1, etiology and treatment:
Include avoiding smoke, prevent dust, treating diseases of nose and paranasal sinuses, restoring nasal breathing, advising patients to talk less, clearing their throats, doing more physical exercises and giving more vitamin-rich food or medicine.
2, local treatment:
(1) buccal tablets and mouthwashes.
(2) Apply medicine to help diminish inflammation and convergence.
(3) Fumigation, ultrasonic atomization inhalation or drinking more water.
(4) local occlusion of mandibular angle or pharyngeal arch and wall.
(5) physical therapy.
(6) Treatment methods of hyperplastic lymphoid tissue include laser, freezing, electrocoagulation, electrocautery or chemical cauterization, and it is advisable to treat multiple lymphoid tissues by stages and batches.
(7) Pharyngeal lavage, drug application and medicine to increase the secretion of potassium iodide by pharyngeal glands.
Pharyngitis is mostly due to deficiency syndrome, and the treatment method is mainly tonic, or nourishing yin to reduce fire, or warming spleen and kidney to induce people to return to the original. Because of the long course of disease, it is difficult to get quick results, so taking medicine for a long time and nourishing yin must prevent it from being greasy, and warming and nourishing should prevent it from being dry. As for those who hold phlegm and blood stasis, because they hold excess in the deficiency, they should not blindly attack and hurt their righteousness, which will make their condition more lingering. In addition to drug treatment, proper psychological counseling is also very important to make people feel comfortable and adjust their qi.
Traditional Chinese medicine treatment of pharyngitis:
Dialectical prescription selection
1. Yin deficiency of lung and kidney
Treatment: nourishing yin to reduce fire, moistening dryness and relieving sore throat.
Prescription:
① For those who are partial to lung yin deficiency, the decoction of nourishing yin and clearing lung (The Jade Key of Paris) can be added or subtracted.
② For patients with kidney yin deficiency, Zhibai Dihuang Decoction (Medical Prescription Test) can be added or subtracted.
2. Yang deficiency of spleen and kidney
Treatment: \ "Warming spleen and kidney, causing fire to return to the original.
Prescription: Shenqi Pill (Synopsis of the Golden Chamber).
3. Phlegm stagnation
Treatment: nourishing yin and relieving sore throat, resolving phlegm and resolving stagnation.
Prescription: Fritillaria Gualou Powder (Medical Mind Enlightenment).
Other therapies
(1) Ultrasonic atomization of traditional Chinese medicine
1. honeysuckle 9g, scutellaria baicalensis Georgi 10g, chrysanthemum indicum 9g, four Tibetan green fruits, elephant shell 10g, platycodon grandiflorum 6g, peucedanum praeruptorum 9g, Jiang Banxia 15g, Scrophularia 15, pollen1. Decoct the juice 100ml, take 20ml of atomized inhalation each time 10 minute, twice a day, 10 day as a course of treatment.
2. Pinellia ternata10g ~12g, Magnolia officinalis10g ~12g, Poria cocos15g ~ 30g, Bupleurum chinense 6g ~12g, Pericarpium Citri Reticulatae10g ~. Forsythia suspensa10g ~12g, Fritillaria cirrhosa10g ~15g, Fructus Aurantii10g ~12g. Decoct in water, concentrate to get 40ml of juice, and inhale by atomization, once a day, 1 time, 10 day as a course of treatment.
3. Rhizoma Pinelliae, Cortex Magnolia Officinalis, Radix Scrophulariae, Radix Ophiopogonis, Radix Rehmanniae, Flos Lonicerae, Scutellariae Radix, Rhizoma Cyperi, Radix Curcumae, Herba Menthae, Bulbus Fritillariae Thunbergii, Radix Paeoniae Alba, Herba Taraxaci, Cortex Albizziae, Radix Salviae Miltiorrhizae and Glycyrrhrizae Radix, decoct in water, filter and take juice, and use 15ml for ultrasonic atomization each time, and 1 time
Submucosal injection of traditional Chinese medicine into posterior pharyngeal wall
1. Compound Salvia Miltiorrhiza: Take 2ml of Compound Salvia Miltiorrhiza Injection and inject it into the submucosa on both sides of the posterior pharyngeal wall with No.5 ~ No.6 injection needles, and the depth of injection is as high as possible. Each side is injected with 1ml, three times a week, with two weeks as a course of treatment, with five days' rest between courses.
2. Radix Isatidis: Take 4ml of Radix Isatidis injection, inject it into the submucosa on both sides of the posterior pharyngeal wall with a No.5 long needle, and inject 1ml at the upper and lower points on each side, three times a week, with two weeks as a course of treatment.
Inject 2ml of 50% Cortex Phellodendri decoction supernatant into 5ml syringe, keep the temperature of liquid medicine at 28℃ ~ 32℃, and directly spray the whole pharynx and posterior pharyngeal wall with No.5 long needle,1~ 2 times a day for 5 ~ 6 days as a course of treatment.
If the posterior pharyngeal wall follicles proliferate greatly, a small soldering iron with a diameter of about 12.5px can be used to burn red on the alcohol lamp, and then it can be quickly branded on the follicles after being dipped in sesame oil, and each follicle can be branded1~ 3 times every 3-4 days until it is calm.
traditional Chinese medicine
Runhou pills: 3-4 pills each time, taken with boiling water, 3 times a day; Or1~ 2 pills each time, regardless of time. Efficacy of moistening throat and relieving sore throat, used for deficiency fire and throat obstruction.
Caoshanhu buccal tablets: each time1~ 2 tablets, regardless of time. Efficacy of relieving sore throat and refreshing throat, suitable for all kinds of chronic pharyngitis.
Jianmin yanhou tablet: the method and effect are the same as above.
Zhibai Dihuang Pill: It is a small pill, taking 10g each time, three times a day. It is effective in nourishing yin and reducing fire, and is suitable for laryngeal obstruction caused by deficiency fire.
Shedan Chuanbei Powder: each time 1 branch (0.6g), twice a day. Efficacy of resolving phlegm, clearing heat and relieving sore throat, used for chronic pharyngitis of phlegm-fire stagnation type.
acupuncture and moxibustion
Warm needling: the main points are Sanyinjiao, those with lung and stomach yin deficiency are matched with thenar, Kongzui and Zusanli, and those with lung and kidney yin deficiency are matched with Taixi and Zhaohai; Qi stagnation and blood stasis are associated with Neiguan and Xuehai. After needling at the main point, apply flat, tonify and relieve diarrhea; after getting angry, insert 75px long moxa stick at the end of the needle for moxibustion, each point is 2-3 strong; the rest points are given flat, tonify and relieve diarrhea; after getting angry, keep the needle for 30 minutes, and perform acupuncture once every 10 minute. Every other day, 10 is a course of treatment.
Acupoint injection: firstly, acupuncture at both sides of Hegu has the effect of acupuncture anesthesia. One side of Yongquan point is selected each time, and compound Danshen 1ml is injected alternately on both sides, every 5 days 1 time, and three times is a course of treatment.
Acupoint application: Mylabris and Semen Sinapis Albae are mixed according to1:2, and ground into fine powder for later use. Point selection: Lianquan: Renying, Sudden Water, Taixi, Zhaohai, Sudden Sputum, Spleen and Kidney Yang Deficiency plus Zusanli, Sanyinjiao, Yin Deficiency and Fire Excess plus Yongquan, and bilateral acupoints can be used alternately. Wet a proper amount of medicinal powder with vinegar, knead it into soybean pills, put it on acupoints, stick it with adhesive tape, take it off after 3-4 hours, and blisters gradually appear on the sticking part. After about 12 hours, puncture the blisters with a sterile needle, and scab after 3-4 days, once a week 1 time, three times as a course of treatment.
Ear acupuncture therapy: selecting points: throat, lung, heart and kidney, measuring the sensitivity of selecting ear points with a probe or a detector, conventionally sterilizing the ear gallery, cutting the Fragrant Fragrant Fragrant into 15px× 15px, sticking Liushen Pill 1 granule inside, sticking it on the detected ear points, and pressing it appropriately to produce. Apply pressure every other day 1 time, alternately on both sides,10 ~15 days as a course of treatment.
(The above information and contents are for reference only, and you need to consult a doctor for details. )