If it is mild chronic bronchitis, it only occurs 2-3 times a year, and the duration of each attack does not exceed 1-2 months, then you only need to pay close attention to treatment during the attack period, control the symptoms, then consolidate for a period of time, and stop taking medicine after frequent seasons. If it is severe chronic bronchitis, it will not be cured, and the remission period is short or no remission period at all, which requires long-term medication. At different stages of the disease, the principles of treatment are different. The treatment principles of acute attack and chronic protracted period are: controlling infection, eliminating phlegm, relieving spasm and relieving asthma; In the remission stage, the treatment principle is: strengthening the body resistance and preventing recurrence.
Is there a good treatment to prevent the occurrence of chronic bronchitis? Because the etiology of chronic bronchitis is not completely clear, involving infection, physical and chemical stimulation, allergies, climate and temperature changes, the patient's internal reasons and other factors, so far there is no effective way to prevent this disease. For patients with chronic bronchitis, it is advisable to use some drugs to increase the body's resistance to prevent its acute attack. If we choose transgenic, gamma globulin, bronchitis vaccine and other drugs, we can improve the body's resistance and reduce the incidence of chronic bronchitis, which is beneficial to patients with chronic bronchitis. Usually, patients with chronic tracheitis should strengthen the exercise of respiratory muscle function and insist on doing breathing gymnastics and qigong with abdominal breathing as the main part, which is very beneficial to exercise diaphragm and improve ventilation function. Patients with chronic tracheitis should also pay attention to nutrition and enhance their physique. Smokers should quit smoking, and patients with obvious hypoxia can use low-concentration home oxygen therapy. Many hospitals have also carried out the traditional Chinese medicine therapy of "treating winter and treating summer", which has certain effects.
Cupping therapy for chronic tracheitis
Acupoint selection: ① Acupoint selection: Dazhui, Shen Zhu, Dazhui, Fengmen, Shu Fei, Shu Ge, Plaster, Quchi, Chise, Hegu and Tiantu; ② Location: neck, both sides of spine and suprascapular region.
Operation method: Take a glass cupping, ceramic cupping or bamboo cupping with a diameter of 4 ~ 6 cm, loosely tear it with a 95% alcohol cotton ball and stick it on the bottom of the cupping. After the cotton ball is ignited, immediately buckle the cupping on the selected treatment site to make it firmly absorb the skin, and generally leave the cupping 10 ~ 15 minutes.
Indications: various chronic tracheitis.
Attention: ① Don't let the barbecue in the jar mouth overheat; ② When igniting the alcohol cotton stuck to the bottom of the tank, be sure to avoid falling and causing burns.
1. Methods: Acupoint injection: Acupoint selection: Dingchuan point 2 and Shu Fei point 2. Two pairs of acupoints were injected alternately, every other day or every day 1 time, five times as a course of treatment.
Medication: triamcinolone acetonide acetate 10 mg, 2% lidocaine 3 ml; Use No.6 injection needle, after local disinfection, inject 2 ml of medicine into each acupoint. Add 0. 1.5-0.3 mg of scopolamine hydrobromide to relieve asthma.
At the same time of acupoint injection, oral Chinese medicine is taken. The prescription is: 6 grams of ginseng (30 grams of codonopsis pilosula), 20 grams of Radix Rehmanniae Preparata, 30 grams of Chinese angelica 15, 30 grams of Chinese yam, 0/5 grams of Poria 15, 0/5 grams of earthworm/kloc-0, 0 grams of Flos Farfarae 10, and 0 grams of fried almonds/kloc-0. 65,438 05g of Fructus Forsythiae, 30g of Senecio scandens, 65,438 00g of Pinellia ternata, 30g of dried tangerine peel, 65,438 00g of Rhizoma Curculiginis and 30g of Herba Epimedii. Daily 1 dose, decocted twice in water, mixed with the two liquids, and taken once in the morning and evening. You can also eat it three times a day. When cough, asthma and scanty phlegm are easy to cough, honeysuckle, weeping forsythia, Senecio scandens, coltsfoot flower, Rhizoma Curculiginis and Cortex Mori are removed. Reduce the amount of roasted licorice. Take the above 7- 10 dose to consolidate the curative effect. After recovery, pay attention to cold-resistant exercise, enhance nutrition, and ban alcohol and smoking. For patients with emphysema, encourage them to do deep breathing exercise, 2.3 times a day, each time 10- 15 minutes.
Chronic bronchitis in the elderly is prone to occur in spring. Diet prevention and treatment methods: It is advisable to eat more foods with expectorant, spleen-invigorating, kidney-tonifying and lung-nourishing effects, such as loquat, orange, pear, lotus seed, lily, jujube, walnut and honey, which will help relieve symptoms. Ingredients: Ginkgo biloba, sweet almond, walnut kernel, peanut kernel (1: 1:2:2) and 1 egg.
【 Practice 】 Peel the ginkgo fruit and remove the tip, then grind the last four herbs into powder (fine powder, twisted without sand), take 20g each time, add water to boil, and wash the egg 1 into a small bowl.
[Usage] Eat on an empty stomach in the morning for half a year.
[Function] To relieve cough and asthma. Suitable for middle-aged and elderly people with chronic tracheitis.
[Comment] Ginkgo is bitter in taste, flat in nature and low in toxicity, and has the function of tonifying kidney and strengthening lung. Commonly used for lung disease and cough and asthma caused by fatigue in the elderly, Ginkgo biloba soaked in oil is suitable for tuberculosis. Sweet almonds contain amygdalin and 40-60% fatty oil, which can moisten the lungs, relieve cough and asthma, and moisten the intestines to relieve constipation. The four kinds of nuts are compatible with each other and rich in protein, oil and minerals. Sticking to taking it can eliminate stubborn diseases and get rid of diseases.
Diet should be light, avoid seafood and greasy food. As the saying goes, "Fish makes a fire, meat produces phlegm, and cabbage and tofu keep it safe", which has certain scientific truth. Pepper, pepper, onion, garlic and other irritating foods. And eat less food that is too sweet and salty, so as not to stimulate the respiratory tract.
According to the characteristics of etiology, disease stage and recurrent attack of chronic bronchitis, comprehensive measures of combining prevention and treatment are taken. In acute attack and chronic protracted period, infection control, expectorant and cough relieving should be the main measures. When accompanied by wheezing, spasmolysis and asthma should be treated. For the clinical remission period, it is advisable to strengthen exercise, enhance physical fitness, improve the body's resistance and prevent recurrence. Patients should be educated to quit smoking consciously to avoid and reduce various inducing factors.
First, the treatment of acute attack
(1) Controlling infection depends on the main pathogenic bacteria and severity of infection or selecting antibiotics according to the drug sensitivity of pathogenic bacteria. Mild patients can take orally, and severe patients can use intramuscular injection or intravenous drip of antibiotics. Commonly used penicillin G, erythromycin, aminoglycosides, quinolones and cephalosporins. If narrow-spectrum antibiotics can be used alone, broad-spectrum antibiotics should be avoided as far as possible to avoid double infection or drug-resistant strains.
(2) Patients with acute attack should be treated with expectorant and antitussive drugs to improve their symptoms. In particular, patients in protracted period should insist on taking medicine to eliminate symptoms. Commonly used drugs include ammonium chloride mixture, bromhexine, weijingning and so on. Chinese patent medicine also has a certain effect on relieving cough. For the elderly who are too weak to expectorate or have a large amount of sputum, expectoration should be the main way to help expel phlegm and clear the respiratory tract. Strong antitussive drugs such as codeine should be avoided. So as not to inhibit the center and aggravate airway obstruction and inflammation, leading to the deterioration of the disease.
(3) For spasmolysis and asthma, aminophylline and terbutaline are usually taken orally or inhalants such as salbutamol are used. If the airway is still blocked after using airway relaxants, corticosteroids and prednisone can be used 20-40 mg/d.
(4) Aerosol therapy Aerosol humidification inhalation or compound benzoin tincture can dilute the secretion in trachea, which is beneficial to expectoration. If the sputum is sticky and difficult to cough up, ultrasonic atomization inhalation is helpful at present, and antibiotics and sputum thinner can also be added.
Second, the treatment in remission.
Strengthen exercise, strengthen physical fitness and improve immune function. Qigong also plays a certain role in strengthening personal hygiene and avoiding contact and inhalation of various inducing factors. Cold-resistant exercise can prevent colds.
Diet conditioning of chronic bronchitis
Drink milk
Smokers with chronic bronchitis drink milk. People who smoke and drink milk are significantly less likely to suffer from chronic bronchitis than those who smoke but don't drink milk. Don't forget to drink milk if you have to smoke.
Drink more fruit and vegetable juice.
Fruit and vegetable juice has a good effect on chronic bronchitis. It can not only relieve cough and resolve phlegm, but also supplement vitamins and minerals, which is very beneficial to the rehabilitation of diseases. Raw radish, fresh lotus root and pear can be chopped into juice and mixed with honey. It has obvious curative effect on hot cough and dry cough of chronic bronchitis.
Eat more vegetables.
You can eat more vegetables and soy products in moderation every meal, such as white radish, carrot and green leafy vegetables.
Eat more food to relieve cough and asthma.
Eat more foods with the functions of relieving cough and asthma, resolving phlegm, warming lung and strengthening spleen, such as ginkgo, loquat, grapefruit, pumpkin, yam, chestnut, lily, kelp and laver.
Foods to be avoided
Avoid cigarettes, alcohol and other cold, salty, spicy, greasy and irritating items to avoid aggravating symptoms.
Don't rush to make up for it.
Crystal supplements such as ginseng and velvet antler should not be used in acute attacks or when phlegm is excessive and the tongue coating is greasy, otherwise the chest tightness and shortness of breath will be even worse and the condition will be aggravated.
herbal tea
① Stemona tea
Children with chronic bronchitis have a long course of disease, persistent cough and poor constitution. Therefore, in the treatment of traditional Chinese and western medicine, diet conditioning is also an important part. Pay attention to the following aspects in diet:
(1) Food should be light: fresh vegetables, such as Chinese cabbage, spinach, rape, radish, carrot, tomato, cucumber, wax gourd, etc., can not only supplement the supply of vitamins and inorganic salts, but also have the functions of resolving phlegm, removing fire and relaxing bowels; Soybeans and bean products contain high-quality protein needed by human body, which can supplement the nutrient loss caused by chronic tracheitis, without the disadvantages of phlegm accumulating fire.
(2) The child's cough lasts for a long time, which is harmful to healthy qi and weak lung and spleen. Therefore, foods with the functions of invigorating spleen and lung, kidney, regulating qi and resolving phlegm, such as pig, cattle, sheep, lung, loquat, orange, pear, lily, jujube, lotus seed, almond, walnut, honey, etc., are usually selected, which is helpful to strengthen physical fitness and improve symptoms.
(3) Do not eat oily seafood. Because "fish makes a fire, meat produces phlegm", children with chronic bronchitis should eat less yellow croaker, hairtail, shrimp, crab and fat to avoid helping the fire produce phlegm.
(4) Do not eat irritating food: spicy things such as pepper, pepper, garlic, onion and leek can stimulate the respiratory tract and aggravate symptoms; The seasoning of dishes should not be too salty or too sweet, and the hot and cold should be moderate.
Stemona Stemona 100g, honey 500g and clear water 5000mg are used. Stemona Stemona is first decocted with clear water to 1000ml, and the residue is filtered off. Then honey is added and slowly boiled into a paste, each time 1 ~ 2 tablespoons, and taken after meals, three times a day. It is very effective in treating chronic bronchitis with chronic cough.
② Ganoderma tea
Take 20 grams of Ganoderma lucidum and decoct it continuously for 3 days, which has obvious effect of relieving cough and eliminating phlegm, and can relieve tracheal smooth muscle spasm.
What should chronic bronchitis diet avoid?
Children with chronic bronchitis have a long course of disease, persistent cough and poor constitution. Therefore, in the treatment of traditional Chinese and western medicine, diet conditioning is also an important link. Pay attention to the following aspects in diet:
(1) Food should be light: fresh vegetables, such as Chinese cabbage, spinach, rape, radish, carrot, tomato, cucumber, wax gourd, etc., can not only supplement the supply of vitamins and inorganic salts, but also have the functions of resolving phlegm, removing fire and relaxing bowels; Soybeans and bean products contain high-quality protein needed by human body, which can supplement the nutrient loss caused by chronic tracheitis, without the disadvantages of phlegm accumulating fire.
(2) The child's cough lasts for a long time, which is harmful to healthy qi and weak lung and spleen. Therefore, foods with the functions of invigorating spleen and lung, kidney, regulating qi and resolving phlegm, such as pig, cattle, sheep, lung, loquat, orange, pear, lily, jujube, lotus seed, almond, walnut, honey, etc., are usually selected, which is helpful to strengthen physical fitness and improve symptoms.
(3) Do not eat oily seafood. Because "fish makes a fire, meat produces phlegm", children with chronic bronchitis should eat less yellow croaker, hairtail, shrimp, crab and fat to avoid helping the fire produce phlegm.
(4) Do not eat irritating food: spicy things such as pepper, pepper, garlic, onion and leek can stimulate the respiratory tract and aggravate symptoms; The seasoning of dishes should not be too salty or too sweet, and the hot and cold should be moderate.