What medicine does cough take with phlegm?
First, TCM syndrome differentiation and treatment of excessive phlegm
Traditional Chinese medicine divides phlegm into cold phlegm, wind phlegm, hot phlegm, wet phlegm and dry phlegm.
1, cold phlegm invades the lung from cold pathogen, which makes the body fluid in the lung condense into phlegm. The sputum is white, the patient is afraid of cold, likes hot drinks, and the tongue coating is thin and white or greasy. Xiaoqinglong Decoction is modified by 6 grams of cassia twig, 6 grams of processed Pinellia ternata 10, 6 grams of dried ginger, 3 grams of asarum, 6 grams of almond 10, and 6 grams of white mustard seed. 6 ~ 9g of roasted ephedra with asthma.
2. Wind phlegm is caused by common cold invading the lung, that is, catching a cold. At first, the phlegm is white and thin, and then it can turn yellow and sticky. The patient is afraid of wind, and the tongue coating turns white at first, and then turns thin and yellow. Xingsu drink is added and subtracted: almond10g, perilla leaf 6g, Schizonepeta herb 6g, Peucedanum10g, Platycodon grandiflorum LOG, Baiqian/kloc. . When the sputum turns yellow, add 6 grams of Danxing, 6 grams of Fructus Forsythiae 1O and 2 grams of Flos Lonicerae 12.
3. After a few days of high fever caused by heat pathogen invading the lung or wind or cold pathogen, the body fluid is burned and turned into yellow sticky phlegm. The patient is afraid of heat and likes cold drinks, and his tongue is red and greasy. The composition of Xiebai Powder is: mulberry bark10g, wolfberry bark10g, licorice 5g, gypsum fibrosum 30g, scutellaria baicalensis Georgi/kloc-0g.
4. Damp phlegm and dampness invade people's bodies (such as living in a humid environment), causing dysfunction of the lungs and spleen or improper diet and transportation. The sputum is white and watery, and the patient has symptoms such as weight, fatigue or loose stool, and the tongue coating is thin and white or greasy. Erchen Decoction is flavored: processed Pinellia ternata10g, tangerine orange10g, Poria lO 0g, roasted licorice 5g, almond10g, and Coicis Semen15g.
5. Dry phlegm is caused by the long-term drought climate, and the pathogen invades the lungs. The phlegm is thick, so it is not easy to cough up or cough up blood. The patient feels dry mouth and nasopharynx, and the tongue coating is thin and yellow. The decoction for clearing dryness and saving the lungs is: Radix Glehniae15g, Radix Ophiopogonis each 10g, gypsum Fibrosum 30g, roasted loquat leaves10g, and almond/kloc-0.
Chinese patent medicine for resolving phlegm:
1, fresh bamboo drainage: 3 ~ 4 times a day, each time10 ~15ml.
2, compound bamboo juice (Qutanling): 3 times a day, 2 sticks each time.
3, phlegm cough net: 3 times a day, each time 1 spoon.
Second, western medicine's diagnosis and treatment of excessive phlegm
Normal people have little sputum. When smokers or respiratory tract is diseased, the amount of sputum will increase. This paper introduces several common types of excessive phlegm.
Disease:
1, chronic bronchitis is prone to cough, asthma, phlegm after cold, and can form emphysema and pulmonary heart disease after prolonged treatment. When combined with bacterial infection, phlegm is yellow, sticky and fever.
2, pneumonia lobar pneumonia has rust sputum, accompanied by chills and fever.
3, tuberculosis fever, night sweats, when the formation of lung cavities, there is a lot of sputum, and the test can find tuberculosis bacteria, which may be accompanied by blood sputum.
4, bronchiectasis has a lot of sputum, which can be divided into three layers: thin, sticky and extra thick, and can also be accompanied by hemoptysis.
5, lung abscess sputum volume is particularly large and smelly, accompanied by fever.
6, Pseudomonas aeruginosa infection sputum is green or yellow-green, sticky, with fever.
7, lung cancer expectoration is thin or thick, sometimes with blood, and the late sputum is also smelly.
In order to find out the cause of excessive phlegm, we should go to the hospital for detailed examination, such as taking X-ray chest photos. When lung cancer is suspected, it should be examined by tomography or chest cT, sputum examination to find cancer cells, and it is best to do bronchoscopy for early diagnosis, early surgery, early radiotherapy or chemotherapy. If it is an infection, sputum culture should be checked. After cultivating the pathogenic bacteria, it is necessary to do the sensitivity test of drugs to the bacteria in order to use antibiotics in a targeted manner.
Six dietotherapy prescriptions for cough with phlegm
(1) radish mutton soup
Radish1500g, mutton 500g. Remove fascia from mutton, cut into 2.5cm square pieces, blanch in boiling water for about 2 minutes, remove and drain, and wash radish and cut into 3 cm hob pieces. Then put the mutton on a strong fire, boil it with slow fire for about 30 minutes, add the radish pieces and cook it until the mutton is cooked and rotten. This soup can tonify weakness and remove phlegm and dampness, and is suitable for children with spleen and lung qi deficiency and phlegm and dampness.
(2) Amomum villosum belly strips
Amomum villosum10g, pork tripe1000g, pepper 3g, pepper 5g, ginger15g, scallion15g, edible oil100g, Shaoxing wine 50g, monosodium glutamate 3g and wet starch 200g. Wash the pork tripe, blanch it thoroughly in boiling water, remove the intima, then put the clear soup in the pot, cook the pork tripe with onion, ginger and pepper, take it out and cool it, then cut it into finger strips. At the same time, boil 500 grams of the original soup, add the tripe, Amomum villosum, pepper, Shaoxing wine, cooking oil and monosodium glutamate, and thicken it with wet starch. This product has the function of invigorating spleen and eliminating dampness, and is especially suitable for children with spleen deficiency and dampness, phlegm and dampness drying lung.
(3) Diced Ginkgo Chicken
Ginkgo biloba 1 00g, chicken breast 250g, egg white 2, salt 3g, sugar 3g, Shaoxing wine 3g, monosodium glutamate10g, dried starch10g, sesame oil 3g, chopped green onion15g, edible oil 50g and soup 50g. First, shell ginkgo, take it out and peel off its thin coat when it is oil-fried to 60%, cut diced chicken into cubes about 1.2 cm square, add 5 grams of egg white, salt and starch and mix, then burn the oil to 60%, then fry diced chicken and ginkgo in a pot and drain the oil. Then stir-fry onion eggs in the original pot, cook Shao wine, soup, salt and monosodium glutamate, add diced chicken and ginkgo, thicken with wet starch and pour sesame oil. It can eliminate phlegm, relieve cough and asthma, and is more suitable for those with excessive phlegm and clear phlegm.
(4) Bulbus Fritillariae Cirrhosae stuffed pear
8 Sydney, Bulbus Fritillariae Cirrhosae12g, Oryza Glutinosa100g, candied wax gourd strips100g, crystal sugar100g, and appropriate amount of alum. Crush Bulbus Fritillariae Cirrhosae, and dissolve alum10g into water. Take out, air-dry and drain, then put glutinous rice, melon strips, Fritillaria and crystal sugar into pears, steam them in a cage for about 40 minutes, take them out, and finally roll the remaining crystal sugar to collect juice and pour them into pears. This method is suitable for patients with lung heat and excessive phlegm, and it has a good curative effect and is widely used by the people.
(5) Water chestnut jellyfish soup
200g of water chestnut and 0/00g of jellyfish skin/kloc-.Wash and peel water chestnut, rinse jellyfish skin, put them in a pot, add water and stew for about 40 minutes, and add a little crystal sugar to taste. This decoction is mainly used to treat children with lung heat and excessive phlegm who can't be cured for a long time.
(6) radish caramel drink
500 grams of radish and proper amount of maltose. Wash and chop the red radish and put it in a bowl, put 2 ~ 3 tablespoons of maltose on it, and leave it overnight to make radish sugar juice. This product can eliminate phlegm and relieve cough, and can be used for both heat phlegm and cold phlegm, especially for those with excessive phlegm.
Precautions for coughing
Because cough is a protective reflex action to exclude venom from the body, cough is a non-specific symptom of many diseases. If cough persists for a long time and cough is serious with phlegm, necessary medical examination should be considered.
1, medical examination should pay attention to:
In clinical diagnosis, we must inquire about the medical history in detail and exclude some other diseases that can cause chronic and intractable cough. Then carry out physical examination, laboratory examination and instrument examination.
2. Pay attention to the following points in diet:
In the daily diet, eating more fat and sweet flavor can produce internal heat, aggravate cough, and phlegm is sticky and difficult to cough up. For children with asthma, overeating fat and sweet can cause phlegm-heat interaction, block the respiratory tract, aggravate asthma, and make the disease difficult to heal. Therefore, you should eat some light food during coughing.
Whether children or adults, cough is often accompanied by phlegm, and the amount of phlegm is related to the spleen. Spleen is the foundation of the day after tomorrow, which is in charge of the digestion and absorption of human diet. If you eat too much cold food, it will hurt the spleen and stomach, causing the function of the spleen to decline, gathering dampness and producing phlegm.
Orange peel does have the effect of relieving cough and resolving phlegm, but orange meat produces heat and phlegm instead. The average child can't eat orange peel instead of orange meat. Therefore, children's diet should be light during cough, and children with chronic cough can drink boiled water with pears and crystal sugar. Its effect is to moisten the lungs and relieve cough, and fresh lily can also be used to cook porridge, which is very effective for children with chronic cough and lung qi deficiency. For children with spleen deficiency, they can usually eat more yam, or cook lotus seed porridge, barley porridge and jujube porridge.
3. Matters needing attention in medication:
Find out the cause of cough first. Cough is just a symptom, and many of them are caused by colds. At this time, we should pay attention to the selection of drugs. If there are cough-relieving ingredients in cold medicine, we don't need to use cough medicine alone to avoid repeated use. There are still some coughs, which may be the performance of allergies. At this time, you should take your child to the hospital for examination and don't take medicine casually.