recipes" states: "Those who need to protect their vocal organs, such as actors, teachers, broadcasters, etc., often chop Luo Han Guo into pieces and soak it in water instead of tea."

Olive tea

< p> Take two olives and 1g of green tea. Cut the olives in half with the stones, put them into a cup together with the green tea, pour in boiling water, cover and simmer for 5 minutes before drinking. Suitable for those with chronic pharyngitis and foreign body sensation in the pharynx.

Dahai Raw Rehmannia Tea

5 pieces of Dahai Dahai, 12g of raw rehmannia, 30g of rock sugar, appropriate amount of tea. Put the medicine in a hot water bottle, brew half the bottle with boiling water, cover and simmer for about 15 minutes, and replace it with tea as many times as you like. According to the patient's drinking volume, 2 to 3 doses per day are administered. Functions: Clear the lungs, soothe the throat, nourish yin and promote fluid production. It is used for patients with chronic pharyngitis due to lung-yin deficiency, such as hoarseness, excessive talking, dryness and itching in the throat or dry cough, dark red throat, thick vocal cords, even incomplete closure of the glottis, nodules on the vocal cords, red tongue with less coating, etc. . It is most suitable for patients with chronic laryngitis due to insufficient lung yin, deficiency of fire and excess of fire, and dry and constipated stools.

Olive and sea honey tea

3g of olives, 3 pieces of seaweed, 3g of green tea, 1 spoon of honey. First, boil the olives in water for a while, then brew the fat seaweed and green tea, cover it for a while, add honey, mix thoroughly, and drink it slowly. 1 to 2 doses per day. Function: heat-clearing, detoxifying, soothing and soothing the throat. It is mainly used to treat chronic pharyngitis, dry and uncomfortable throat, hoarseness and other symptoms of yin deficiency, dryness and heat.

Ergreen Ligustrum Tea

3g each of Green Calyx Plum, Green Tea, Tangerine, and 6g Ligustrum Lucidum. First, mash Ligustrum lucidum into pieces, put it into a cup with the first three flavors, and brew it with boiling water. Take 1 dose a day, drink it at any time. Function: Nourishes yin, soothes the throat, promotes qi and resolves phlegm. Drinking it is beneficial for patients with liver and kidney yin deficiency, rising fire, qi stagnation and phlegm accumulation, sore throat and discomfort, and foreign body sensation in the throat.

Mulberry, Chrysanthemum and Almond Tea

10g of mulberry leaves, 10g of chrysanthemums, 10g of almonds, appropriate amount of rock sugar. Mash the almonds, put them into a thermos with mulberry leaves, chrysanthemums, and rock sugar, add boiling water to brew, cover and simmer for about 15 minutes, and then drink it as tea. Add boiling water while drinking, one dose per day. Function: Clear away heat and dispel wind, resolve phlegm and relieve sore throat.

Double Root Sea Tea

15g of isatis root, 10g of ginseng root, 10g of licorice, and 5g of Pandan sea root. Put it in a thermos flask, brew it with boiling water, cover it and stuff it for 20 minutes before drinking it as tea. You can also add water to boil, pour it into a thermos bottle and drink it slowly, 1 dose per day. It has the functions of clearing away heat, detoxifying and soothing the throat, and is suitable for those with chronic pharyngitis and severe throat pain.

Verbena Mung Bean Honey Tea

50g fresh verbena, 30g mung beans, 30g honey. Wash and drain the mung beans, wash the roots of the fresh verbena, tie them into 2 small bundles with thread, put them in the pot with the mung beans, add 1500 ml of water and simmer over low heat for 1 hour, until the mung beans are crispy, remove from the heat and remove Verbena, add honey while it is hot and stir to make soup and beans. Take 1 dose a day, divided into 2 times, for several days.

Qingyin Tea

Medicinal Pangdahai 5g, Chanyi 3g, Dendrobium 15g. Decoction instead of tea. Function: Nourishing yin, moistening the throat, soothing the throat and curing silence. It is suitable for patients with chronic pharyngitis accompanied by hoarseness.

Hawthorn Soothing Tea

Medicinal raw hawthorn 20g, salvia 20g, prunella vulgaris 15g. When using, first wash away the floating dust with clean water, then add water to simmer for 30 minutes, filter out the concoction, and drink it as tea several times a day. Function: Promoting blood circulation and dispersing stagnation, clearing away heat and soothing throat. It is suitable for patients with chronic pharyngitis and obvious hyperplasia of lymphatic follicles in the pharynx.