Analysis of illness: Acute pharyngitis generally requires short-term treatment. Patients can be treated with antibiotics such as penicillin and cephalosporin, antipyretic and analgesic drugs such as ibuprofen and acetaminophen, and gargle drugs such as compound borax solution, generally without surgery. Most patients need to stay in bed and pay attention to strengthening their own resistance.

First, general treatment

1, general patients stay in bed more, and promote self-repair.

2. If the patient suffers from infectious diseases, such as acute influenza, it is necessary to isolate the patient.

3, you can eat soft and rotten food, drink plenty of water, and enhance your resistance.

Second, drug therapy

1, Penicillins: Amoxicillin is suitable for infections caused by sensitive bacteria (strains that do not produce β -lactamases), including upper respiratory tract infections such as otitis media, sinusitis, pharyngitis and tonsillitis caused by streptococcus hemolyticus, streptococcus pneumoniae, staphylococcus or Haemophilus influenzae; Urogenital tract infection caused by Escherichia coli, Proteus mirabilis or Enterococcus faecalis; Skin and soft tissue infection caused by streptococcus hemolyticus, staphylococcus or Escherichia coli, and the adverse reactions include gastrointestinal reactions such as nausea, vomiting, diarrhea and pseudomembranous enteritis; Allergic reactions such as rash, drug fever and asthma were noted.

Penicillins can occasionally cause anaphylactic shock, especially in patients with allergic history of penicillin or cephalosporin. Before taking medicine, we must ask about the history of drug allergy in detail and do penicillin skin test.

2, cephalosporins:

(1) Cefalexin: It has antibacterial effect on Staphylococcus aureus, hemolytic streptococcus, pneumococcus, Escherichia coli, Proteus mirabilis, Klebsiella, Haemophilus influenzae, Catacoccus, etc. Some strains of Staphylococcus, Streptococcus faecalis, Indole-positive Proteus and Enterobacter are resistant to this product, but it has no antibacterial effect on Pseudomonas aeruginosa. The adverse reactions are nausea, vomiting, diarrhea and abdomen.

3. Cefradine: This product is a broad-spectrum, efficient and low-toxic antibiotic, which has bactericidal effect on both gram-positive and gram-negative bacteria. This product is not affected by penicillinase, but also has significant activity on most Staphylococcus aureus and Escherichia coli producing penicillinase. This product is acid-resistant and well absorbed by oral administration, and its adverse reactions mainly include gastrointestinal dysfunction, such as nausea, vomiting, diarrhea and rash.

4. Macrolides:

(1) Azithromycin: The antibacterial spectrum is similar to erythromycin, and it has stronger antibacterial activity against Gram-positive bacteria, stronger activity against Gram-negative bacteria, 4 times stronger effect on Haemophilus influenzae and Neisseria gonorrhoeae and 2 times stronger effect on Legionella. The effect on Clostridium is also stronger than erythromycin, and it is also more effective in staphylococcus aureus infection. Compared with erythromycin, the daily administration times and dosage of this product are obviously reduced, so the incidence of adverse reactions is obviously reduced. The incidence of gastrointestinal reaction was significantly lower than that of erythromycin, and occasionally abnormal liver function and leukopenia in peripheral blood were found.

Third, surgical treatment

This disease generally does not require surgical treatment.

Fourth, Chinese medicine treatment

1, wind-heat invading exterior and lung meridian with heat type:

(1) main symptoms: dry throat, burning, slight pain, dysphagia and foreign body obstruction; The pharynx is reddish and slightly swollen, the uvula is reddish and swollen, the bottom of the larynx is red and swollen, or there are granular protrusions, fever, aversion to cold, headache, cough with yellow phlegm, thin white or yellowish fur.

(2) Treatment: dispelling wind and clearing heat, detoxifying and relieving sore throat.

(3) Prescription: Shufeng Qingre Decoction (Radix Saposhnikoviae, Herba Schizonepetae, Radix Angelicae Dahuricae, Fructus Xanthii, Periostracum Cicadae, Folium Mori, Pericarpium Citri Tangerinae and Radix Glycyrrhizae).

(4) Addition and subtraction: For patients with obvious sore throat, Cortex Moutan and Radix Paeoniae Rubra are added; Trichosanthis Radix and Rhizoma Anemarrhenae are added for patients with severe dry throat; For cough with excessive phlegm, Radix Peucedani, Radix Stemonae and Bulbus Fritillariae Cirrhosae are added.

2. Pathogenic toxin spreading in the interior and lung and stomach heat excess type:

(1) main symptoms: sore throat, excessive phlegm and saliva, dysphagia and dysphasia; The pharynx and laryngeal nucleus are red and swollen, the uvula is swollen, the follicles at the bottom of the larynx are swollen, and the submandibular tenderness; High fever, dry mouth and thirst, headache, yellow and thick phlegm, constipation, yellow urine, red tongue with yellow fur and strong pulse can be seen all over the body.

(2) Treatment: clearing away heat and toxic materials, relieving sore throat and reducing swelling.

(3) Prescription: Qingyan Lige Decoction (Fructus Arctii, Scutellariae Radix, Herba Menthae, Fructus Gardeniae, Radix Platycodi, Bamboo Leaves, Yungu Paper, and Glycyrrhrizae Radix).

(4) Addition and subtraction: Fructus Trichosanthis, Bulbus Fritillariae Cirrhosae, and raw oyster are added if the cough is yellow and thick and the submandibular swelling is painful; For patients with persistent high fever, gypsum fibrosum and concretio silicea bambusae are added.