Chronic pharyngitis has been cured, and it has been many years since I vomited yellow phlegm. What should I do?

Hello, the etiological classification of chronic pharyngitis:

Chronic pharyngitis is a common disease, which is a diffuse pharyngeal lesion caused by chronic infection, mainly pharyngeal mucosal inflammation. It is more common in adults, and its main diseases 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, chronic nephritis and so on.

Key points of self-diagnosis

Pharyngeal discomfort, foreign body sensation. I always feel that there is something in my throat that I can't swallow and spit out, which stimulates coughing, dryness, abdominal distension, congestion and itching. But I seldom have a sore throat. Vomiting sticky phlegm in the morning is easy to cause nausea. Because esophageal or hypopharyngeal cancer will have similar symptoms in the early stage, it is necessary to go to the hospital for detailed examination after discovering the above symptoms before being diagnosed.

Treatment suggestion

Doctors should carry out targeted treatment according to the cause. Chinese patent medicines can be selected for local symptomatic treatment, such as Li Yanling, Caoshanhu Buccal Tablets and Baoan Powder. Can also be used with tea drinks: Hua Shuang, Ophiopogon japonicus, Boat-fruited Sterculia and raw licorice, often brewed with boiling water. Qingyanyin: 50g of ebony meat, 50g of raw licorice, 50g of Adenophora adenophora, 50g of Ophiopogon japonicus, 50g of Platycodon grandiflorum and 50g of Scrophularia, mashed and mixed evenly, each time 15g, and taken with boiling water.

Matters needing attention

Pay attention to oral hygiene and insist on brushing your teeth in the morning and evening and after meals. Reduce the stimulation of tobacco and alcohol dust and correct the bad habit of breathing with your mouth open. We should strengthen physical exercise, strengthen physical fitness, prevent respiratory tract infection, use less alcohol and tobacco, and actively treat pharyngeal diseases. Arrange your life reasonably, keep your mood comfortable and avoid troubles and depression. Keep the indoor temperature and humidity suitable and the air fresh. It is advisable to eat some light, sour and nourishing food, such as fruits, fresh vegetables and olives. Often take four seasons throat tablets, mint throat tablets and so on.

chronic pharyngitis

Chronic pharyngitis is a chronic inflammation of pharyngeal mucosa, in which diffuse inflammation is often a part of chronic catarrhal inflammation of upper respiratory tract, and localized inflammation is often accompanied by inflammation of pharyngeal lymphatic tissue. This disease is equivalent to chronic laryngitis in traditional Chinese medicine.

1。 Diagnostic criteria of western medicine:

(l) Medical history: I often have a history of recurrent acute pharyngitis, or I have been breathing by mouth for a long time due to nasal diseases, excessive alcohol and tobacco, dry air in bad environment, dust and irritating gas pollution.

(2) Symptoms: throat discomfort, or pain, or itching, or dryness, burning, smoking, foreign body sensation, etc. Irritating cough, coughing up secretions in the morning and even nausea. The course of the disease is more than 2 months, and symptoms often appear due to cold, cold, fatigue, wordiness and other reasons.

(3) Examination: Chronic congestion of pharynx is aggravated. Crimson, or dendritic congestion; Lymphatic follicular hyperplasia of posterior pharyngeal wall, or swelling of lateral pharyngeal cord; Pharyngeal mucosa hyperplasia hypertrophy, or dry, atrophy, thinning, there are secretions attached. All the above symptoms are available, and the diagnosis can be made with/kloc-0 or above examination results.

2。 Syndrome differentiation of TCM:

Inflammation caused by deficiency fire, deficiency of both lung and spleen, phlegm-heat syndrome, phlegm-blood stasis syndrome.

Acute inflammation of pharynx is very similar to acute inflammation of tonsil. 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 inflammation of pharyngeal mucosa. Most of them are adults, and the incidence of throat diseases in urban residents accounts for 10% to 20%. Because of its long course of disease and stubborn symptoms, it is difficult to see obvious effects in a short period of time and it is not easy to cure. The main reasons 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 disease, diabetes, chronic nephritis and so on.

3. Occupational factors. Mainly in dubbing workers, such as teachers and actors. Because long-term multilingual singing will stimulate the pharynx and cause chronic congestion. Key points of self-diagnosis of chronic pharyngitis: various symptoms, throat discomfort, foreign body sensation and phlegm sensation, and I always feel that there is something in my throat that I can't swallow and spit out, such as obstruction, bloating, burning, dryness, itching, irritating cough and slight sore throat. Cough is often used to remove secretions, especially when coughing hard in the morning to eliminate pharyngeal secretions, the symptoms are temporarily relieved. Because esophageal or hypopharyngeal cancer will have similar symptoms in the early stage, it is necessary to go to the hospital for detailed examination after discovering the above symptoms before being diagnosed.

There are three pathological changes after the formation of chronic pharyngitis:

First, it is chronic simple pharyngitis. It is characterized by chronic congestion of pharyngeal mucosa;

The second is hypertrophic pharyngitis. The main manifestations are hyperemia and hypertrophy of pharyngeal mucosa, extensive hyperplasia of connective tissue and lymphoid tissue under mucosa;

Third, it is chronic atrophic pharyngitis. The main manifestations are atrophy and thinning of mucosa and submucosa, adhesion of posterior pharyngeal wall scab and decrease of secretion.

Traditional Chinese medicine divides this disease into three types:

1. Yin deficiency and hyperactivity of fire type: throat discomfort, dull pain, foreign body sensation, scanty phlegm, irritability in the afternoon, soreness of waist and legs, red tongue and thready pulse.

Second, phlegm and blood stasis type: dry throat, tingling, deep red pharyngeal muscle membrane, often nausea and discomfort due to clearing throat. Red tongue, yellow greasy fur, and slippery pulse.

Third, yin deficiency and body fluid deficiency type: dry throat, burning and dry, pain can be suspended after drinking water, obvious foreign body sensation, dreaminess at night, tinnitus and dizziness. Red tongue with little fluid and thin pulse.

Western medicine generally pays attention to local medication in the treatment of chronic pharyngitis, such as gargling, repeatedly gargling with 2% hydrochloric acid solution, 3% physiological saline and 1: 5000 furacilin solution, or passing through the pharyngeal wall with 2% iodine glycerin and 5% strong protein silver solution, or iodine buccal tablets, dumifen, mint, etc. , can relieve symptoms to a certain extent. Local symptomatic treatment can also choose Chinese patent medicines, such as Caoshanhu buccal tablets and watermelon frost.

Traditional Chinese medicine focuses on the root cause, and it is effective to use drugs according to syndrome differentiation and classification. Generally, the drugs are: nourishing yin and clearing lung decoction (Ophiopogon japonicus, 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 and blood stasis, Xiao Lao Wan (Radix Scrophulariae, Concha Ostreae, Bulbus Fritillariae Cirrhosae, Radix Rehmanniae, Radix Ophiopogonis, Rhizoma Sparganii, Thallus Laminariae, seaweed, etc.) is added. ) is added; For patients with yin deficiency and body fluid deficiency, Shengmai Drink is flavored (white ginseng, Ophiopogon japonicus, Schisandra chinensis, Dendrobium nobile, Polygonatum odoratum, Imperata rhizome, bamboo shavings, etc. ), one dose a day, and take it frequently by moistening the throat.

Precautions: avoid spicy products and alcohol and tobacco stimulation. Pay attention to oral hygiene.

Strengthen physical exercise, strengthen physical fitness, prevent respiratory infection, arrange life reasonably, keep a happy mood and avoid troubles and depression. )

Diet: Liyan tea: 3-5g each of Hua Shuang, Ophiopogon japonicus, Butterfly, Boat-fruited Sterculia and Glycyrrhiza uralensis Fisch, brewed in boiling water. Qingyanyin: 50g of ebony meat, 50g of raw licorice, 50g of Adenophora adenophora, 50g of Ophiopogon japonicus, 50g of Platycodon grandiflorum and 50g of Scrophularia, mashed and mixed evenly, each time 15g, and taken 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.

Methods: Put mung beans and kelp (shredded) into a pot, add water to boil, add sugar to taste, and drink it as tea every day.

Watermelon juice: cut watermelon to get juice, often used as tea. This product can clear away heat, relieve vexation, nourish yin and moisten dryness.