Bronchitis, emphysema, cor pulmonale, asthma, please ask experts to answer the causal relationship.

Let me talk to you about chronic bronchitis and bronchiectasis first. The clinical manifestations and differential diagnosis of bronchial asthma, emphysema and cor pulmonale are used to help patients understand and master their own diseases. So as to achieve the purpose of receiving correct treatment. In the past, some patients have mistaken chronic bronchitis, bronchiectasis, bronchial asthma, emphysema and cor pulmonale for tracheitis. This is very unscientific. So, what is chronic bronchitis?

-Chronic bronchitis is mainly characterized by cough and expectoration, and some patients may be accompanied by mild asthma and chest tightness. The disease may recur because of a cold or the stimulation of harmful gases, and it will recover from time to time. Generally, those who attack for more than three months in a year can be regarded as chronic bronchitis. The incidence of chronic bronchitis in normal population is 4%, and the incidence of chronic bronchitis over 50 years old can be increased to 16%, indicating that the older the age, the higher the incidence. Chronic bronchitis can also be divided into simple type and wheezing type. Simple type only has two symptoms: cough and expectoration, while wheezing type has symptoms of shortness of breath and shortness of breath besides cough and expectoration. Some patients with wheezing and chronic bronchitis can be completely cured, but there are two treatments at this stage. First, a complete cure can help patients turn the corner and enter the ranks. Secondly, if the patient passively treats or stops taking drugs because of carelessness, the condition will turn into persistent emphysema and pulmonary heart disease. Therefore, it is necessary for patients to establish confidence in treatment, get rid of bad habits, choose good drugs and persist in treatment for a long time until they are completely cured. Preventing colds is an important factor to prevent the recurrence of chronic bronchitis. The specific measures are to wash your face with cold water from summer to increase your body's tolerance to cold. We should completely quit smoking and drinking, try to avoid inhaling harmful gases, avoid eating spicy and greasy things, adhere to regular daily life, and use Chinese herbal medicines such as Radix Astragali, Radix Saposhnikoviae and Rhizoma Atractylodis Macrocephalae to replace tea for a long time, which can increase the body's resistance. These measures are very important for the adjuvant treatment of chronic bronchitis and the prevention of recurrence.

Talking about emphysema, emphysema is mainly developed on the basis of chronic bronchitis, and other chronic lung diseases such as bronchial asthma, cavitary tuberculosis, chronic lung disease, pneumoconiosis, bronchiectasis and other diseases can develop into this disease. The clinical manifestations of emphysema are wheezing and sulking, dyspnea is the most obvious, and cough and expectoration are relatively mild. The mechanism of symptoms is: due to some chronic lung diseases, gas exchange is blocked for a long time, so that alveoli lose elasticity, gas can not be inhaled or exhaled normally, vital capacity is weakened, and miserable gas is trapped in the lungs, resulting in shortness of breath, chest tightness, dyspnea and other symptoms. Asthma is the most prominent symptom of emphysema patients, which will be aggravated by a little exercise and the weather change will be aggravated. Patients can't live without cough and asthma drugs all year round, and when they stop taking them, they feel wheezing and suffocating. In order to enable patients to master their own condition, the staging standard of emphysema is introduced as follows:

Stage I emphysema: I feel short of breath on the second floor, and I can still do my daily work.

Secondary emphysema: I feel wheezing when walking flat at normal speed, but I can barely keep working.

Stage Ⅲ emphysema: Daily activities such as dressing, washing face, talking, urinating and defecating can cause shortness of breath, inability to work, and basic loss of working ability.

Stage Ⅳ emphysema: Standing or walking a few steps after rest will make you feel short of breath and make you lose your working ability completely.

Emphysema is the turning point of chronic lung disease. At this time, the alveoli are relaxed, the elasticity is reduced, and the gas exchange function is weakened, which has formed an organic lesion. Therefore, it is difficult to completely cure the disease and make the patient recover. However, physiologically speaking, the cardiopulmonary compensation ability is still quite strong. If the symptoms are effectively controlled for a long time and traditional Chinese medicine is added to strengthen the body resistance, there is still hope for a radical cure. Clinically, I use the self-made "Cordyceps Hong Ju Pill" to treat the first and second stages of emphysema, and it usually takes three to four months to recover. Therefore, if patients have confidence, they can't be pessimistic and disappointed with emphysema. With active treatment, it can still be cured.

Talk about pulmonary heart disease again: Pulmonary heart disease is developed on the basis of emphysema. In emphysema stage, the alveoli of patients are damaged for a long time, and the gas exchange function is weakened, which leads to the corresponding decline of pulmonary blood small circulation function. In order to meet the human body's demand for oxygen, the heart must strive to input blood to the lungs. In the process of pulmonary blood circulation, the right heart is overloaded for a long time, which leads to the thickening of the right heart (the mechanism of myocardial thickening is similar). Weightlifters often grasp heavy objects with both hands, so that the muscles of their arms are developed and protruding, but the thickening and expansion of their hearts will cause weakness in contraction. The power of small circulation decreases, resulting in insufficient oxygen content in blood. Therefore, in the stage of cor pulmonale, patients are often in a state of hypoxia, especially after exercise, and their symptoms can be manifested as asthma, palpitation, dyspnea and vain face. Lower extremity edema, cyanosis of labial nail, pulse rate above 100 beats/min, which can be aggravated by cold or hot weather. Patients are often in pain and their quality of life is seriously degraded. Pulmonary heart disease belongs to the category of asthma, phlegm, edema and lung distension in traditional Chinese medicine. The moderate heart failure stage of cor pulmonale is more critical. During this period, the patient's cardiopulmonary function is seriously decreased, electrolyte is disordered, and it is easy to form moderate acid-base and complicated with pulmonary encephalopathy. If the treatment is a little sparse, the patient will die soon. Generally, western medicine is used in hospital treatment at this stage. Although there are measures such as anti-inflammatory, cardiotonic, diuresis, oxygen delivery, infusion and correction of moderate acid and alkali, it is also half the effort and dangerous, which is of no help. I have been engaged in lung disease for many years, and I often encounter serious heart failure caused by cor pulmonale. Whether it is the generic type of yang deficiency and water deficiency or the type of phlegm and blood stasis invading the heart, as long as the patient is alive, taking liquid medicine, throwing Wuling Sanshen decoction and treating with Cordyceps Hong Ju Pill, the patient can generally turn the corner. Ingredients of Wuling Sanshen Decoction: Poria, Polyporus, Alisma orientalis, Ramulus Cinnamomi, Atractylodis Rhizoma, Ginseng Radix, Salvia Miltiorrhiza Radix and Notoginseng Radix. The first five ingredients are all Wuling powder, and the last three ingredients are all added by myself. Wuling San Fang published Treatise on Febrile Diseases. Modern research is used to treat chronic nephritis, watery edema, ascites due to liver cirrhosis and other diseases, treat asthma due to qi deficiency, and add Danshen to dilate coronary artery and increase coronary flow. Panax notoginseng and ginseng were called hemostatic drugs in ancient times. According to modern research, it can reduce myocardial oxygen consumption. Increasing cardiac output is really a good medicine for strengthening the heart. I use this prescription to treat severe heart failure caused by cor pulmonale, and generally I can get satisfactory results. First, introduce a case: patient Liu Shangyou, male, 67 years old, a teacher from Group 6, Liwangzhuang Village, Hanzhong Township, Wancheng District, Nanyang City, Henan Province. 10/992. The patient suffered from chronic emphysema for more than 40 years and was diagnosed with cor pulmonale 6 years ago. Symptoms at the time of seeing a doctor are: asthma, palpitation, inability to lie flat, vain face, edema of lower limbs, short and urgent urination, cold limbs, lethargy, weak speech, temperature of 35.5, pulse 1 18 times/minute, and cyanosis of labia. Therefore, Wuling Sanshen Decoction was prepared. Increase the dosage of ginseng, cooperate with Cordyceps Hong Ju Pill, and let him take it regularly. After one dose, the patient's symptoms eased and he lived. After three doses, the patient's diet increased, the edema disappeared, the language was raised clearly, and the cough was greatly reduced. After that, the dosage of ginseng was reduced, and Houttuynia cordata, Fritillaria cirrhosa and ten doses were added, and his condition tended to be stable. After taking Cordyceps Hong Ju Pill for half a year, the patient is still alive.

Let's talk about bronchiectasis again Bronchiectasis is a common chronic bronchial suppurative disease. The main clinical manifestations are chronic cough, vomiting a lot of thick sputum, sputum dripping in the throat, or repeated hemoptysis. Antibiotics have a particularly significant therapeutic effect on this disease. It can be cured in one month by taking or injecting antibiotics early.

Let me tell you something about bronchial asthma; Bronchial asthma is an immune disease, which is caused by allergic and non-allergic factors, such as endotracheal edema and airway obstruction. The clinical manifestations are: dry cough or chest tightness, followed by sudden dyspnea, even mouth opening and shoulder lifting, sweating profusely, accompanied by wheezing in the throat. The patient is fidgety and fearful, unwilling to talk with others, and the symptoms last for a certain period of time. After treatment, it has been relieved or died, but before the attack stops, there has been phlegm rushing and the patient coughs frequently. After spitting out a lot of phlegm, he felt relaxed, his breathing gradually stabilized and his wheezing disappeared. If the symptoms are more than 24 hours, it is called persistent asthma attack. Bronchial asthma can be divided into exogenous, endogenous and mixed types. Exogenous asthma may have obvious allergen contact history or be related to seasons. The pathogenesis of endogenous asthma seems to have nothing to do with immunity. Generally, it is caused by bacterial infection, cold and heat stimulation and mental factors. Mixing, exogenous and endogenous interact and coexist. Bronchial asthma is also prone to complicated emphysema. Due to the attention of the state and the diligent discussion of medical work in recent years, the treatment of bronchial asthma has reached a new level. 1995 10 I attended the working meeting of the National Committee of Pulmonary Diseases of Traditional Chinese Medicine in Huangshan. During the meeting, the study decided to set up a national asthma research group, with the aim of completely and comprehensively overcoming bronchial asthma.

Let me talk about the causes of these diseases first. Internal factors play a leading role in the occurrence of chronic respiratory diseases. Internal cause is the internal factor of human body. It mainly includes two aspects: the first is the low immunity of respiratory organs caused by genetic reasons. That is, congenital deficiency, a person's internal organs are influenced by parents and the older generation, and the strength is different. Under the influence of genetic factors, a person with low immune function in the body is prone to diseases under the same external conditions. The above is the first cause of internal disease. The second cause of the disease is: acquired disorder is an inappropriate problem of birth, and life is a regular habit; Taking pictures is: feeding and nourishing the mind. If a person's previous generation has no history of chronic respiratory diseases, it can basically show that this person is relatively healthy in respiratory genetics. But if taken improperly, such as excessive smoking, long-term inhalation of harmful gases with peculiar smell, long-term consumption of irritating food, fat meat, raw garlic and so on. The respiratory tract is artificially stimulated for a long time, even if the organs are born healthy, it will inevitably lead to chronic respiratory diseases. These are the two main internal factors leading to chronic respiratory diseases. In addition, extreme fatigue and uncontrolled sexual life can induce chronic respiratory diseases. Let's talk about the external causes, external causes and external causes of chronic respiratory diseases. It includes the following aspects:

The first external cause: both climate problems and climate change can cause colds, and colds are the most important way to form chronic bronchitis. According to clinical records, chronic bronchitis caused by cold accounts for about 70% of the total cases of chronic bronchitis.

The second external cause: with the development of industry, air pollution is becoming more and more serious. A large number of harmful gases emitted by airplanes, ships at sea, trains, automobiles and ground factories pollute the atmosphere, which directly stimulates the human respiratory tract and is also the main external cause of chronic respiratory diseases.

The third external factor: due to the rapid development of the chemical industry, a large number of chemicals have flooded into the market, which not only makes use of advanced chemicals, but also affects human health. Dichlorvos, 39 1 1, 1605, mosquito-repellent incense used to smoke mosquitoes in summer, smelly chemical products and other pesticide smells have caused countless cases of asthma. The smell of inferior cosmetics can also induce asthma. On 1993, I treated a young woman with asthma. She has asthma 15 days in a row. Although she received treatment, the effect was not good. By asking about the medical history, according to the strong smell of makeup when she went to see a doctor, other patients and myself were afraid to take a deep breath, considering that the smell of makeup stimulated the respiratory tract and induced asthma. At the same time, I told him to stop using cosmetics, and as a result, asthma soon recovered. I have also cured cases of asthma caused by wearing inferior leather clothes and the smell of leather clothes irritating the respiratory tract. In a word, with the development of chemical industry, air pollution is becoming more and more serious, so the incidence of chronic respiratory diseases is rising sharply year by year. The mode of onset of chronic respiratory diseases is that under internal conditions, it may develop into chronic respiratory diseases under the stimulation of weather changes, as well as being caught in the rain, wading, sitting in wetlands or inhaling harmful gases.

The next thing I want to talk about is my medication for this disease. I started to engage in the prevention and treatment of tracheitis in response to the call of Premier Zhou 1972. In more than 30 years of clinical practice, through more than 40 additions and subtractions, the "Cordyceps Hong Ju Pill" has been developed to improve the treatment of chronic bronchitis, asthma and emphysema. Chronic bronchitis, bronchial asthma and emphysema are all chronic diseases with exterior deficiency and interior deficiency. Most of the causes of the disease are qi deficiency of the parents' lungs, spleen and kidney. Under the stimulation of external conditions, diseases and pathogens in the body interact with each other, resulting in lung failure. The main contradiction of the disease lies in the lung, but the root cause is closely related to the spleen and kidney. Because the spleen is the source of phlegm and the lung is the container of phlegm, the spleen is weak and cannot transport water and dampness, and it becomes ill because of accumulation of dampness and obstruction of airway. Therefore, the ancients said that the pathogenesis of these diseases is "lung, spleen and kidney". Therefore, the understanding of this disease should be based on empty word, and the word "tonic" should be paid attention to when taking drugs. Simply venting lung qi, relieving cough and asthma are auxiliary positions. Therefore, in the treatment of these diseases, the principle should be to tonify the spleen and kidney, mainly to invigorate the yang and astringe the yin, and to tonify the kidney and absorb qi. Cordyceps Hong Ju Pill is mainly composed of Buzhong Yiqi Decoction, Yupingfeng Powder and Shengmai Drink. Bulbus Fritillariae Cirrhosae, Gecko, Pearl, etc. Honey is a pill. Looking at the whole prescription, it has the functions of tonifying yang, astringing yin, tonifying middle energizer, relieving cough and asthma, so long-term administration can effectively cure chronic bronchitis, bronchial asthma, emphysema and pulmonary heart disease. 1993 100 The personnel of the superior pharmaceutical administration unit, the superior scientific research department and the research group of "Cao Chong Hong Ju Pill" visited100 patients who had taken "Cao Chong Hong Ju Pill" in Zhenping, Neixiang and Xichuan counties with high incidence of chronic obstructive pulmonary disease, including 6 males and 39 females. This 100 patient has been treated with Cordyceps Hong Ju Pill. The shortest taking time is 10 day and the longest taking time is 6 months. After taking it according to the prescribed course of treatment, all the symptoms disappeared, 5/kloc-0 cases were cured, and there was no recurrence for three years. The patients who stopped taking drugs for 3 months to 3 years did not relapse, accounting for 33 cases. After taking the medicine, the symptoms were relieved, accounting for 13 cases, and the symptoms remained unchanged for 10 days, accounting for 3 cases. According to the follow-up statistics, the total effective rate of Cao Chong Hong Ju Pill in treating chronic bronchitis, bronchial asthma and emphysema is 97%. Through years of clinical observation, the treatment of chronic bronchitis, bronchial asthma, emphysema and pulmonary heart disease with "Cao Chong Hong Ju Pill" can not only control the current situation of patients, but also successfully solve the problem of radical cure.