Treatment of chronic simple rhinitis
Treatment of chronic simple rhinitis: The treatment principle of chronic simple rhinitis is to eradicate the cause and restore the nasal ventilation function, and the following treatment measures can be taken.
1. Treating chronic simple rhinitis according to the cause: Carefully find the systemic or local cause and treat it in time. At the same time, we should pay attention to protecting the environment, improving working conditions, strengthening physical exercise, strengthening physical fitness and improving physical resistance.
Two. Local treatment of chronic simple rhinitis;
① If nasal secretions are sticky, 9% normal saline can be used to wash the nasal cavity to avoid infection caused by long-term accumulation of secretions.
② nasal drops with vasoconstrictor: 0.5% ~ 1% ephedrine saline or nasal drops can be used, but it can cause drug-induced rhinitis and aggravate nasal congestion, which should be considered.
③ Blocking therapy: 0.25% ~ 0.5% procaine can be used to block the nasal passages, or injected into the nasal wall or the front end of inferior turbinate by submucosal injection, 65,438+0 ~ 65,438+0.5 ml each time, 65,438+0 times every other day, 5 times as a course of treatment.
3. Syndrome Differentiation and Treatment of Chronic Simple Rhinitis: TCM calls this disease "nasal smothering".
Traditional Chinese medicines, such as strengthening body resistance and eliminating evil, clearing away heat and toxic materials, nourishing yin and moistening dryness, resolving phlegm and relieving cough, regulating qi and promoting blood circulation, etc.
According to the prescription of traditional Chinese medicine, "healthy qi cannot contain disease"; The traditional Chinese medicine for strengthening the body resistance is composed of many valuable traditional Chinese medicines, which have the effects of invigorating qi and blood, lung, kidney, spleen and stomach, strengthening the body resistance, strengthening the body resistance, enhancing immunity, enhancing immune function, strengthening the body and preventing colds, so it is named as the traditional Chinese medicine for strengthening the body resistance.
/kloc-for 0/8 years, it has been proved that it has a stable curative effect on chronic simple rhinitis, pharyngolaryngitis with repeated colds, runny nose, persistent or alternating nasal congestion, sneezing, itchy nose, headache, dizziness, insomnia, upset and other symptoms. This paper introduces the combination of traditional Chinese medicine with traditional Chinese medicine, such as clearing away heat and toxic materials, nourishing yin and moistening dryness, resolving phlegm and relieving cough, regulating qi and promoting blood circulation, and applying the principle of "healthy qi does not hide diseases" in traditional Chinese medicine to treat diseases, which has opened up a new treatment direction and method for chronic simple rhinitis.
Zhengqi Chinese medicine prescription can improve immunity, enhance immune function and strengthen the body.
Typical case:
Case 1: Shi Sen, male, 30 years old, from Xingning, Guangdong, 1983 suffered from chronic simple rhinitis for 8 years. He is prone to colds, weak, often has a runny nose, stuffy nose and headache, and suffers from severe pharyngitis. After taking 1983, the condition improved obviously in January, with no stuffy nose, headache and a little runny nose.
Example 2: Ms. Ye, female, 50 years old, is in the isotope room of a hospital in Guangzhou. She suffered from chronic simple rhinitis from 1994 for 5 years, accompanied by hypertrophy and olfactory failure for 2 years. After taking 1 week, the sense of smell began to recover, and nasal pus, nasal ventilation and nasal sounds disappeared. The second course of treatment is radical.
Example 3: Ms. Xu, female, 53 years old, from Qiaozhiyuan Hospital, Tianhe District, suffered from chronic simple rhinitis for 30 years from 65438 to 0995, with runny nose and head surge as the main symptoms. After taking the traditional Chinese medicine prescription, it was effective in 8 days, improved obviously in 25 days and recovered in April.
Example 4: Mr. Liang, a 36-year-old from Guangzhou, suffered from simple rhinitis 10 years. In 1990, he took three courses of traditional Chinese medicine, which cured chronic rhinitis. He can take a cold bath in winter and has not relapsed so far.
Example 5: Zhu Dieqin, a 42-year-old female from village 6, Nangang Village, Nangang Town, Huangpu, Guangzhou, has a purulent and sticky nasal mucosa for 2 years, with nasal pain 1 month, accompanied by headache and dizziness. She took Chinese medicine/kloc-for 0/5 days, and the above symptoms were obviously relieved, and she recovered after 3 courses of treatment.
Example 6: Li××××, female, 1 1 year old, with nasal congestion and pus discharge for 8 years (No.3, Lane 4, Xiaoqiao Village, Zhoumen, Liwan District, Guangzhou). Repeated treatment of traditional Chinese and western medicine is ineffective. 1995, she took the prescription of traditional Chinese medicine for 20 days, and her purulent nose disappeared, and she recovered after two courses of treatment. Note: This patient is accompanied by sinusitis.
● Example 7: Chronic hypertrophic rhinitis pharyngitis
Shi engineer, male, 55 years old, Guangzhou Tianhe District Urban Construction and Development Corporation. Runny nose, persistent nasal congestion, headache, dizziness, insomnia, dyspnea, dry mouth and throat sometimes painful, dry nose, tinnitus, decreased vision and memory, olfactory failure, common cold, chronic hypertrophic rhinitis for 35 years, nasal mucosa hyperplasia and swelling, turbinate hypertrophy, pharyngeal congestion, lymphoid follicular hyperplasia, pharyngeal discomfort and inability to swallow. Diagnosis: Chronic hypertrophic rhinitis and pharyngitis. After taking six doses of traditional Chinese medicine for two courses, plus four bottles of white Dihuang pills and two bottles of Liuwei Dihuang pills, the patient's condition lasted for 30-40 days, and he felt dry mouth, dry throat, nasal pain, headache, tinnitus and nasal congestion, which relieved ventilation. The above symptoms were obviously improved and completely cured after two courses of treatment.
Example 8: Chronic hypertrophic rhinitis and chronic pharyngitis
Mr. Zhu, male, 28 years old, at No.8 Zhongshan Eighth Road/KLOC-0, Guangzhou, has a nasal congestion lasting for 5 years, aggravated at night, a little sticky nose, a little sneezing, congestion in the pharynx, lymphofollicular hyperplasia, turbinate hypertrophy, and dark red and thick mucosa. For chronic hypertrophic rhinitis and chronic pharyngitis, 1996 took two courses of traditional Chinese medicine, which was completely cured without recurrence for several years.
Example 9: Chronic hypertrophic rhinitis and sinusitis for 30 years, severe headache and dizziness 10 years, nasal polyps 15 years (easy to catch a cold) with pharyngitis for 25 years.
One: Lin XX, male, 5 1 year-old, from Hunan. From 65438 to 0999, I saw a doctor with suppurative nose, stuffy nose and headache for 30 years. The patient often catches a cold and is in poor health. A 20-year-old man has a bad cold, runny nose, stuffy nose and headache. After using antibiotics and traditional Chinese medicine, the treatment effect is not good. X-ray examination confirmed chronic rhinitis, maxillary sinusitis and frontal sinusitis. After a period of treatment with traditional Chinese and western medicine, the headache was relieved, but the situation of stuffy nose and runny nose lasted for a long time. I was 25-30 years old and had two sinusitis operations. Because I often catch a cold, I still have a stuffy nose and runny nose. At the same time, I feel dry mouth and throat, foreign body sensation in my throat, uncomfortable throat, excessive phlegm, sometimes sore throat and burning sensation. The diagnosis is: chronic rhinitis, chronic sinusitis and chronic pharyngitis. 35-year-old, with severe nasal congestion, was found to have nasal polyps by hospital examination and underwent nasal polypectomy once or twice every 3-5 years. Recently, I have done nasal polypectomy every two years or so, and I have done it three times. All kinds of traditional Chinese medicine and western medicine have no effect. Headache and dizziness have worsened in recent 10 years.
Two:1June, 1999, the patient came to see a doctor with headache and dizziness, listlessness, memory loss, frequent insomnia and upset, nocturia, dry stool, average appetite, weight gain 158 kg, and height 167cm. Just 8 months after nasal polyp operation, nasal congestion, runny nose, dry mouth and throat, foreign body sensation in the throat, itchy throat, burning sensation, sometimes sore throat, rough voice, excessive cough and phlegm, yellow and white sputum, chest tightness, general fatigue, backache and knee weakness, and it is very easy to catch a cold, and you can't help catching a cold when the weather is a little cold. Examination: bilateral nasal mucosa thickening and congestion, purulent nasal cavity, left nasal polyp 1×0.5cm, vocal cord congestion, pharyngeal congestion, pharyngeal cord congestion, lymphoid follicular hyperplasia, submandibular lymph node enlargement, and no pain. Keywords CT, maxillary sinusitis, frontal sinus hydrops, turbinate hypertrophy,
Diagnosis: chronic hypertrophic rhinitis, chronic maxillary sinusitis, frontal sinusitis, nasal polyps and chronic pharyngitis. Easy to catch a cold, insomnia, headache, renal oxime.
Four, treatment plan and condition analysis:
1, the patient's physique is poor since childhood, and it is easy to catch a cold repeatedly, causing rhinitis and sinusitis; Poor physique, repeated colds, recurrent rhinitis and sinusitis, lasting for a long time.
2, nasal polyps: It is caused by nasal mucosa edema and hyperplasia caused by rhinitis and sinusitis, and nasal polyps grow because of the long-term purulent nasal mucus stimulation of sinusitis. Therefore, simple surgical resection of nasal polyps is not effective, and soon nasal polyps will grow out.
3, pharyngitis: It is due to poor immunity, frequent colds, and nasal congestion, sinusitis and pus caused by poor immunity.
4, rhinitis, sinusitis, headache and dizziness can cause insomnia, which in turn affects normal rest and further causes autoimmune and physical decline.
5, dry mouth and throat, dizziness, general weakness, fatigue, backache and knee weakness are all manifestations of kidney deficiency; Disturbance and insomnia are manifestations of yin deficiency of heart and liver, and dry mouth and throat, itchy throat and burning are manifestations of yin deficiency of lung and stomach.
6, easy to catch a cold, general fatigue, qi and blood deficiency, lung and kidney qi deficiency and vital qi deficiency, body fat and spleen and stomach weakness.
Five, the principle of treatment: according to the dialectical treatment strategy of traditional Chinese medicine, where there is deficiency, we should seize the main contradiction, etiology and root cause for treatment. At the same time, it has a great influence on the solution of minor contradictions and major contradictions, and it also needs to be solved and treated at the same time.
1. The main contradictions of patients are poor constitution and poor immune function, that is, deficiency of both qi and blood, deficiency of both spleen and lung, deficiency of vital qi and imbalance of yin and yang.
The first contradiction is headache and insomnia. If these two symptoms are not solved well, it will also affect the treatment of Fuzheng Peiben.
The second contradiction is stuffy nose, runny nose, sore throat, dry mouth and burning sensation.
4. Treatment of nasal polyps: As long as you are healthy, sinusitis and nasal polyps will decrease, and nasal polyps will naturally not grow or shrink. Traditional Chinese medicine for promoting blood circulation and removing blood stasis can be added in the follow-up treatment to accelerate the reduction of nasal polyps.
Six, therapeutic drugs:
1, Chinese medicine for invigorating qi and blood (three courses of treatment), tonifying lung and kidney, invigorating spleen and regulating stomach, strengthening body resistance, consolidating exterior and eliminating pathogenic factors, and severe baropathy are the basis for treating patients.
2, headache and insomnia treatment, clearing heat and regulating qi and nourishing yin, soothing the liver and relieving depression, Tianwang Buxin Pill, taken alternately.
3, stuffy nose, dry mouth and throat, clearing away heat and toxic materials, clearing away heat, nourishing yin and moistening dryness, and taking it alternately and intermittently.
4. Chinese patent medicines for tonifying kidney and yin, nourishing yin and reducing fire, tonifying middle energizer and benefiting qi, Liuwei Dihuang Pill, Zhibaitahuang Pill and Buzhong Yiqi Pill, taken alternately. The above comprehensive treatment lasted for more than 2 months.
7. Follow-up visit: The patient consciously took the medicine, and the headache was relieved in 10- 15 days. 15-25 days, good mental state, dry mouth and sore throat, reduced burning sensation and improved body. After 30-45 days, fatigue and fatigue improved, waist soreness and knee weakness, insomnia and upset, and improved. After 45-55 days, purulent nasal discharge becomes light, and it is easy to be discharged, and the nasal congestion is reduced. My throat is comfortable, my voice is clearer and I have fewer colds. Even if you catch a cold, you will recover quickly and have little nocturia. Dry stool takes 3-5 days. Examination: the congestion of pharynx is not obvious, the lateral pharyngeal cord is not congested, the proliferation of lymphatic follicles in the posterior pharyngeal wall becomes smaller, the nasal mucosa is thickened and congested, and purulent nasal mucus is not much. Require the use of Chinese medicine and auxiliary Chinese medicine three courses. This time, eat more traditional Chinese medicines for clearing away heat and toxic materials, clearing away heat and inducing resuscitation, regulating qi, promoting blood circulation and removing blood stasis, and Chinese patent medicines for invigorating spleen and regulating stomach.
Eighth, the third visit: the weight decreased from 158kg to 137kg, and the weight decreased by nearly 20kg. This is a good thing. In the past, obesity was puffiness. Due to chronic inflammation and weakness of spleen and stomach, Chinese medicine calls it "type-fullness and decline of qi activity" Although fat, but unhealthy, easy to catch a cold. After six courses of treatment, the patient's physical condition is good, no cold, headache and dizziness disappear, insomnia and upset are cured, the throat is comfortable, the nasal congestion is slight, a little runny nose, the mental state is brand-new, and the energy is full of lungs. Examination: nasal mucosa is slightly congested, not hypertrophy, nasal polyps are reduced, lymphatic follicles in posterior pharyngeal wall disappear, and pharyngeal congestion disappears. Pharyngolaryngitis is completely cured, rhinitis and sinusitis are obviously effective, nasal polyps are effective, people are not cold, their spirits are normal, they are refreshed and energetic, and their overall physique is obviously improved. It is suggested to take four more courses of Chinese medicine for strengthening the body resistance, strengthening the constitution, clearing away heat and nourishing yin, promoting blood circulation and removing blood stasis. , you can take 10 day intermittently, stop taking 10 day, and you can take consolidation treatment after about 5 months. A year later, the patient reported that the repeated cold was gone, chronic rhinitis, chronic sinusitis and nasal polyps were cured, and pharyngitis was cured, so he was very happy.
Nine: Comments: This is a patient suffering from intractable rhinitis, sinusitis, nasal polyps and pharyngolaryngitis, with poor health, repeated colds, insomnia, headache and dizziness, pharyngolaryngitis, kidney deficiency, weakness and obesity. Moreover, repeated operations and long-term use of various traditional Chinese medicines and western medicines have not achieved any effect. Therefore, it is necessary to analyze the condition in detail and always grasp the main contradiction in order to enhance the autoimmune function and disease resistance. By regulating the spleen, stomach, kidney, lung, liver and heart, invigorating qi and blood, and cooperating with traditional Chinese medicines such as nourishing yin, clearing away heat and toxic materials, promoting blood circulation and removing blood stasis, regulating qi, widening chest and resolving phlegm, the curative effect was achieved and finally cured.
To eat Biyanling, you must make sure it belongs to Beijing Tongrentang Pharmaceutical Co., Ltd., and then use Boko rhinitis to gradually relieve the symptoms. Remember to wear a mask in winter to relieve the illness 1 to 2 years, but it can't cure rhinitis.