The child has a cold and a fever, but it is always bad to leave a cough like "dog skin cream"; The child is fine during the day, coughing in the middle of the night or in the early morning; Or a little intense activity, it will be! When a child has rhinitis, his cough will follow him. The child coughs like an "old pit man" and a lot of phlegm can't come out. .....

In fact, cough is a protective reflex, which can prevent the accumulation of bronchial secretions or expel foreign bodies from the respiratory tract. However, when coughing affects children's appetite, sleep, and even their studies, some will last for weeks, which makes parents crazy! Looking at the child's "cough cough", I feel that my heart has been corrected!

Clinically, we will delay healing, and the duration will be >; Coughing for 4 weeks is called chronic cough. There is no doubt that this kind of cough will bring harm to children's health, and may even leave sequelae. Parents and doctors should pay attention!

1. What are the common causes of chronic cough in children?

Cough variant asthma

It is one of the common causes of chronic cough among children in China, especially preschool and school-age children, and it is a special type of asthma.

It is usually a dry cough, which often occurs at night and/or early morning. Cough is aggravated after exercise and cold air, and there are no signs of infection in clinic or long-term antibacterial treatment is ineffective. Bronchodilator treatment is obviously effective; Have allergic or family history.

Upper respiratory cough syndrome

Various upper respiratory diseases, such as rhinitis, sinusitis, chronic pharyngitis, palatine tonsil and/or hyperplasia, nasal polyps, etc. May cause chronic cough.

Often accompanied by white foam sputum (allergic rhinitis) or yellow-green pus sputum (sinusitis). Cough is particularly severe in the morning or when the body position changes. Accompanied by flu dripping in the throat, oropharyngeal mucus adhesion, often clearing throat, itchy throat, itchy nose, stuffy nose, runny nose, sneezing.

Cough after respiratory tract infection

Repeated dry cough after acute respiratory infection can not be cured, and there is no obvious abnormality in chest radiograph. Pay attention to the cough after infection. This kind of cough is usually self-limited, usually not more than 8 weeks.

Have a clear history of respiratory tract infection recently; Continuous cough for more than 4 weeks, irritating dry cough or accompanied by a little white sputum; Chest x-ray examination showed no abnormality or only bilateral lung texture increased; The course of disease generally does not exceed 8 weeks.

Foreign body inhalation

Cough is the most common symptom of airway foreign body inhalation, and the definite diagnosis should be attributed to specific cough. Inhalation of foreign bodies is an important cause of chronic cough in children, especially in children aged 13. Cough is usually characterized by paroxysmal severe choking, or it can only be characterized by chronic cough with obstructive emphysema or atelectasis. Once the foreign body enters the bronchiole, it can stop coughing, that is, it enters the "silent zone".

Clinically, many children's chronic cough is caused by many reasons, and several reasons are superimposed together, which makes people confused and brings great difficulties to diagnosis. Therefore, it is often necessary to use some auxiliary tests, such as blood routine, allergen detection, chest imaging, sinus radiography, bronchoscopy and so on.

2. Traditional Chinese medicine treatment of chronic cough

Chronic cough belongs to the category of "chronic cough", "intractable cough" and "internal injury cough" in traditional Chinese medicine. As the saying goes, "all diseases are easy to cure, but cough is difficult to cure", and the treatment of chronic cough is certainly not easy. However, as long as we strictly follow the law of TCM syndrome differentiation, smell cough, ask the accompanying symptoms in detail, examine the tongue pulse carefully and apply prescriptions, we can often get good results. It can not only relieve cough, but also improve many accompanying symptoms at the same time, even if the diagnosis is not clear.

Traditional Chinese medicine believes that the core pathogenesis of chronic cough is "lack of positive energy, aversion to love". The lack of positive energy is mainly attributed to the deficiency of lung, spleen and kidney. The deficiency of these three organs leads to the insecurity of the exterior, poor anti-evil ability, retention of pathogenic factors, endogenous phlegm, food, dampness, blood stasis and other tangible pathological products, which leads to the inability of the lungs to express the spirit and the imbalance of qi, thus resulting in "cough".

Therefore, in the treatment of chronic cough, Chinese medicine often pays attention to the holistic view, so as to eliminate evil spirits, restore health, smooth five internal organs and harmonious qi movement, rather than "relieving cough at the sight".

Diagnosis and treatment based on comprehensive analysis of diseases and patients' conditions

Chinese medicine treatment of cough first distinguishes exterior and interior, cold and heat, and deficiency and excess.

Cold cough: the cough is tight and stuffy, and it is aggravated when it is cold. For example, if you are accompanied by excessive sweating, yellow/white complexion, muscle weakness, restless night sleep, red tongue with thin white fur, slow pulse and cold exterior and interior, you can add and subtract Guizhi decoction; If repeated coughing is induced or aggravated by cold, and the cough spits white saliva, white mustard seed, dried ginger, Schisandra chinensis and asarum (modified by Xiaoqinglong decoction) can be added as appropriate; Cold and cough should especially be avoided.

Hot cough: Typical manifestations are loud cough, yellow and thick expectoration, dry mouth and excessive drinking, red face and lips, constipation and yellow tongue coating. For patients with lung heat, mulberry bark soup or Maxingshi dry soup can be used; People with phlegm-heat can use Jinqing Huatan Decoction; For those who are hot and dry, mulberry soup can be used; For patients with lung heat due to yin deficiency, Shashen Maidong Decoction or Qingzao Jiufei Decoction can be used.

In fact, the syndrome differentiation of cough in clinic is far from simple as cold and heat, but a basic syndrome differentiation element.

nurse

It is important for children with cough to adjust their diet. If they don't avoid eating or adding clothes at inappropriate times, they will often cause repeated or prolonged coughing. Avoid eating too full, too greasy and too nutritious, and drink more warm water; Avoid cold fruits, especially bananas, watermelons, pitaya, Sydney and other cold foods. Among fruits, apples are edible, so pay attention to eating other fruits.

food therapy

Sydney water in northern Sichuan

Not all children with chronic cough can use Chuanbei Sydney. Pears moisten the lungs and clear away heat, promote fluid production and quench thirst. Pear plus rock sugar can enhance the effect of moistening lung and relieving cough, so it is only suitable for children with dry cough and hot cough, with symptoms of dry cough without phlegm, dry mouth and throat, and thin body fluid. Cough with phlegm is not suitable. Use with caution those with spleen deficiency and phlegm dampness.

Garlic water

Put 2 ~ 3 cloves of garlic into a bowl, add 1 crystal sugar and half a bowl of water, cover the pot and boil, then steam 15 minutes with low heat, and drink it when it is cold, 2 ~ 3 times a day. Garlic is warm and enters the spleen, stomach and lungs, which is very effective for cough caused by cold and kidney deficiency.

Radish and tangerine peel soup

1 white radish, cut into 5 pieces of white pepper, 10g ginger, 3g dried tangerine peel, cook soup, and add 15g rock sugar. Used in the early stage of the disease, frequent cough, itchy throat, heavy and turbid cough, white and thin phlegm.

Radish honey drink

5 pieces of white radish, 3 pieces of ginger, 3 pieces of jujube and honey 15g. Boil radish, ginger and jujube in water for about 30 minutes, remove residue, add honey and cook again. 1 twice a day.

Radish is pungent, sweet and cool, and has the functions of clearing away heat and promoting fluid production, cooling blood to stop bleeding, resolving phlegm and relieving cough. Ginger is a commonly used medicine for dispelling cold, relieving cough and lowering qi, and jujube is often used as a medicine for harmonizing stomach, nourishing blood and harmonizing. Honey moistens dryness and relieves cough. This drink can dispel cold, spread lung, dispel wind and relieve cough.

Is suitable for treating cough due to wind-cold. Children who are weak and prone to colds and coughs, and children who have not been cured for a long time or have repeatedly delayed coughing can try it. But it is not suitable for wind-heat cough and yellow phlegm.

Fried eggs with sesame oil and Jiang Mo

Put a teaspoon of sesame oil in a wok, heat the oil, add Jiang Mo, soak in the oil for a while, then add 1 egg and stir well.

When used for cold and cough, let children eat it once every night before going to bed for a few days, and you will get obvious results.

Baihe Zhu Fei decoction

Lily 15g, pig lung 100g, stewed with a little salt to taste, and served with soup. Used for chronic cough due to lung yin deficiency, with symptoms of dry cough without phlegm or less phlegm.

Shashen Yuzhu Lotus Lily Decoction

Adenophora adenophora, lotus seed and lily each 10g, Polygonatum odoratum 6g and egg1g. Wash Radix Adenophorae, Rhizoma Polygonati Odorati, Semen Nelumbinis, and Bulbus Lilii, put them in a pot together with egg shells, stew for half an hour, remove the egg shells, and stew until the medicine is soft and rotten. Eat eggs and soup, and add sugar to taste. It can nourish yin and clear heat, moisten lung and relieve cough.

It can be used for treating chronic cough due to qi deficiency, lung dryness, low cough sound, scanty phlegm, asthenia, anorexia, dry mouth and thirst. It is not suitable for those with spleen deficiency and dampness, excessive phlegm due to excess heat and bad breath due to body heat.

Zhengyanju Zhike Recipe

Wash the oranges, open the lid with a knife, insert a few small holes in the orange meat with chopsticks, add a little salt, put the meat in a bowl, steam it for 30 minutes, scoop out the orange meat with a spoon when eating, and eat it with the steamed juice. Oranges are flat and warm, and can regulate qi, eliminate phlegm and moisten the lungs. There is orange peel oil in orange peel, which can relieve cough and resolve phlegm. It is suitable for cough caused by exogenous wind-cold with symptoms of itchy throat and white phlegm.

3. Tips for children with chronic cough

Parents are advised to bring all previous medical information and examination results. It would be best if you could record a short video of your child coughing! It is not only helpful for the diagnosis of western medicine, but also helpful for the diagnosis and treatment of traditional Chinese medicine!

Yang Jinghua

archiater

paediatrics

brief introduction

Yang Jinghua, chief physician, doctoral student and doctoral supervisor. Member of the Pediatric Professional Committee of Guangdong Traditional Chinese Medicine Association, member of the Pediatric Critical Care Medicine Branch of Guangdong Medical Association, director of the Pediatric Massage Professional Committee of the World Federation of Chinese Medicine Associations, and deputy head of the external treatment group of the Pediatric Branch of China Association of Integrated Traditional Chinese and Western Medicine.

be adept in

Children's lung diseases, such as cough and asthma (bronchitis, pneumonia, asthma, bronchiolitis obliterans, chronic cough, bronchiectasis, etc. ); Child health care (including constipation, sweating syndrome, anorexia, etc.). ) and some difficult diseases such as rheumatic diseases in children are treated with integrated traditional Chinese and western medicine.

visiting hours

Friday afternoon

Gushengtang Guangzhou Tianhe North Branch No.58 Shuiyin Road, Guangzhou

Note: The pictures in this article are from 123rf.com.cn and 588ku.com Genuine Photo Library.