Accessory sinusitis includes acute and chronic sinusitis.
What causes paranasal sinusitis?
The mucosa of paranasal sinuses is infected by bacteria, and pus flows into nasal cavity.
What are the symptoms of paranasal sinusitis?
Yellow nose, swelling and pain in forehead, discomfort, drowsiness and stuffy nose.
What examination does paranasal sinusitis need to do?
The X-ray manifestation of acute paranasal sinusitis is that the transmittance of sinus cavity decreases. If there is not much secretion in the sinus cavity, the patient can take a vertical (or sitting) nasal chin position, which can make the sinus cavity smooth and the mucosa thicken.
X-ray manifestations of chronic sinusitis: when standing (or sitting) is taken, the gas level caused by secretions can also be seen. If polyps fill the sinus cavity, the density of the whole sinus cavity will increase. However, the bone wall remains normal. Osteoarthritis can occur in the sinus wall of some patients, which is common in frontal sinus, and is characterized by increased bone density.
How to treat
Acute sinusitis is mainly treated with drugs (cefazolin sodium), supplemented by surgical treatment.
Chronic sinusitis is supplemented by drug treatment and mainly treated by surgery.
Fang Yi sinusitis mixture
The pharmaceutical composition is Bupleurum 12g Scutellariae Radix 12g Platycodon grandiflorum 12g Fructus Trichosanthis 12g Vitex negundo 10g Fructus Aurantii 10g Radix Glycyrrhizae 10g Radix Gentianae 9g, Herba Schizonepetae 9g and Herba Menthae 6g (below).
Treat myasthenia gravis and muscular atrophy!
Let the oral ulcer not recur
Prevention and treatment of hyperthyroidism: dermatitis, eczema and urticaria.
Preparation usage: decoction, daily 1 dose, 1 week as a course of treatment.
Adapt to parasinusitis. Symptoms include headache and purulent secretions in the nasal cavity.
Medical record example Ding Mou, female, 35 years old. Recurrence of headache and nasal congestion 10 years. Radical maxillary sinus surgery was performed, and the primary disease recurred 4 months after operation. At present, vasoconstrictor is dripped several times a day to maintain nasal ventilation. Diagnosis: headache, stuffy nose, purple nasal mucosa, hypertrophy of middle and lower nails, and a large amount of pus in the middle passage. X-ray film: double chronic maxillary sinusitis; Oral sinusitis mixture for 4 courses. Dropping a small amount of vasoconstrictor locally; Rinse the maxillary sinus with normal saline, and inject 80,000 units of gentamicin in three injections. Results The headache disappeared, the bilateral middle, lower and upper nails decreased obviously, there was no pus in the middle passage, and the ventilation was good. Follow-up showed no recurrence.
Source: Li Xuewen et al. journal of anhui traditional chinese medical college, 1996, 15 (6): 23.
According to the evaluation, this recipe has the functions of dispersing wind and heat, clearing away heat and toxic materials, purging lung and liver and excess fire; The effects of dispersing lung qi, resolving turbidity, benefiting lung qi and inducing resuscitation. In the prescription, Flos Magnoliae, Asari and Herba Schizonepetae are used for expelling wind and inducing resuscitation; Bupleuri Radix, Vitex negundo, and Herba Menthae; Scutellaria baicalensis Georgi and Radix Gentianae purging lung and liver fire; Chuanxiong and Angelica dahurica promote blood circulation and qi circulation to relieve pain; Trichosanthes kirilowii and Fructus Aurantii have the functions of clearing away heat and resolving phlegm, regulating qi and resolving hard mass: Platycodon grandiflorum opens the chest and benefits the lungs, and carries drugs upward. For patients with serious illness and long course of disease, a small amount of vasoconstrictor should be instilled locally at the same time, and maxillary sinus irrigation is feasible if necessary.
Fang er Cang zhi Tang
The pharmaceutical composition is xanthium sibiricum10g angelica dahurica 6g dried earthworm10g fritillary bulb10g coix seed 20g chrysanthemum 6g tribulus terrestris10g fructus liquidambaris10g bitter orange10g.
The preparation method comprises decocting in water, daily 1 dose, and 7 days as a course of treatment.
Adapt to parasinusitis.
Medical record example Sun Mou, male, 22 years old. Stuffy nose, runny nose, dizziness and headache for 3 years, once treated with western medicine, the effect was not good, so I went to Chinese medicine for treatment. Examination: the turbinate is swollen and hypertrophy, and pus flows out of the middle nasal passage. X-ray shows that the maxillary sinus is blurred, the mucosa is thickened and there is a liquid plane. He was diagnosed with chronic maxillary sinusitis. Give the top seven doses. When I was diagnosed for the second time, my headache and dizziness were greatly reduced and my nose was narrowed. Seven doses were added to the original prescription. At the third diagnosis, the nasal congestion and runny nose disappeared, and there was no dizziness and headache. Check that there is no swelling and congestion in the turbinate and no pus in the middle nasal passage. Follow-up 1 year showed no recurrence.
Source: Chen Wenyong et al. Journal of Gansu College of Traditional Chinese Medicine, 1998, 15 (3): 28.
According to this disease, TCM attributed it to "deep nose", mostly due to wind-heat stagnation, leading to ignorance. In the prescription, Xanthium sibiricum and Radix Angelicae Dahuricae are the kings, dispelling wind and dredging orifices. Take chrysanthemum, tribulus terrestris, coix seed, earthworm and Fritillaria cirrhosa as ministers, clearing away heat and promoting diuresis, and inducing resuscitation; Strengthen the circulation of qi and dredge collaterals with Fructus Aurantii and Fructus Passepartout. When using this prescription, mild vasoconstrictor or Chinese medicine powder can be dripped into nasal cavity.
Respondent: Komatsu blog -CEO level 15 3- 19 06:52