Vocal nodule is a kind of chronic laryngitis, which is more common in teachers and singers, especially women. It is characterized by hoarseness, which is "hairy" in light, and hoarseness in severe cases, first intermittent and then continuous. The cause of the disease has a certain relationship with the general situation. For example, physical fatigue, inflammation, congestion and edema of laryngeal mucosa, inattention to silence, forced vocalization or loud singing cause vocal cord mucosal injury and vocal cord mucosal trauma. The pathological reason is that blood circulation is blocked, which leads to fibrosis, edema, cell aggregation and cellulose degeneration. Patients often go to the hospital because of labored vocalization, hoarseness and foreign body sensation in their throats. During laryngoscopy, there are small nodules in the voice, and the vocal cords cannot be closed when vocalizing.

The treatment of vocal nodules should first pay attention to rest, talk less, and absolutely stop talking when necessary. Avoid smoking, drinking and irritating food. Corticosteroids and antibiotics can be used for drug therapy. Oral Chinese medicine Qingyin Liquor or Runhou Pill. Anyone who is ineffective in conservative treatment and interferes with speech should be surgically removed.

To prevent the occurrence of vocal nodules, professionals who sing and talk a lot should avoid singing or talking loudly for a long time, especially for colds and lesbians during menstruation, and should pay attention to preventing vocal cord fatigue. Eat more foods containing vitamin C, fresh vegetables and fruits. Taking part in physical exercise properly, strengthening physical fitness and mastering correct vocal methods are very helpful to prevent vocal nodules.

Traditional medicine of vocal nodule belongs to the category of "chronic laryngitis", which is a kind of mucosal hypertrophy and hyperplasia disease limited to vocal cord membrane. Its occurrence is related to long-term improper use or abuse of sound. People who don't pay attention to sound hygiene are particularly ill, which is very common in clinic and often has a long course of disease. Gentamicin, dexamethasone, α -chymotrypsin and compound Danshen injection are commonly inhaled by atomization, and antibiotics and hormones are taken orally, which are mainly used for anti-inflammatory, phlegm-resolving, blood circulation promoting, blood stasis removing and local tissue swelling relieving. The function of epiglottis Zhuyu decoction: promoting blood circulation and removing blood stasis, dispersing stagnation and relieving sore throat, combined with western medicine, embodies the principle of combining local treatment with systemic treatment. (Take orally amoxicillin capsules and compound bromelain tablets, add hormones in the early stage, and use gentamicin injection 3U plus dexamethasone injection 5mg and α -chymotrypsin 4kU for atomization inhalation. If the vocal cords are congested, add 2ml of compound Danshen injection for atomizing inhalation, 1 ~ 2 times, and 1 day is1course of treatment, for three courses. In addition to the western medicine group, take "epiglottis Zhuyu Decoction" twice a day, 1 dose, and take 1 dose in the morning and evening. The prescription consists of peach kernel 15g, safflower 15g, licorice 9g, platycodon 9g, radix rehmanniae 12g, angelica 6g, radix scrophulariae 3g, bupleuri 3g, fructus aurantii 6g and radix paeoniae rubra 6g. 10 day is 1 course of treatment, which is taken continuously for three courses of treatment. In the course of treatment, patients are required to keep quiet and avoid harmful stimuli such as spicy diet, alcohol and tobacco. They can change the quiet working environment if possible, pay attention to correcting abnormal pronunciation, and avoid hoarseness aggravation or recurrence. )

Traditional Chinese medicine believes that the formation of vocal nodules is the result of systemic qi, blood, body fluid metabolism disorder, meridian obstruction and glottis obstruction. Blood stasis is the pathological basis of the formation of vocal nodules, so epiglottis Zhuyu decoction is used to promote blood circulation and remove blood stasis, disperse the knot and relieve sore throat. The prescription is peach kernel, safflower, rehmannia root, platycodon grandiflorum, licorice, Scrophularia root, Bupleurum root, red peony root, angelica and bitter orange; Peach kernel, safflower, red peony root and angelica root promote blood circulation, remove blood stasis, resolve phlegm and disperse hard mass. Radix Rehmanniae and Radix Scrophulariae nourish yin, clear heat, cool blood and detoxify; Platycodon grandiflorum and Glycyrrhiza uralensis Fisch have the functions of clearing lung-heat, relieving sore throat, eliminating phlegm and relieving cough, while Glycyrrhiza uralensis Fisch has the function of harmonizing various medicines. Bupleurum and Fructus Aurantii soothe the liver and relieve depression, regulate qi and broaden the chest, so the combination of these drugs has the effects of promoting blood circulation, removing blood stasis, dispersing stagnation and relieving sore throat, thus achieving the therapeutic purpose.

In a word, epiglottis Zhuyu decoction combined with western medicine is an effective treatment for vocal nodules, which fully embodies the advantages of comprehensive treatment and improves the therapeutic effect of this disease.