Chronic pharyngitis is a common disease, which is a diffuse pharyngeal lesion caused by chronic infection, mainly pharyngeal mucosal inflammation. Mostly in adults, its main causes 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 and chronic nephritis. The main points of self-diagnosis are throat discomfort and 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, bloating, blockage, itching, etc., but I rarely have sore throat. It is easy to cause nausea by spitting out sticky sputum in the morning. Because cancer in the esophagus or hypopharynx will have similar symptoms in the early stage, you should go to the hospital for detailed examination after finding the above symptoms before you can make a diagnosis. Treatment recommendations should be targeted by doctors according to the cause of disease. Local symptomatic treatment can choose Chinese patent medicines, such as Liyanling, Caoshanhu buccal tablets, Baoan powder, etc., and can also be combined with tea drinks: Shuanghua, Ophiopogon japonicus, Boat-fruited Sterculia, and raw licorice, which are brewed in boiling water frequently. Qingyan Drink: 50g of ebony meat, 50g of raw licorice, 50g of Adenophora adenophora, 50g of Ophiopogon japonicus, 50g of platycodon grandiflorum and 50g of Radix Scrophulariae, mashed and mixed evenly, taken 3 times a day, each time about/kloc-0.5g, and drunk with boiling water. Precautions Pay attention to oral hygiene and insist on brushing your teeth in the morning and evening and after meals. Reduce the stimulation of alcohol, tobacco and dust, and correct the bad habit of breathing with your mouth open. We should strengthen physical exercise, enhance physical fitness, prevent respiratory infection, use less alcohol and tobacco, and actively treat diseases around the pharynx. 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 foods that are light, sour and nourishing yin, such as fruits, fresh vegetables and olives. Often take Siji Runhou tablets, Mint throat tablets, etc. 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 lymphoid tissue. This disease is equivalent to chronic laryngitis in traditional Chinese medicine. 1。 Diagnostic criteria of western medicine: (l) medical history: there is often a history of recurrent acute pharyngitis, or long-term mouth breathing due to nasal diseases, excessive alcohol and tobacco, dry air in bad environment, dust and irritating gas pollution, etc. (2) Symptoms: throat discomfort, or pain, or itching, or dryness, burning, smoking, foreign body sensation, etc. Irritating cough, coughing up secretions in the morning, or even nausea. The course of disease is more than 2 months, and symptoms are often caused by cold, cold, fatigue, wordiness, etc. (3) Examination: chronic congestion of pharynx is aggravated. Dark red, or dendritic congestion; Lymphatic follicular hyperplasia of posterior pharyngeal wall, or swelling of lateral pharyngeal cord; Pharyngeal mucosa hyperplasia and hypertrophy, or dryness, atrophy, thinning, and secretion attachment. Diagnosis can be made with all the above symptoms and 1 or 1 or above. 2。 Syndrome differentiation of TCM: acute inflammation of pharynx with deficiency of fire, deficiency of lung and spleen, phlegm-heat syndrome and phlegm-blood stasis syndrome 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 pharyngeal mucosal inflammation. Most of them are adults, and the incidence of throat diseases in urban residents accounts for about10% to 20%. It is not easy to cure because of its long course of disease, stubborn symptoms and difficult to see obvious effect in the short term. The main causes are as follows: 1, the recurrent acute pharyngitis is not completely cured and becomes chronic, long-term dust or harmful gas stimulation, excessive smoking and drinking 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, long-term secret stool, heart disease, bronchitis, asthma, liver disease, diabetes and chronic nephritis. 3. Occupational factors. Mainly in voice workers, such as teachers and actors. Because of long-term multilingual singing, it can stimulate the pharynx and cause chronic congestion. Key points of self-diagnosis of chronic pharyngitis: various symptoms, throat discomfort, feeling of foreign body and sticky phlegm, always feeling that there is something in the throat that can't be swallowed and vomited, such as blockage, bloating, burning, dryness, itching, irritating cough and slight sore throat. Cough is often used to remove secretions, especially in the morning when coughing hard to eliminate pharyngeal secretions, the symptoms are temporarily relieved. Because cancer in the esophagus or hypopharynx will have similar symptoms in the early stage, you should go to the hospital for detailed examination after finding the above symptoms before you can make a diagnosis. After the formation of chronic pharyngitis, there are three types of pathological changes: first, chronic simple pharyngitis. It is characterized by chronic congestion of pharyngeal mucosa; Second, it is hypertrophic pharyngitis. The main manifestations are congestion and hypertrophy of pharyngeal mucosa, extensive connective tissue and lymphoid tissue hyperplasia under mucosa; Third, it is chronic atrophic pharyngitis. The main manifestations are atrophy and thinning of mucosa and submucosa, scab adhesion on posterior pharyngeal wall and decreased secretion. Traditional Chinese medicine classifies the disease into three types: 1. Fire inflammation due to yin deficiency: throat discomfort, dull pain, foreign body sensation, less phlegm, afternoon fever, soreness of waist and legs, red tongue and thready pulse. Second, phlegm and blood stasis type: dry throat, stinging pain, deep red pharyngeal muscle membrane, often nausea and discomfort due to frequent clearing of throat. The tongue is red, the coating is yellow and greasy, and the pulse is slippery and numerous. Third, yin deficiency and fluid depletion type: dry throat is very itchy, burning and dry, and the pain can be suspended after drinking water, with obvious foreign body sensation, dreaminess at night, tinnitus and dizziness. Red tongue with scanty fluid and thready pulse. The treatment of chronic pharyngitis in western medicine generally pays attention to local medication, such as: mouthwash medicine, repeated mouthwash with 2% hydrochloric acid solution, 3% saline and1:5000 furacilin solution, or 2% iodine glycerin and 5% strong protein silver solution through the pharyngeal wall, or iodine buccal tablets, Dumifen and mint, etc., which can relieve symptoms to some extent. Local symptomatic treatment can also choose Chinese patent medicines, such as Caoshanhu buccal tablets and watermelon frost. Traditional Chinese medicine (TCM) focuses on the root cause of this disease, and it is effective to use drugs according to dialectical classification. The general medication is: for patients with fire inflammation due to yin deficiency, the decoction of nourishing yin and clearing lung (Radix Ophiopogonis, 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 stagnation and blood stasis, Xiao-Lao Pill (Radix Scrophulariae, Concha Ostreae, Bulbus Fritillariae Cirrhosae, Radix Rehmanniae, Radix Ophiopogonis, Rhizoma Sparganii, Thallus Laminariae, Seaweed, etc.) is added; For patients with yin deficiency and fluid depletion, Shengmai Yin is flavored (white sun-dried ginseng, Ophiopogon japonicus, Schisandra chinensis, Dendrobium nobile, Polygonatum odoratum, lalang grass rhizome, bamboo shavings, etc.), one dose a day, and it is frequently taken by moistening the throat. Precautions: avoid spicy products and alcohol and tobacco stimulation. Pay attention to oral hygiene. Strengthen physical exercise, enhance physical fitness, prevent respiratory infection, arrange life reasonably, keep a good mood, and avoid troubles and depression. Diet conditioning: Liyan tea: 3-5g each of Shuanghua, Ophiopogon japonicus, Butterflies, Boat-fruited Sterculia and Radix Glycyrrhizae, brewed in boiling water frequently. Qingyan Drink: 50g of ebony meat, 50g of raw licorice, 50g of Adenophora adenophora, 50g of Ophiopogon japonicus, 50g of platycodon grandiflorum and 50g of Radix Scrophulariae, mashed and mixed evenly, taken 3 times a day, each time about/kloc-0.5g, and drunk 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 raw materials: one or two mung beans, one or two kelp, and a little sugar. Method: put mung beans and kelp (shredded) in a pot, add water to boil, then add sugar to taste, and drink it as tea every day. Watermelon juice: Cut watermelon to get juice, and use it as tea frequently. It can clear away heat and vexation, and nourish yin and moisten.