Chronic pharyngitis refers to diffuse pharyngeal lesions caused by chronic infection, which mostly occur in adults and are often accompanied by other upper respiratory diseases. Chronic pharyngitis is often caused by repeated attacks of acute pharyngitis, irritation of the pharynx by pus from rhinitis and sinusitis, or breathing with the mouth open due to nasal congestion.
chronic pharyngitis, chronic inflammation of pharyngeal mucosa. The main clinical manifestations are throat discomfort, dryness, foreign body sensation or mild pain, dry cough, nausea, dark red congestion in the throat, and lymph chronic pharyngitis follicles < P > in the posterior pharyngeal wall. Patients with chronic pharyngitis often have noise-clearing actions and spit white sputum because of the increase of pharyngeal secretions.
The modern report on acupuncture treatment of chronic pharyngitis began in 1958. After that, the relevant clinical data are rare. Since 198s, the acupuncture treatment of this disease has gradually attracted attention. Acupuncture workers all over the country have explored a variety of acupoint stimulation methods, including auricular point pressing pills, acupoint injection, acupoint laser irradiation, acupoint electrotherapy, acupoint application, etc., and traditional silver needle bloodletting combined with topical Chinese medicine is also used, which can be cured after 3-5 times, and recovered after more than 1 times. According to the existing experience, acupoint stimulation has a good effect on this disease, but most cases are observed by auricular point pressing pills and acupoint electric stimulation injection.
[ Edit this paragraph] Pathology
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.
first, it is 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;
thirdly, 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.
TCM classifies this disease into three types:
1. Fire inflammation type due to yin deficiency: throat discomfort, dull pain, foreign body sensation, little phlegm, vexation and fever in the afternoon, sore waist and legs, red tongue and thready pulse.
2. Phlegm blocking blood stasis type: dry throat, stinging pain, deep red pharyngeal muscle membrane, and 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.
western medicine generally pays attention to local medication in the treatment of chronic pharyngitis, such as: mouthwash medicine, repeated mouthwash with 2% hydrochloric acid solution, 3% saline solution and 1: 5 furacilin solution, or 2% iodine glycerin and 5% strong protein silver solution through the pharynx wall, or iodine buccal tablets, Dumifen, mint and so on, which can relieve symptoms to some extent. Local symptomatic treatment can also choose Chinese patent medicines, such as Caoshanhu buccal tablets and watermelon frost.
Chinese medicine treatment of this disease focuses on the root cause, 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.
Clinical diagnosis
1. Diagnostic criteria of western medicine:
(l) Medical history: there is often a history of recurrent acute pharyngitis, or chronic pharyngitis caused by 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 the 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 one or more examination findings.
2. TCM syndrome differentiation:
Deficiency of fire leading to inflammation, deficiency of lung and spleen, phlegm-heat syndrome and phlegm-blood stasis syndrome
Acute inflammation of pharynx is very similar to acute inflammation of tonsils. 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. Mostly in adults, the incidence of throat diseases in urban residents accounts for about 1% to 2%. 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. Recurrent acute pharyngitis is not completely cured and turns into chronic, 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, etc.
2. Chronic pharyngitis can also be a local manifestation of some systemic diseases, such as anemia, dyspepsia, chronic constipation, heart disease, bronchitis, asthma, liver diseases, 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.
treating
acupoint electrotherapy
chronic pharyngitis
(1) selecting points
main points: fengchi, tiantu, futu and Dazhui.
matching points: Ashi point.
location of Ashi point: double neck triangle.
(II) Treatment
Take the main points first. Treat with electrotherapy machine. Place the electrode plate in the double wind pool hole, move downward to the outside, and move to the double neck triangle area to increase the power. Until the whole pharynx has a feeling of numbness like running water, tightness and comfort in the pharynx, and then send electricity in dots for 2 ~ 4 minutes. Its induced electric quantity is 5 ~ 7 volts. Then, the negative electrode is placed at Tiantu point and the positive electrode at Dazhui point with a power of 3-4 volts, and the power is delivered in dots for 2-4 minutes, and the negative electrodes are moved to the bilateral supporting points for 1-2 minutes respectively. Go to France once a day. If there is no obvious curative effect after 5 times of treatment, take matching points, externally apply traditional Chinese medicine (1 grams each of Radix Sophorae Tonkinensis and Radix Clematidis, with * * * as coarse powder, wrapped in warm saline and wet gauze), and introduce it with direct current for 1-2 minutes. Also once a day. The above method is 1 times as a course of treatment.
acupoint application
(1) acupoint selection
main point: tiantu.
(II) Treatment
Only take 1 point at a time. Cut the commercially available Shangshi Zhitong ointment into a disc with a diameter of 2 cm, and apply it after local disinfection with 75% alcohol. Change the paste once a day, and 1 times is a course of treatment.
acupoint injection
(1) acupoint selection
main point: tonsil point.
location of tonsil point: the lower edge of mandibular angle is in front of the rotation of common carotid artery.
(2) treatment
liquid medicine: 2 ml of angelica injection.
The patient takes a sitting position with his head slightly tilted back, and uses the No.5 dental needle to quickly inject the needle, so that the needle sensation will radiate to the throat, and no blood will be drawn back, and the liquid medicine will be pushed into 1 ml of bilateral acupuncture points. Once every other day, 1 times is a course of treatment, and the interval of treatment is 5 days.
pressing pills at ear points
(1) selecting points
Main points: throat, middle margin, Shenmen, lung, adrenal gland, and the tip of the screen.
matching points: heart, pillow, kidney, subcortical and bronchus.
(II) Treatment
Take 3-5 points at a time as the main point, and add 1-2 points as appropriate. After the sensitive spots are detected, apply them with Semen Vaccariae or magnetic beads (magnetic field intensity of 18 ~ 38 Gauss), one ear at a time, alternately on both sides. Make patients press themselves 3 ~ 4 times a day, each time for 1 minute. Change the paste once every other day, 5 ~ 1 times as a course of treatment.
acupoint laser irradiation
(1) acupoint selection
main acupoints: Lianquan, Tiantu and Renying.
acupoint matching: excess heat plus chi ze and Hegu; Yin deficiency plus thenar and Taixi.
(II) Treatment
Take all the main points, and add 1 ~ 2 points according to the symptoms. He-Ne laser was used to irradiate acupoints, the wavelength was 6328 A, the output power was 1.7 ~ 3 MW, and the power density was 96 MW/cm2. The optical fiber is used to transmit the light beam. The core diameter of the optical fiber is less than 2 microns, and it is directly aimed at the acupuncture points. The spot diameter is 1.5 mm, and each acupuncture point is irradiated for 3 minutes. Once a day or every other day, 1 times is a course of treatment, and the interval of treatment is 3 ~ 5 days.
body acupuncture plus acupoint injection
(1) acupoint selection
main points: divided into 2 groups. 1. Taichong, Taixi and Interrow; 2. People welcome, gather the valley, help the process, the tripod and shine on the sea.
acupoint matching: foreign body sensation is obviously aggravated by sudden outburst, tongue root stiffness is aggravated by Lian Quan, and upset and nausea is aggravated by Neiguan.
(II) Treatment
Liquid medicine: either water for injection or compound Danshen injection.
the first group of the main points is used for acupoint injection, and the second group and the matching points are used for acupuncture. First, acupuncture, combining the valley, taking two sides according to the sea, and taking one side. Routine needling was performed, and the needle was kept for 2 minutes, during which the needle was performed 2 ~ 3 times. Needles will be taken at all points except Hegu. Then choose 1 ~ 2 points in the main point group, and only take one side point. Use a syringe equipped with a No.5 long dental needle to suck 1 ~ 2 ml of liquid medicine, quickly insert it and slowly insert it until it gets angry (it is best to draw out a slight heat sensation in the limbs at Taichong point), then draw back no blood, and then slowly inject the liquid medicine, 1 ml per point, so as to make it feel obviously bloated and suffocated. Can make the patient rest for a few minutes, and then take the needle at Hegu point. Once every 3 ~ 5 days, 5 times is a course of treatment.
doctors should carry out targeted treatment according to the cause. 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: 5g of ebony meat, 5g of raw licorice, 5g of Adenophora adenophora, 5g of Ophiopogon japonicus, 5g of platycodon grandiflorum and 5g of Radix Scrophulariae, mashed and mixed evenly, 15g each time, taken three times a day, and drunk with boiling water.
diet: Liyan tea: 3-5g each of Shuanghua, Ophiopogon japonicus, Butterflies, Boat-fruited Sterculia, and Radix Glycyrrhizae, brewed in boiling water frequently. Qingyan Drink: 5g of ebony meat, 5g of raw licorice, 5g of Adenophora adenophora, 5g of Ophiopogon japonicus, 5g of platycodon grandiflorum and 5g of Radix Scrophulariae, mashed and mixed evenly, 15g each time, taken three times a day, 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
Ingredients: 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 until it is rotten, then add sugar to taste, and drink it as tea every day.
Watermelon juice: Cut watermelon to get juice, which is often used as tea. It can clear away heat and relieve annoyance, nourish yin and moisten dryness, so it is very suitable to eat it often.
treatment of tea's chronic pharyngitis
Chronic pharyngitis is chronic inflammation of pharyngeal mucosa, submucosa and lymphoid tissue, which can be divided into three types according to its pathological changes: simple, proliferative and atrophic. There are many causes of chronic pharyngitis, such as recurrent acute pharyngitis and diseases of adjacent organs (chronic tonsillitis, gingivitis, chronic rhinitis and chronic sinusitis). External factors such as cold and dry climate, air pollution in the working environment by dust and chemical gas, long-term stimulation of alcohol, tobacco and spicy diet, and people who use their voice too much due to occupational factors are prone to chronic pharyngitis. In addition, long-term irregular life, fatigue and mental stress can reduce the body's resistance, and bacteria and viruses are prone to repeated infections, which can also cause chronic pharyngitis.
At present, there are many methods to treat chronic pharyngitis. For example, western medicine generally advocates mouthwashes such as Koutai and compound borax solution, including taking Huasu tablets, Anji buccal tablets and G-bacteria buccal tablets. Long-term use of these drugs will lead to oral environmental disorders. For hypertrophic pharyngitis, laser, microwave and freezing can be used. However, there is a trend of abuse of these therapies at present, and patients who come to see a doctor because of severe hyperplasia and contracture of pharyngeal scar after operation are often seen in outpatient clinics.
Chronic pharyngitis is equivalent to "deficiency fire and throat obstruction" in traditional Chinese medicine, and its etiology and pathogenesis are deficiency fire rising and throat dystrophy caused by lung and kidney yin deficiency. Treatment should nourish lung and kidney, clear away heat and phlegm, moisten throat and relieve sore throat. Experience has proved that the correct application of herbal tea is helpful to treat chronic pharyngitis. The following ten herbal teas are available for selection.
arhat fruit tea
1 Siraitia grosvenorii. Chop Siraitia grosvenorii, brew it in boiling water for 1 minutes, and drink it at any time. 1 ~ 2 times a day, 1 at a time. Function of clearing lung, resolving phlegm, quenching thirst and moistening throat. Indications: chronic pharyngolaryngitis, deficiency of lung yin, dry and uncomfortable throat, sore throat and aphonia, cough and dry mouth, etc. "Food Chinese Medicine and Convenient Prescription" says: "Actors, teachers, broadcasters and other people who need to protect their vocal organs often chop up Siraitia grosvenorii and soak it in water instead of tea."
olive tea
take two olives and 1g green tea. Cut the olive seeds in half, put them in a cup with green tea, pour them into boiling water, cover them and suffocate for 5 minutes before drinking. Suitable for chronic pharyngitis and foreign body sensation in pharynx.
haishengdi tea
boat-fruited Sterculia, 5 pieces, 12g of Radix Rehmanniae, 3g of rock sugar, and appropriate amount of tea. Put the medicine in a thermos bottle, brew half a bottle with boiling water, cover it for about 15 minutes, and drink tea frequently. According to the patient's drinking volume, 2 ~ 3 doses per day. Function of clearing lung, relieving sore throat, nourishing yin and promoting fluid production. It is used for chronic pharyngolaryngitis due to deficiency of lung yin, such as hoarseness, dry itching or dry cough in the throat, dark red throat, thick vocal cords, even glottis incomplete, with nodules in the voice and little red tongue coating. It is most suitable for chronic laryngitis with deficiency of lung yin and deficiency of fire combined with dry stool.
olive and honey tea
3g olives, 3 boat-fruited Sterculia, 3g green tea and 1 spoon honey. Boil olives in clear water for a while, then brew boat-fruited Sterculia and green tea, cover them for a while, add honey and mix well, and drink them slowly. 1 ~ 2 doses a day. Function of clearing away heat and toxic materials, relieving sore throat and moistening throat. Indications are chronic pharyngolaryngitis, dry throat, or hoarseness, which belong to yin deficiency and dry heat syndrome.
two green Ligustrum lucidum tea
green sepals, green tea and orange collaterals are 3g each, and Ligustrum lucidum is 6g. Mash Fructus Ligustri Lucidi, put it into a cup with the first three ingredients, and brew with boiling water. One dose a day, taken at any time. Functions: nourishing yin, relieving sore throat, promoting qi circulation and resolving phlegm. It is good for sore throat, foreign body sensation in throat, and drinking it due to yin deficiency of liver and kidney, floating of deficiency fire, stagnation of qi and phlegm.
mulberry chrysanthemum almond tea
1g of mulberry leaves, 1g of chrysanthemum, 1g of almonds and rock sugar.