How to prevent and treat pharyngitis? (I am very upset)

Pharyngitis is a common disease, which is a diffuse pharyngeal lesion caused by chronic infection, mainly pharyngeal mucosal inflammation. It is more common in adults, and its main diseases are recurrent acute pharyngitis, long-term dust or harmful gas stimulation, excessive alcohol and tobacco or other bad living habits, sinusitis secretion stimulation, allergic constitution or decreased physical resistance. Chronic pharyngitis can also be a local manifestation of some systemic diseases, such as anemia, diabetes, liver cirrhosis, chronic nephritis and so on.

Key points of self-diagnosis

Pharyngeal discomfort, foreign body sensation. I always feel that there is something in my throat that I can't swallow and spit out, which stimulates coughing, dryness, abdominal distension, congestion and itching. But I seldom have a sore throat. Vomiting sticky phlegm in the morning is easy to cause nausea. Because esophageal or hypopharyngeal cancer will have similar symptoms in the early stage, it is necessary to go to the hospital for detailed examination after discovering the above symptoms before being diagnosed.

Treatment suggestion

Doctors should carry out targeted treatment according to the cause. Chinese patent medicines can be selected for local symptomatic treatment, such as Li Yanling, Caoshanhu Buccal Tablets and Baoan Powder. Can also be used with tea drinks: Hua Shuang, Ophiopogon japonicus, Boat-fruited Sterculia and raw licorice, often brewed with boiling water. Qingyanyin: 50g of ebony meat, 50g of raw licorice, 50g of Adenophora adenophora, 50g of Ophiopogon japonicus, 50g of Platycodon grandiflorum and 50g of Scrophularia, mashed and mixed evenly, each time 15g, and taken with boiling water.

Matters needing attention

Pay attention to oral hygiene and insist on brushing your teeth in the morning and evening and after meals. Reduce the stimulation of tobacco and alcohol dust and correct the bad habit of breathing with your mouth open. We should strengthen physical exercise, strengthen physical fitness, prevent respiratory tract infection, use less alcohol and tobacco, and actively treat pharyngeal diseases. Arrange your life reasonably, keep your mood comfortable and avoid troubles and depression. Keep the indoor temperature and humidity suitable and the air fresh. It is advisable to eat some light, sour and nourishing food, such as fruits, fresh vegetables and olives. Often take four seasons throat tablets, mint throat tablets and so on.

chronic pharyngitis

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

1。 Diagnostic criteria of western medicine:

(l) Medical history: I often have a history of recurrent acute pharyngitis, or I have been breathing by mouth for a long time due to nasal diseases, excessive alcohol and tobacco, dry air in bad environment, dust and irritating gas pollution.

(2) Symptoms: throat discomfort, or pain, or itching, or dryness, burning, smoking, foreign body sensation, etc. Irritating cough, coughing up secretions in the morning and even nausea. The course of the disease is more than 2 months, and symptoms often appear due to cold, cold, fatigue, wordiness and other reasons.

(3) Examination: Chronic congestion of pharynx is aggravated. Crimson, or dendritic congestion; Lymphatic follicular hyperplasia of posterior pharyngeal wall, or swelling of lateral pharyngeal cord; Pharyngeal mucosa hyperplasia hypertrophy, or dry, atrophy, thinning, with secretions.

With all the above symptoms, and 1 or 1 or above, the diagnosis can be made.

2。 Syndrome differentiation of TCM:

Inflammation caused by deficiency fire, deficiency of both lung and spleen, phlegm-heat syndrome, phlegm-blood stasis syndrome.

Acute inflammation of pharynx is very similar to acute inflammation of tonsil. Both pharyngitis and tonsillitis can be caused by the same bacteria and virus, but the symptoms of pharyngitis are not as serious as tonsils. Some medical people refer to these two diseases as acute pharyngitis for short.

Chronic pharyngitis is a diffuse pharyngeal lesion caused by chronic infection, mainly inflammation of pharyngeal mucosa. Most of them are adults, and the incidence of throat diseases in urban residents accounts for 10% to 20%. Because of its long course of disease and stubborn symptoms, it is difficult to see obvious effects in a short period of time and it is not easy to cure. The main reasons are as follows:

1. Recurrent acute pharyngitis is not completely cured and turns into chronic, long-term dust or harmful gas stimulation, excessive alcohol and tobacco or other bad living habits, sinusitis secretion stimulation, allergic constitution or decreased physical resistance, etc.

2. Chronic pharyngitis can also be a local manifestation of some systemic diseases, such as anemia, dyspepsia, chronic constipation, heart disease, bronchitis, asthma, liver disease, diabetes, chronic nephritis and so on.

3. Occupational factors. Mainly in dubbing workers, such as teachers and actors. Because long-term multilingual singing will stimulate the pharynx and cause chronic congestion. Key points of self-diagnosis of chronic pharyngitis: various symptoms, throat discomfort, foreign body sensation and phlegm sensation, and I always feel that there is something in my throat that I can't swallow and spit out, such as obstruction, bloating, burning, dryness, itching, irritating cough and slight sore throat. Cough is often used to remove secretions, especially when coughing hard in the morning to eliminate pharyngeal secretions, the symptoms are temporarily relieved. Because esophageal or hypopharyngeal cancer will have similar symptoms in the early stage, it is necessary to go to the hospital for detailed examination after discovering the above symptoms before being diagnosed.

There are three pathological changes after the formation of chronic pharyngitis:

First, it is chronic simple pharyngitis. It is characterized by chronic congestion of pharyngeal mucosa;

The second is hypertrophic pharyngitis. The main manifestations are hyperemia and hypertrophy of pharyngeal mucosa, extensive hyperplasia of connective tissue and lymphoid tissue under mucosa;

Third, it is chronic atrophic pharyngitis. The main manifestations are atrophy and thinning of mucosa and submucosa, adhesion of posterior pharyngeal wall scab and decrease of secretion.

Traditional Chinese medicine divides this disease into three types:

1. Yin deficiency and hyperactivity of fire type: throat discomfort, dull pain, foreign body sensation, scanty phlegm, irritability in the afternoon, soreness of waist and legs, red tongue and thready pulse.

Second, phlegm and blood stasis type: dry throat, tingling, deep red pharyngeal muscle membrane, often nausea and discomfort due to clearing throat. Red tongue, yellow greasy fur, and slippery pulse.

Third, yin deficiency and body fluid deficiency type: dry throat, burning and dry, pain can be suspended after drinking water, obvious foreign body sensation, dreaminess at night, tinnitus and dizziness. Red tongue with little fluid and thin pulse.

Western medicine generally pays attention to local medication in the treatment of chronic pharyngitis, such as gargling, repeatedly gargling with 2% hydrochloric acid solution, 3% physiological saline and 1: 5000 furacilin solution, or passing through the pharyngeal wall with 2% iodine glycerin and 5% strong protein silver solution, or iodine buccal tablets, dumifen, mint, etc. , can relieve symptoms to a certain extent. Local symptomatic treatment can also choose Chinese patent medicines, such as Caoshanhu buccal tablets and watermelon frost.

Traditional Chinese medicine focuses on the root cause, and it is effective to use drugs according to syndrome differentiation and classification. Generally, the drugs are: nourishing yin and clearing lung decoction (Ophiopogon japonicus, Radix Rehmanniae, Radix Scrophulariae, Radix Paeoniae Alba, Glycyrrhrizae Radix, Gypsum Fibrosum, Herba Menthae, Bulbus Fritillariae Cirrhosae powder, Cortex Moutan, Folium Mori, etc. ) is added; For patients with phlegm and blood stasis, Xiao Lao Wan (Radix Scrophulariae, Concha Ostreae, Bulbus Fritillariae Cirrhosae, Radix Rehmanniae, Radix Ophiopogonis, Rhizoma Sparganii, Thallus Laminariae, seaweed, etc.) is added. ) is added; For patients with yin deficiency and body fluid deficiency, Shengmai Drink is flavored (white ginseng, Ophiopogon japonicus, Schisandra chinensis, Dendrobium nobile, Polygonatum odoratum, Imperata rhizome, bamboo shavings, etc. ), one dose a day, and take it frequently by moistening the throat.

Precautions: avoid spicy products and alcohol and tobacco stimulation. Pay attention to oral hygiene.

Strengthen physical exercise, strengthen physical fitness, prevent respiratory infection, arrange life reasonably, keep a happy mood and avoid troubles and depression. )

Diet: Liyan tea: 3-5g each of Hua Shuang, Ophiopogon japonicus, Butterfly, Boat-fruited Sterculia and Glycyrrhiza uralensis Fisch, brewed in boiling water. Qingyanyin: 50g of ebony meat, 50g of raw licorice, 50g of Adenophora adenophora, 50g of Ophiopogon japonicus, 50g of Platycodon grandiflorum and 50g of Scrophularia, mashed and mixed evenly, each time 15g, and taken with boiling water.

After chronic pharyngitis is cured, in order to consolidate the curative effect and prevent recurrence, you can often eat the following foods: mung bean seaweed soup.

Ingredients: one or two mung beans, one or two kelp, and a little sugar.

Methods: Put mung beans and kelp (shredded) into a pot, add water to boil, add sugar to taste, and drink it as tea every day.

Watermelon juice: cut watermelon to get juice, often used as tea. It can clear away heat, relieve annoyance, nourish yin and moisten dryness, which is very suitable for regular eating.

Using tea skillfully to treat chronic pharyngitis

Chronic pharyngitis is chronic inflammation of pharyngeal mucosa, submucosa and lymphoid tissue, which can be divided into three types according to its pathological changes: simple, proliferative and atrophic. There are many reasons for chronic pharyngitis, such as recurrent acute pharyngitis and diseases of adjacent organs (chronic tonsillitis, gingivitis, chronic rhinitis and chronic sinusitis). People who suffer from external factors such as cold and dry climate, air pollution in the working environment by dust and chemical gases, long-term stimulation by tobacco, alcohol and spicy diet, and excessive use of voice due to occupational factors are prone to chronic pharyngitis. In addition, long-term irregular life, fatigue and mental stress will reduce the body's resistance, and bacteria and viruses are prone to repeated infections, which will also cause chronic pharyngitis.

At present, there are many methods to treat chronic pharyngitis. For example, western medicine generally advocates the use of mouthwashes such as Koutai and compound borax solution, including taking Huasu tablets, Anji buccal tablets and G- bacteria buccal tablets. Long-term use of these drugs will lead to oral environment disorder. For hypertrophic pharyngitis, laser, microwave and freezing can be used. However, at present, these therapies tend to be abused, and outpatients often see patients who come to see a doctor because of severe hyperplasia and contracture of postoperative pharyngeal scar.

Chronic pharyngitis is equivalent to "deficiency of fire blocking throat" in traditional Chinese medicine, and its etiology and pathogenesis are lung and kidney yin deficiency and fire flourishing, and throat dystrophy. Treatment should be nourishing lung and kidney, clearing away heat and resolving phlegm, moistening throat and relieving sore throat. Experience has proved that the correct application of herbal tea is helpful to treat chronic pharyngitis. The following ten herbal teas are available.

Luohan fruit tea

Siraitia grosvenorii 1. Chop Siraitia grosvenorii, brew with boiling water 10 minute, and drink at any time. 1 ~ 2 times a day, each time 1. Function of clearing lung, resolving phlegm, quenching thirst and moistening throat. Indications: chronic pharyngolaryngitis, deficiency of lung yin, dry throat, sore throat, aphonia, cough and dry mouth. The Convenient Prescription for Eating Traditional Chinese Medicine says: "Actors, teachers, broadcasters and other people who need to protect their vocal organs often chop up Siraitia grosvenorii and soak it in water instead of tea."

Olive tea

Take two olives and 1g green tea. Cut olive seeds in half, put them in a cup with green tea, pour them into boiling water, cover them and simmer for 5 minutes before drinking. It is suitable for chronic pharyngitis and foreign body sensation in pharynx.

Da hai sheng di cha

Five boat-fruited Sterculia, Radix Rehmanniae 12g, 30g rock sugar, and appropriate amount of tea. Put the medicine in a thermos, brew half a bottle with boiling water, cover it for about 15 minutes, and drink tea frequently. According to the patient's drinking water, 2 ~ 3 doses a day. Function of clearing lung, relieving sore throat, nourishing yin and promoting fluid production. Used for chronic pharyngolaryngitis caused by deficiency of lung yin, such as hoarseness, dry throat itching or cough, dark red throat, vocal cord hypertrophy, even glottis insufficiency, nodules in the voice, and less red tongue coating. It is most suitable for chronic laryngitis with lung yin deficiency and excessive fire and dry stool.

Gan Lan honey tea

3g olives, 3 boat-fruited Sterculia, 3g green tea and 1 spoon honey. Boil olives in clear water for a while, then brew boat-fruited Sterculia and green tea, cover for a while, add honey and mix well, and drink slowly. 65438+ 0 ~ 2 doses per day. Has the functions of clearing away heat and toxic materials, relieving sore throat and moistening throat. Indications are chronic pharyngolaryngitis, dry throat, or hoarseness, which belongs to yin deficiency and dry heat syndrome.

Double green privet tea

3g of green plum, 3 g of green tea and 3 g of orange collaterals, and 6g of Ligustrum lucidum. Mash Ligustrum lucidum, put it in a cup with the first three herbs, and brew it with boiling water. Daily 1 dose, taken at any time. Function: nourishing yin and relieving sore throat, promoting qi circulation and resolving phlegm. It is good for sore throat, foreign body sensation in throat, yin deficiency of liver and kidney, dissipation of deficiency fire, qi stagnation and phlegm resistance.

Sangju almond tea

Mulberry leaf 10g, chrysanthemum 10g, almond 10g, and appropriate amount of rock sugar. Mashed almonds, together with mulberry leaves, chrysanthemum and crystal sugar, are placed in a thermos bottle, brewed with boiling water, covered for about 15 minutes, and then drunk as tea, with boiling water added 1 dose per day. Function of clearing heat and expelling wind, resolving phlegm and relieving sore throat.

Shuanggen sea tea

Radix Isatidis 15g, Radix Sophorae Tonkinensis 10g, Radix Glycyrrhizae 10g, and Boat-fruited Sterculia 5g. * * * Put it in a thermos, brew it with boiling water, cover it for 20 minutes and drink it as tea. It can also be decocted in water and poured into a thermos bottle to drink slowly, daily 1 dose. It has the effects of clearing away heat and toxic materials and relieving sore throat, and is suitable for patients with chronic pharyngitis and obvious sore throat.

Verbena mung bean honey tea

50g of fresh verbena, 30g of mung bean and 30g of honey. Wash and drain mung beans, wash fresh verbena root by root, tie it into 2 small bundles with thread, put it in a pot with mung beans, add water 1500ml, stew with low fire 1 hour, leave the fire until mung beans are crisp and rotten, take out verbena, add honey while it is hot and stir to eat soup and beans. Daily 1 dose, twice for several days.

Qingyincha

Medicinal boat-fruited sterculia 5g, cicada 3g, Dendrobium 15g. Drink water instead of tea. It has the effects of nourishing yin, moistening throat, relieving sore throat and relieving cough, and is suitable for chronic pharyngitis with hoarseness.

Hawthorn Liyan tea

Medicinal raw hawthorn 20g, salvia miltiorrhiza 20g, Prunella vulgaris 15g. When in use, the floating dust is washed away with clear water, then boiled in water for 30 minutes, and then the medicinal juice is filtered several times a day to be frequently drunk as tea. Has the functions of promoting blood circulation, resolving hard mass, clearing away heat and relieving sore throat. It is suitable for chronic pharyngitis with obvious proliferation of pharyngeal lymph follicles.

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