2 English reference wind-heat sore throat [Xiangya Medical Dictionary]
Acute pharyngitis [Xiangya Medical Dictionary]
It is concluded that red larynx is the name of the disease, namely wind-heat laryngitis [1].
Wind-heat laryngitis is the name of this disease [2]. Look at the tips of the throat pillow. Also known as wind-heat larynx (see Vol.3 of Finger and Palm of Laryngology) and red larynx [1]. This is a kind of laryngitis. Refers to laryngitis caused by wind-heat and pathogenic toxin, and the main symptom is sore throat [1].
Red and swollen throat is equivalent to acute pharyngitis in western medicine [1].
4 Etiology and pathogenesis of throat redness and swelling are mostly caused by accumulation of pathogenic heat, reinfection of wind pathogen, wind pathogen transforming into heat, and guest in the lung system.
The throat is red and swollen, which is often caused by sudden climate change, careless life, malnutrition of lung health, wind, heat, evil and poison. It hits the throat directly from the nose and mouth and hurts the lungs internally, causing sore throat, which is called laryngitis [1]. At this time, the evil is in the exterior, so the condition is mild. If the treatment is improper, or the lung and stomach heat are widely distributed, the syndrome of excess heat in the stomach meridian will appear, and the condition will be aggravated [1].
Pharyngeal swelling, wind-heat, sore throat, granular protrusion at the bottom of larynx, and no obvious swelling of laryngeal nucleus. The whole body has wind-heat symptoms [1]. At first, the patient's throat was slightly red and swollen with burning pain and redness. Then pathogenic heat fills the stomach, and the swelling and pain increase, leading to dysphagia, hoarseness, or chills and fever [2].
6 Diseases that need to be differentiated from red throat Both red throat and wind-heat moth have symptoms of sore throat, but the lesion of wind-heat laryngitis is mainly in the pharynx, so the swelling of laryngeal nucleus is not obvious, and the lesion of wind-heat moth is mainly in the laryngeal nucleus, so the laryngeal nucleus is red and swollen with yellow and white pus spots [1]. All moths with wind-heat have wind-heat laryngitis, but not all moths with wind-heat laryngitis [1].
7 Treatment of sore throat The treatment of sore throat should dispel wind and clear heat, detoxify and relieve sore throat [2]. You can choose Jiedu decoction paste, Qingyan Li Ge decoction, etc. [2].
7. 1 Syndrome Differentiation and Treatment 7. 1. 1 Wind-heat syndrome. Laryngalgia due to exogenous lung meridian refers to wind evil syndrome, which is characterized by sore throat, dysphagia, sore throat, fever, aversion to wind, headache, cough and red tongue.
7. 1. 1. 1 At the beginning of symptoms, the patient's throat was dry and burning, with slight pain and unfavorable swallowing feeling. Later, the pain gradually increased and I felt blocked by foreign bodies [1].
Examination shows that the pharynx is reddish and slightly swollen, and with the aggravation of symptoms, the uvula is red and swollen, the laryngeal floor is red and swollen, or there are granular protrusions [1].
Symptoms such as fever, aversion to cold, headache, cough with yellow phlegm, red tongue, thin white or yellowish fur, and floating pulse appear all over the body [1][3].
7. 1. 1.2 Syndrome analysis Wind-heat pathogen invades the pharynx, and the pathogen is still in the lungs, so the condition is mild, so the pharynx is reddish, slightly swollen, slightly painful, hot and dry, and has difficulty swallowing [1].
Fever and aversion to cold are manifestations of fighting evil against evil [1].
Lung failure leads to cough with phlegm [1].
The coating is thin, white or yellowish, and the pulse floating number is wind-heat exterior syndrome [1].
7. 1. 1.3 Prescription treatment 7. 1. 1.3. 1 Therapy to dispel wind and clear heat, detoxify and relieve sore throat [1].
7. 1. 1.3.2 Prescription can be Shufeng Qingre Decoction [Remarks] Shufeng Qingre Decoction (empirical prescription): Schizonepeta, Saposhnikovia divaricata, Burdock, Glycyrrhiza uralensis, Lonicera japonica, Forsythia suspensa, Cortex Mori, Radix Paeoniae Rubra, Radix Platycodi, Scutellariae Radix, Trichosanthis Radix, Scrophulariae and Fritillaria thunbergii [65438]
7. 1. 1.4 External treatment can be blowing medicine, gargling, taking medicine, etc. , and can be combined with acupuncture treatment [1].
7. 1. 1.4. 1 Blow medicine to clear away heat and toxic materials, eliminate phlegm and spread lung, remove putrefaction and promote granulation, and use Xilei powder [Remarks] Xilei powder (the wing of the golden chamber): ivory crumbs, pearls, indigo naturalis (flying), borneol, wall line, bezoar, and borneol. [4];
Clearing away heat and toxic materials, removing putrefaction and swelling, and grinding into fine powder with Boron Ice Powder [Remarks] Boron Ice Powder (surgical authentic): sodium sulfate, cinnabar, borax, borneol and * * *. [4];
Huang Zhu Powder [Remarks] Huang Zhu Powder (empirical formula) can be used for clearing heat from bitter cold, removing rot and suppurating: Renzhongbai 3g, Mabo Powder 15 g, Indigo Naturalis 3g, Xiaoer Tea 3g, Sodium Sulfate 1.5 g, Borax 3g, Mint 1.5g, and Coptidis Rhizoma/Kloc.
Blow a little medicine every time, every 1 ~ 2 h [4].
7. 1. 1.4.2 gargle prescription [remarks] gargle prescription (empirical formula): Saposhnikovia divaricata 4.5 g, Glycyrrhiza uralensis Fisch 4.5 g, honeysuckle 15 g, forsythia suspensa 15 g, mint 3g and Schizonepeta tenuifolia 4.5g, with two bowls of water. Rinsing your mouth can dispel wind, clear heat, detoxify, reduce swelling and relieve pain, or rinse your mouth with Schizonepeta Chrysanthemum Decoction [4].
7. 1. 1.4.3 Take Tiedi Pill [Remarks] Tiedi Pill (empirical prescription): terminalia chebula, Ophiopogon japonicus, Poria, Trichosanthis Radix, Fritillaria, Glycyrrhiza uralensis, Platycodon grandiflorum, Fengyi, Scrophularia, Chinese olive 1300g or Runhou Pill [Remarks].
7. 1. 1.5 acupuncture therapy 7. 1. 1 acupuncture 7.1./prescription 1.
Treatment: dredge meridians, dispel heat, reduce swelling and relieve pain [4]
Acupoint selection: Hegu, Neiting and Quchi are the main points, supplemented by Tiantu, Shaoze and Yujin [4].
Acupuncture: choose 3-4 acupoints for intensive purgation each time, and acupuncture can be performed 1-2 times a day [4].
7.1.1.5.1.2 square two
[5]
Treatment: expelling wind and clearing lung, clearing throat.
Acupoint selection: Hand Taiyin Lung Meridian is the main point. Take Shaoshan, Shangyang, Chize and Hegu for example. Shaoshang and Shangyang are the meridian points of Taiyin and Yangming respectively, and pricking blood can clear lung heat. Akazawa means "cooperation with the lunar hand" and "water point", which actually means cleaning the son. Hegu Shufeng Jiebiao, Qingyan analgesic.
Acupoints according to syndrome: For hoarseness, add Quan Lian and Fu Tu. Cough, add air door, cupping after acupuncture. If you feel uncomfortable with expectoration, plus a sudden outbreak.
Acupuncture method: purging needle method. Shaoshang and Ikezawa bleed with a triangular needle.
7. 1. 1.5.2 Ear acupuncture takes the tenderness point in the tonsil area and buries the needle. In the process of needle embedding, patients can strengthen themselves [4].
7. 1. 1.5.3 acupoint injection: apply 0.5 ~ 1 ml houttuynia cordata injection or Bupleurum injection to Pishu, Quchi and various acupoints [4].
7. 1.2 In the transmission and transformation of pathogenic toxin, throat obstruction of lung and stomach heat type refers to lung and stomach heat, severe pain in throat, dysphagia, obvious swelling and swelling of throat, swelling of submandibular nucleus, fever, thirst and dyspnea.
7. 1.2. 1 Symptoms: Pharyngeal pain is getting worse, with excessive phlegm and saliva, dysphagia, dysphagia and pharyngeal infarction [1].
Examination showed that the pharyngeal and laryngeal nuclei were red and swollen, the uvula was swollen, the follicles at the laryngeal floor were swollen, and the submandibular nucleus was tender [1].
The general symptoms are high fever, dry mouth and thirst, bad breath, headache, yellow and sticky phlegm, constipation, yellow urine, red tongue, yellow fur and strong pulse [1][3].
7. 1.2.2 Syndrome analysis In the general pathogenic heat, if the fire pathogen steams the throat, the throat will be red and swollen, the pain will be aggravated, and swallowing will be difficult; The combination of wind-heat pathogen and submandibular makes submandibular nucleus develop and causes obvious tenderness. Pathogenic heat burns body fluid, and phlegm is yellow and sticky [1].
High fever, dry mouth, headache, constipation, yellow urine, red tongue with yellow fur and rapid pulse are all syndromes of excess heat in Yangming [1].
7. 1.2.3 Prescription treatment 7. 1.2.3. 1 Therapeutic methods for clearing away heat and toxic materials, relieving sore throat and relieving swelling [1]
7. 1.2.3.2 Prescription can be treated with Qingyan Li Ge Decoction [1].
Volume 4 of Danxi Heart Therapy points out: "Sore throat is probably mostly phlegm-heat." Therefore, in the treatment of this disease, drugs for clearing throat and resolving phlegm should be properly prepared to clear away heat and resolving phlegm and clear throat. Commonly used drugs such as Fructus Trichosanthis, Radix Peucedani, Radix Stemonae, Caulis Bambusae, Rhizoma Belamcandae, Radix Platycodi, Semen Armeniacae Amarum, and concretio silicea Bambusae [1].
7. 1.2.4 external therapy 7. 1.2.4. 1 mouthwash prescription [Remarks] mouthwash prescription (empirical prescription): Saposhnikovia divaricata 4.5 g, Glycyrrhiza uralensis Fisch 4.5g, Lonicera japonica Thunb 15 g, Forsythia suspensa1 Rinsing your mouth can dispel wind, clear heat, detoxify, reduce swelling and relieve pain, or rinse your mouth with Schizonepeta Chrysanthemum Decoction [4].
7. 1.2.4.2 The moth with medicine blowing needs medicine blowing when it sees pus or false membrane.
Clearing away heat and toxic materials, dispersing phlegm, dispersing lung function, removing putrefaction and promoting granulation, use Xilei Powder [Remarks] Xilei Powder (wing of golden chamber): ivory crumbs, pearls, indigo naturalis (flying), borneol, wall thread, bezoar, human nail, * * finely ground, wrapped tightly, and slightly blown in the throat. [4];
Clearing away heat and toxic materials, removing putrefaction and swelling, and grinding into fine powder with Boron Ice Powder [Remarks] Boron Ice Powder (surgical authentic): sodium sulfate, cinnabar, borax, borneol and * * *. [4];
Huang Zhu Powder [Remarks] Huang Zhu Powder (empirical formula) can be used for clearing heat from bitter cold, removing rot and suppurating: Renzhongbai 3g, Mabo Powder 15 g, Indigo Naturalis 3g, Xiaoer Tea 3g, Sodium Sulfate 1.5 g, Borax 3g, Mint 1.5g, and Coptidis Rhizoma/Kloc.
Blow a little medicine every time, every 1 ~ 2 h [4].
7. 1.2.5 acupuncture treatment 7. 1.2.5. 1 acupuncture 7.1.2.5./prescription 1.
Acupoint selection: Hegu, Neiting and Quchi are the main points, while Tiantu, Shaoze and thenar are the auxiliary points [4].
Acupuncture: choose 3-4 acupoints for intensive purgation each time, and acupuncture can be performed 1-2 times a day [4].
7. 1.2.5. 1.2 square two
[5]
Treatment: clearing stomach and purging heat, reducing swelling and relieving pain.
Acupoint selection: Foot Yangming stomach meridian is the main point. Take Neiting, Tiantu, Fenglong, Tianding and Shaoshang points. Acupoints of foot Yangming meridian in inner court are selected, and hand Yangming meridian Shaoshang and Tianding are used to clear Yangming, relieve fever, reduce swelling and relieve pain. Tiantu is the point where Ren meridian and Yin meridian meet, which can clear the throat. Abundance is the collateral point of foot Yangming, and diarrhea can clear away heat and resolve phlegm.
Acupoint selection based on syndrome differentiation: constipation and abdominal pain, plus Zhigou and Shu Tian.
Acupuncture method: purging needle method. Less business pricks blood.
7. 1.2.5.2 bloodletting therapy If the swelling and pain are serious, a small amount of bloodletting can be used to dispel the pathogenic heat. At the helix 1, 2, 3, use a triangular needle, a thick needle or a sewing needle, acupuncture at the depth of 1 ~ 2 minutes, and bleed 1 ~ 2 drops. Or find out the obvious small vein on the back of the ear shell, puncture it with a triangular needle and bleed 2 ~ 5 drops. You can also acupuncture Shaoshang and Shangyang and bleed 1 ~ 2 drops. [6]
7. 1.2.6 Acupoint * * * The following methods are effective for redness, swelling, pain, dysphagia and red tongue with yellow fur [7]:
(1) Press the tiantu with your index finger for 3 minutes, so it is advisable to feel sore.
② Press the thumb and forefinger on both sides of the person 1 ~ 3 minutes.
③ Press thenar with the tip of thumb for 3 minutes with moderate force.
(4) Rub the sea with the tip of your thumb for 3 minutes, and the intensity should be to produce a feeling of soreness.
7.2 Acupuncture Treatment 7.2. 1 Acupuncture 7.2. 1. 1 Prescription 1 Focus on Li Anquan, Tiantu, Hegu and Shaoshang [8]. Appropriate acupoints such as Chise, Quchi, Waiguan and Tianzhu [8]. The needle is mainly forced to be removed, and the needle is kept 15 ~ 30 minutes. During this period, the needle is transported intermittently to enhance the needle feeling, and the mouth can be rinsed with light salt water [8].
7.2. 1.2 prescription 2 acupuncture on the cheek, closing the valley, closing the quotient or closing the mandibular angle can make the inflammation subside, and the analgesic effect is especially good.
7.2.2 Moxibustion [9]
7.2.2. 1 The symptoms are acute and the throat feels unbearable pain. If something is stuck in the throat, it is difficult to swallow, and the breath is pungent, which often induces wind-heat cold, red tongue with thin coating and floating pulse.
7.2.2.2 chose Dazhui, Quchi, Shu Fei and Shaoshang.
7.2.2.3 moxa stick moxibustion method Aibo bird pecking moxibustion, that is, when eating, the sparrow's head moves up and down, and the moxa stick is closest to the skin by 0.5 ~ 1 cm, resulting in a burst of burning sensation. Each acupoint lasts for/kloc-0 ~15 minutes, and the acupoint is flushed and feverish twice a day until it is healed.
Symptomatic treatment of pharyngitis in 7.2.2.4 is often accompanied by wind-heat cold, toothache and other symptoms. Clinically, the following methods can be adopted according to the accompanying symptoms.
7.2.2.4.1Acupoints for wind-heat cold: Quchi and Hegu.
Moxibustion: Moxibustion with moxa sticks is like the sparrow's head moving up and down when eating. The moxa stick is closest to the skin for 0.5 ~ 1 cm, and produces a burst of burning sensation, lasting for 10 ~ 15 minutes, with the point flushing and burning as the degree, once a day 1 time.
7.2.2.4.2 Acupoints for toothache: List the missing points.
Moxibustion: Moxibustion with moxa sticks is mild, each point 15 minutes, and the point is red and hot, once a day 1 time.
7.3 Other therapies 7.3. 1 Scraping sore throat, first scraping Fengfu point, then scraping other points behind the ear, points on both sides of the arm, Quchi, ambulance, Daling and Taiyuan. The back is always scraped along the bladder meridian of Taiyang from top to bottom (from Shufei to Ganshu and Shu Wei, from Dachangshu to bladder meridian). This method is rarely used for people with weak constitution. [ 10]
At first, when I feel sore throat, I often take the cervical fossa (that is, the carotid artery), rub some sesame oil, and scrape it with the edge of thick copper coins. Scrape from top to bottom, don't scrape from bottom to top. The left sore throat scraped the right side, and the right sore throat scraped the left side. Mild people often recover after scraping, and severe people can also relieve symptoms. [ 10]
7.3.2 Grasping method is suitable for acute throat diseases with severe swelling and pain and difficulty in dripping water. Grasping can reconcile qi and blood, dredge meridians and relieve symptoms. There are many ways. Now, we will introduce unilateral capture and bilateral capture. [ 10]
7.3.2. 1 When operating the unilateral grip, instruct the patient to sit up straight, raise his hand horizontally, with his thumb up and his little finger down. If the patient's left hand is raised horizontally, the performer stands on the right side of the patient's hand. Press the patient's thenar back tightly with the left index finger, middle finger and ring finger (equivalent to Hegu point), buckle the wrist with the little finger, press the thumb forward against the rib surface of the patient's thumb, press the shoulder joint on the upper edge of the patient's clavicle with the right thumb (equivalent to acromion point), hold the armpit with the index finger, middle finger and ring finger, and pull it out forcefully. During the operation, you can ask a third party to stand in front of the patient and slowly pour out the soup or semi-liquid at this time, because the sore throat is obviously relieved and you can swallow it. This method can be used continuously. [ 10]
7.3.2.2 bilateral grab method [10]
The patient sits in a chair without a backrest, and the doctor stands behind the patient, with his hands extending from the patient's armpit to his chest, pressing the upper edge of the clavicle with his index finger, middle finger and ring finger, and pressing the patient's ribs with his elbow, and the doctor's chest is close to the patient's back. After positioning, you start to exert your strength. Pull your hands to the left and right (along the clavicle to the scapula), and press the patient's ribs and back with your elbows and chest. It is necessary to use three forces at the same time to relax the patient's throat and make it easy to swallow. The assistant will feed the prepared medicinal soup or porridge to the patient for swallowing.
Attention should be paid to the general situation of the patient during the operation, and the operator should exert proper force and not be too rude.
7.3.3 As mentioned in Volume 30 of the Theory of Staging of Pathogenic Factors, the introduction method: "Hold it with one hand long and the chin with the other hand, and pull it outward, which is extremely powerful for a while. The same is true of the left and right, the hands are still, and the two sides are extremely powerful and urgent. Go to laryngitis. "
7.3.4 *** Method for sore throat: Take Fengchi, Fengfu, Tiantu, Quchi, Hegu and Jianjing. During the operation, the patient takes the supine position. First, massage or finger massage on both sides of Adam's apple and Tiantu point, up and down several times. Then sit down, press the acupoints such as Fengchi, Fengfu and Shoujing, and cooperate with Fengchi, Shoujing, Quchi and Hegu. [ 10]
The nursing room of Red Throat has good air circulation and moderate temperature [6].
Patients should not blow directly to prevent colds [6].
Pay attention to the hygiene of the throat and often rinse your mouth with mouthwash [6].
9 The diet of patients with sore throat should avoid wind and heat. Patients with laryngitis should avoid overeating spicy, greasy and fried foods [6].
The diet of patients with wind-heat laryngitis should be easy to digest and light [6].
You can drink more cool and lung-moistening drinks, such as boiled water from water chestnut, cogongrass rhizome and bamboo pole, or boiled water from Scrophularia, Radix Rehmanniae and Radix Ophiopogonis [6].
10 prevent red throat from actively exercising, enhance physical fitness and improve physical resistance [6].
Pay attention to oral hygiene, treat nearby tissue diseases in time and avoid overeating spicy food [6].
Drinking more cool and lung-moistening drinks, such as boiled water of water chestnut, cogongrass rhizome and bamboo pole, or boiled water of Radix Scrophulariae, Radix Rehmanniae and Radix Ophiopogonis, is helpful to prevent wind-heat laryngitis [6].
Guiding methods for prevention and treatment of laryngeal obstruction: hold firmly, turn neck, elbow backward, clean and jerk five or six degrees, knock your teeth six or six times, and exhale and rinse your mouth three or three times a day [1 1].
1 1 About throat obstruction; ; Pharyngitis is the name of the disease [12]. Huang Di's Canon of Internal Medicine published by Su Jing Wenyin Yang Bielun. Also known as laryngeal closure [13]. It refers to throat diseases characterized by sore throat or dryness, foreign body discomfort and dysphagia. Broadly speaking, it is a general term for sore throat [13]. But commonly known as laryngitis, it refers to the onset and course of disease is not critical, sore throat, mild dysphagia or hoarseness, cold and heat and other symptoms [13]. The etiology and pathology of laryngitis are different from wind-heat yin deficiency, so it is called wind-heat laryngitis caused by wind-heat pathogenic toxin, and deficiency-fire laryngitis caused by deficiency-fire of viscera [1].
Wind-heat laryngitis is equivalent to acute pharyngitis in western medicine, and deficiency-fire laryngitis is equivalent to chronic pharyngitis in western medicine [1].
Please refer to sore throat for details.
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