Chinese patent medicine for treating bronchitis belongs to traditional Chinese medicine? Cough? 、? Asthma? 、? Phlegm? A kind of symptom. Its incidence is mostly caused by exogenous pathogens such as wind-cold, wind-heat and dryness-heat, and the main lesion is in the lungs.
(1) Wind-cold invading the lung is common in acute bronchitis. The main symptoms are acute onset, nasal congestion, runny nose, headache, fear of cold, fever, joint pain, itchy throat, dry cough and difficulty in expectoration, followed by white and thin sputum, chest pain and no sweat when coughing violently. The principle of treatment is to dispel wind and cold, and to disperse lung and phlegm. Commonly used over-the-counter drugs are Tongxuanlifei Tablet (oral liquid) and Su Xing Zhike Syrup.
(2) Wind-heat invading the lung is common in acute bronchitis complicated with pharyngitis and secondary infection of chronic bronchitis. The main symptoms are unpleasant cough, yellow thick or white sticky sputum, chest tightness and shortness of breath, fever and chills, headache and sweating, thirst and sore throat, hoarseness, or bloodshot sputum, pale tongue and red tip of the tongue. Treatment should dispel wind and clear heat, clear lung and resolve phlegm. Commonly used non-prescription drugs include Sangju Ganmao Tablet, Jinqing Zhisou Huatan Pill, Chuanbei Pipa Dew, Chuanbei Qingfei Syrup (Chuanbei Qingfei Dew), Zhisou Dingchuan Oral Liquid, etc.
(3) Dry heat burning lung is common in acute bronchitis and secondary infection of chronic bronchitis. The main symptoms are dry cough without phlegm or less phlegm, or yellow thick phlegm with bloodshot, dry throat and nose, hoarseness, dull pain in chest and hypochondrium, dry stool and less yellow urine. The principle of treatment is to clear away heat and dispel wind, moisten lung and reduce adverse flow. Applicable non-prescription drugs include Yangyin Qingfei Pill (syrup), Ermu Ningsou Pill, Pipa Cream, Baihe Gujin Pill, Qiuli Runfei Cream, etc.
(4) Phlegm dampness blocking lung is common in simple chronic bronchitis. The main symptoms are cough, chest tightness, shortness of breath and recurrent attacks. The weather turns cold and the symptoms get worse. Cough is heavy in the morning and evening, with excessive phlegm, white blisters or sticky lumps, accompanied by nausea and vomiting, loss of appetite, loose stool and yellow complexion. The treatment should be invigorating the spleen, eliminating dampness, resolving phlegm and regulating lung. Common over-the-counter drugs include Chen Er Pill, Hong Ju Pill and Zhimin Fuling Pill.
(5) Cold drinks are common in asthmatic bronchitis and chronic bronchitis complicated with obstructive emphysema. The main symptoms are long-term cough and recurrent attacks. When the weather turns cold, the symptoms get worse, with excessive phlegm, white blisters, sticky, chest tightness and asthma. The phlegm is in the throat, and the asthma is obvious after a little exercise. I can't lie flat at night, I am afraid of the cold, and I like to drink hot tea. After drinking, I can relieve my cough and asthma. The principle of treatment is to warm the lungs and drive away drinking, and to eliminate phlegm and replenish qi. Applicable over-the-counter drugs include perilla Jiang Qi Pill and Gejie Dingchuan Pill.
(1) Infection control: Choose antibacterial drugs according to the main pathogenic bacteria and the severity of infection or according to the drug sensitivity results of pathogenic bacteria. If the patient has purulent sputum, it is an indication to use antibacterial drugs. Light can be taken orally, and severe can be intramuscular injection or intravenous drip of antibiotics. Commonly used are penicillin G, erythromycin, aminoglycosides, quinolones and cephalosporins.
(2) Eliminating phlegm and relieving cough: At the same time of anti-infection treatment, expectorant and relieving cough drugs are applied to patients with acute attack to improve symptoms. Commonly used drugs are ammonium chloride mixture, bromhexine, ambroxol, carboxymethyl cysteine and strong dilute mucin. 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, they should assist in expectoration and dredge the respiratory tract. The application of antitussive drugs should be avoided, so as not to inhibit the central nervous system, aggravate respiratory obstruction and produce complications.
(3) Spasmodic and antiasthmatic drugs: aminophylline and terbutaline are often taken orally, or inhaled together with short-acting bronchodilators such as salbutamol. If airflow restriction persists, lung function test is needed. If COPD is diagnosed, long-acting bronchodilator inhalation or glucocorticoid plus long-acting bronchodilator inhalation should be used when necessary.
Attention should be paid to chronic bronchitis: avoid frying and spicy food: frying and other greasy food is not easy to digest, and it is easy to make a fire, which can help wet sputum, block lung passages and lead to cough and asthma. And spicy food can help heat and produce phlegm after eating, and can stimulate bronchial mucosa, making local edema and cough and asthma worse. Therefore, patients with chronic bronchitis should avoid fried and spicy food. Avoid eating fishy hair: Allergy is one of the causes of chronic bronchitis, so patients with chronic bronchitis should avoid eating this kind of food.
Bronchitis symptoms 1. Acute bronchitis
Acute bronchitis often manifests as upper respiratory tract infection at the initial stage, and patients usually have clinical manifestations such as nasal congestion, runny nose, sore throat and hoarseness. But the general symptoms are mild, such as low fever, chills, general weakness, itchy throat, irritating cough, retrosternal pain and so on. There is not much phlegm in the early stage, but it is not easy to cough up. After 2 ~ 3 days, the sputum can change from mucus to mucus purulent. Patients who catch a cold or inhale cold air or irritating gas will aggravate or induce cough. Patients often have obvious cough in the morning or evening. Cough can also be paroxysmal and sometimes persistent. Severe cough is often accompanied by nausea, vomiting and muscle pain in the chest and abdomen. If accompanied by bronchospasm, wheezing and shortness of breath may occur. Generally speaking, the course of acute bronchitis is self-limited, and the systemic symptoms can subside within 4 ~ 5 days, but sometimes the cough can last for several weeks.
Physical examination can sometimes find dry rales, which disappear after coughing; Wet rales can be heard occasionally at the bottom of the lungs, and wheezing can be heard when accompanied by bronchospasm. Usually, the white blood cell count is normal, and the chest X-ray examination is normal.
2. Chronic bronchitis
Chronic bronchitis refers to patients who have chronic cough and expectoration for more than three months every year for two consecutive years, except for chronic cough caused by various other reasons. It is not necessarily accompanied by continuous airflow restriction.
(1) Cough Long-term, repeated and gradually aggravated cough is the prominent manifestation of this disease. Mild cases only occur in winter and spring, especially before and after getting up in the morning, and cough is less during the day. Cough is relieved or disappeared in summer and autumn. Severe patients cough in four seasons, aggravated in winter and spring, coughing day and night, especially in the morning and evening.
(2) Generally, expectoration is in the form of white mucus foam, which is often sticky in the morning and difficult to cough up. After infection or cold, the symptoms get worse rapidly, the amount of sputum increases, the viscosity increases, or the sputum is yellow and purulent or accompanied by wheezing. Due to a bad cough, I occasionally have blood in my sputum.
(3) Asthma complicated with respiratory tract infection may cause asthma (wheezing) symptoms due to congestion and edema of bronchiole mucosa, sputum obstruction and bronchial stenosis. The patient has wheezing sound in the throat when breathing and wheezing sound in the lungs when auscultating.