The characteristic of chronic bronchitis is a chronic cough and sputum production.
May be productive cough present on most days, at least for many years. The
the disease is usually seen in older men and women related to the onset of winter and
is caused by the cold. Initially, the cough is productive and occurs often in the morning. May this be the only symptom in May and gradually and serious symptoms such as breathlessness in the effort to develop in May
As the disease progresses, the course of the disease is usually characterized by recurrent episodes of acute respiratory failure resulting from infectious exacerbations of bronchitis. The clinical manifestations include increased cough, sputum change clear and mucoid to purulent, fever, dyspnea and varying degrees of respiratory distress. The course of the disease is a progressive increase of the frequency and severity of episodes of acute infection and respiratory failure, resulting in intubation and the need for ventilatory assistance almost constant. occursduring death in general an episode of respiratory insufficiency.
The physical signs vary according to the stage in which the patient is examined. During the relatively quiet period, the only findings May be increased anteroposterior diameter of the chest, percussion hyperresonance, prolonged expiratory phase and scattered coarse or moderate diffuse rhonchi and witnesses and wheezing. Later, the patient May show signs and symptoms of pulmonary hypertension and right ventricular failure, ie increased second heart sound, pedal edema, hepatomegaly and ascites.
If examined during an acute attack, the patient is in respiratory distress as evidenced by tachypnea and use of the muscles of respiration. The cough is often important and cyanosis during acute attack is not uncommon.
Essentials of diagnosis:
? Productive cough present on most days for at least 3 months in the year in at least two consecutive years.
? During the relatively quiet period, the only finding in May to increase the antero-posterior diameter of the chest. Other results such as hyperresonance to percussion, prolonged expiratory phase and scattered coarse or moderate diffuse rhonchi and rales and wheezing are also present.
? Chest x-ray shows signs of pulmonary overinflation increased anteroposterior diameter, flattened diaphragm and increased retrosternal air space.
There is often bronchus and a significant increase in marks at the base of lung
parallel or tapering shadows ( "tram lines") which reflect the increase in the thickness of the bronchial wall.
The patient should be strongly encouraged to quit smoking cigrette
and avoid exposure to other toxic inhalation and postural drainage in the years
possible. The drug is preferred or Ampicillin and Erythromycin Tab Amnophylline
five to seven days.
Traditional Chinese Medicine, this disorder is divided into cold and phlegm
heat phlegm types, treating each variable. Cold-phlegm is clinically characterized by a cough with copious sputum and easily spit and relief of cough and expectoration after symptoms accompanied by a feeling of tightness in the chest, lack of appetite, white shiny surface of the tongue, superficial and slippery pulse, etc. But the type of heat is due to the accumulation and retention of phlegm and heat pathogens in the lungs with symptoms such as cough, dyspnea, yellowish, thin or sputum of blood, chest and hypochondriac pain, language red with yellow coating, rapid pulse and without.
1. Herb therapy
For chronic bronchitis caused by cold phlegm. Processing rules are dry to moisture and eliminate mucus. The formula is Er Chen Tang Jia Jian.
Dried orange peel old 12g
PJnellia (tuber), 12g
Tatarian aster (root) 15-30g
Common Coltsfoot Flower 10g
Racine violet flower Peucedanum 15g
Apricot kernel 12g
Fritillary bulb 10g
Root of the narrow-leaved Polygala 12g
Licorice root 6g
Decoction and dosage. All herbs over a dose and six to ten doses are prescribed with a daily dose. Each dose is cooked twice and then the broth of each joint, half the broth mixture each time, twice a day.
For chronic bronchitis caused by heat phlegm. Processing rules to eliminate the mucus and clear pathogenic heat. The formula is Qin Jin Hua Tan Jian Yang Jia.
Capejasmine (fruit) 12g
Balloonflower root 12g
Tuber lilyturf dwarf 12-18g
Root-bark of white mulberry 18g
Fritillary bulb 10g
Rhizome wind algae 10g
Seed of Mongolian snakeground 12g
Tangerine peel 12g
Houttuynia cordate 30g
Decoction and dosage is the same.
If there is blood in the sputum, the following herbs are added to the formula: donkey-hide gelatin 10-12g, the node of lotus rhizome 12-30g, Hyacinth Bletilla 15-20g and the root of pseudo-ginseng 3g .
2. Acupuncture therapy
Points along the Taiyin (lung) and Yang-ming (the large intestine) The channels are selected to enable dispersion of the lung and relieving phlegm-damp.
Points: L7 Lieque, LI4 Hegu, B13 Feishu and L5 Chizé.
Method: All the above are perforated with moderate stimulation and needles are retained for 20 to 30 minutes.
3. Cutting therapy
Points for cutting: B12 Fengmen and B13 Feishu.
Method: The two points of the cut and the procedure is in Chapter XII.
4. Plum-blossom needle therapy
Peck with prune flowers needle along the bladder and urinary tract on the upper back until the skin becomes red or bleeding a little.
5. Ear-acupuncture therapy
Points: Lung Pt Pt and asthma.
Method: The therapy is administered once a day or once every two days. The needJes are kept for 30 to 60 minutes and a course includes ten punctures.
In addition, some herbal medicines are also available in China for this disease. Tangerine Peel Pills, Chun Xiao Ke Cough Solution, Xin Su Cough Cough Solution Solution Pinellia and are recommended for cold phlegm type. Mu Er Nin Cough Pills and Chuan Bei Cough tablets are good for heat phlegm type.
The most effective way to treat chronic bronchitis is the combination of the decoction of Chinese herbs with antibiotics. Antibiotics are very effective against bacterial infections and secondary while the Chinese is a decoction made from plants for the elimination of mucus.
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