Introduction to tight throat style

Contents 1 Pinyin 2 English reference 3 Overview 4 Causes and pathogenesis of tight throat wind 5 Symptoms of tight throat wind 6 Syndrome analysis 7 Diagnosis of acute throat wind 8 Syndrome differentiation of acute throat wind 8.1 Wind-heat External attack syndrome 8.2 Phlegm accumulation syndrome 8.3 Heat poison fumigation syndrome 9 Treatment of tight throat wind 9.1 Prescription treatment 9.1.1 Recipe 1 9.1.1.1 Treatment method 9.1.1.2 Prescription 9.1.2 Recipe 2 9.1.2.1 Treatment method 9.1.2.2 Prescription 9.1.3 Prescription 3 9.1.3.1 Treatment method 9.1.3.2 Prescription 9.2 External treatment method 9.2.1 Blowing medicine 9.2.2 Steam inhalation 9.2.3 Gargling 9.3 Acupuncture treatment 9.3.1 Acupuncture 9.3.2 Ear acupuncture 9.4 Grappling method 9.4 .1 Unilateral grasping method 9.4.2 Bilateral grasping method 9.5 Lift and scrape method 9.6 Tracheotomy 9.7 Treatment of dyspnea 9.8 Nursing care of patients with acute laryngitis 9.9 Medical records 10 Dietary taboos for patients with acute laryngitis 11 Prevention of acute laryngitis 12 About acute throat wind 13 About throat wind 14 References attached: 1 Prescriptions for treating tight throat wind 2 Chinese patent medicines for treating tight throat wind 3 Tight throat wind in ancient books 1 Pinyin

jǐn hóu fēng 2 English Reference

fulminant throat wind [Traditional Chinese Medicine Terminology Approval Committee. Traditional Chinese Medicine Terminology (2013)] 3 Overview

Fulminant throat wind is the name of the syndrome [1]. A type of throat wind[1]. Also known as acute throat wind [2]. It refers to laryngeal wind characterized by a tight feeling in the throat, difficulty breathing, and difficulty in drinking water [3][1]. If critical symptoms such as jaw clenching and mouth locking occur, it is called strangiotrope [2].

Acute laryngitis is equivalent to laryngeal edema and difficulty breathing caused by various acute inflammations of the throat and neck in Western medicine.

Acute laryngeal wind belongs to the range of acute laryngeal obstruction [2].

Tight throat seems to include posterior pharyngeal wall abscess, peritonsillar abscess, laryngeal edema, etc. according to Western medicine [1]. 4 The causes and pathogenesis of tight throat wind

Tight throat wind is mostly caused by the thick flavor of paste, excessive roasting with alcohol, or accumulation of heat in the lungs and stomach, relapse of wind-heat, fire-induced phlegm, and phlegm-fire evil poison Caused by throat congestion [1].

Acute laryngeal wind can be caused by the development of pharyngeal carbuncle and various acute throat diseases. It is usually complicated by acute laryngeal fistula and laryngeal diphtheria in children. This is caused by the excessive accumulation of phlegm, salivary fire poison or epidemic disease. In the throat, it causes coagulation of qi and blood, obstruction of veins, accumulation of phlegm and saliva, and obstruction of the airway, leading to disease [2].

If the pathogenic heat is strong in patients with acute laryngeal fistula, the burning fluid is phlegm or there is phlegm heat. The evil phlegm-heat poison accumulates in the throat, causing airway obstruction, and may develop into acute laryngopharyngitis. Children with this disease are particularly prone to acute laryngitis due to their delicate internal organs and narrow throat cavity.

In addition, there are also cases where qi and blood condense in the throat due to laryngeal trauma; or due to liver qi stagnation, blood clots and phlegm accumulates to form throat bacteria; or foreign matter blocks the throat cavity, etc., which can cause airway obstruction. Obstruction or stenosis causes disease [2]. 5 Symptoms of Tight Throat Wind

"Yizong Jinjian" Volume 66: "Tight throat ointment is caused by Liang Fenghuo. The throat is swollen and painful and it is difficult to make a sound. The sound is like sawing and phlegm is blocked, and there are few acupuncture points. "Tuk Xia Gong."

At first, the throat swells rapidly, making swallowing difficult, and then the whole throat becomes red, swollen and painful, phlegm and saliva are blocked, the throat tightens, phlegm wheezes, shortness of breath, difficulty breathing, and sounds. Hoarseness, severe throat swelling and congestion, difficulty in drinking water, or suffocation and death [1].

Acute laryngitis has a rapid onset. The patient has a red, swollen and painful throat, difficulty breathing, phlegm and saliva, difficulty speaking, and difficulty swallowing soup. The onset is rapid and the condition is severe [4][2].

The patient has sore throat, difficulty swallowing, a tightness in the throat, and laryngeal dyspnea, manifested by labored inhalation, protrusion of the sky (suprasternal fossa), and missing pelvis (supraclavicular fossa) when inhaling deeply. ), depressions in the intercostal spaces, etc., which is called triple concavity syndrome, and laryngorrhea occurs; croup sounds can be heard when coughing; hoarseness or difficulty speaking, phlegm and saliva are blocked, and the sound is like a saw [2].

Local examination shows severe throat redness and swelling, or although the larynx and pharynx are not red and swollen, the throat and vocal cords are obviously red and swollen, with excessive phlegm and saliva, or decay [2].

The whole body may have aversion to cold and strong heat, or high fever and irritability, sweating like rain, dry mouth and desire to drink, constipation, short red urine, red or crimson tongue, yellow or greasy tongue coating, and weak pulse. Count or despair, etc.[2].

According to the severity of dyspnea, it is divided into four degrees [2]:

First degree: The patient has no dyspnea when he is quiet, but hoarseness occurs when he moves or cries. The nose is inflamed, and the protrusion of the sky and the missing basin are slightly sunken.

Second degree: The above-mentioned dyspnea also occurs when quiet.

Third degree: In addition to the second degree of dyspnea, there is also irritability, spontaneous sweating, and obvious three concavities.

Fourth degree: In addition to the third degree of dyspnea, the breathing is shallow and fast, the lips are blue and the face is dark, sweat is like beads on the forehead, sweat is like rain on the body, and even the limbs are cold, and the pulse is slow and weak. Absolute, faint, on the verge of suffocation. 6 Syndrome Analysis

The larynx is the way in and out of respiratory qi. Due to the accumulation of fire poison and the coagulation of qi and blood, the throat cavity is narrowed, and the airway is blocked by phlegm and saliva, so breathing difficulty is seen, especially in Difficulty and effort in inhaling are obvious [2].

Because the gas passes through the narrow laryngeal cavity, a throat sound is produced. When coughing, the gas hits the larynx, resulting in a croup[2].

Because air cannot pass through the throat smoothly into the trachea and lungs during inhalation, lung qi is insufficient, and the negative pressure in the chest increases, so protrusions, missing pelvises, intercostal depressions, etc. occur during inhalation. of triple concave syndrome [2].

The evil guest enters the laryngeal cavity and the opening and closing of the glottis is unfavorable, so the voice is hoarse or speech is difficult to produce [2].

The accumulation of phlegm and saliva blocks the airway and moves up and down with the Qi, so there is a sound of phlegm, which is quite like pulling a saw [2].

Due to swelling and pain in the throat and difficulty breathing, swallowing is hindered, and even water slurry is difficult to swallow [2].

Blue lips and black face, forehead sweating like oil, body sweating like rain, cold limbs, unconsciousness, and weak pulse are critical signs of suffocation and separation of yin and yang [2].

Since the disease is mainly located in the larynx, local examination shows that the larynx and vocal cords are obviously red and swollen, while the larynx and pharynx may or may not be red and swollen [2]. 7. Diagnosis of acute laryngeal wind

The diagnosis of acute laryngeal wind is mainly based on the characteristics of clinical symptoms, especially laryngeal dyspnea, excessive phlegm and saliva, difficulty in speaking, difficulty in drinking soup, etc. [2]. If acute throat disease develops and the above symptoms appear, the diagnosis will be more clear [2]. 8 Syndrome classification of acute throat wind 8.1 Syndrome of external assault by wind-heat

Acute throat wind with pattern of external assault by windheat refers to the syndrome of external assault by wind-heat. Difficulty breathing, swelling and pain in the throat, tight swallowing, difficulty in swallowing soup, excessive phlegm and saliva, bright red or purple-red throat mucosa, significant redness and swelling in the glottis area, accompanied by wind, fever, headache, red tongue, yellow or yellow coating Thickness, rapid pulse, etc. are common symptoms of acute laryngeal wind syndrome [3]. 8.2 Syndrome of phlegm turbidity coagulation and aggregation

Acute throat wind with pattern of phlegmturbidity coagulation and aggregation refers to the aggregation of phlegm and turbidity, resulting in sudden stuffiness in the throat, difficulty breathing, and low voice. Difficulty swallowing, no redness or swelling in the larynx, epiglottis may be obviously swollen or even spherical, pale and edematous mucosa at the glottis, difficulty opening and closing the glottis, accompanied by aversion to cold, fever, headache, no sweat, no thirst, white tongue coating, floating pulse, etc. It is a common acute laryngeal wind syndrome [3]. 8.3 Heat-toxin fumigating pattern

Acute throat with heat-toxin fumigating pattern refers to heat-toxin fumigation, which is characterized by sudden swelling of the throat, unbearable pain, difficulty in breathing, and phlegm in the throat. Ming, sound like a saw, hoarse voice, or difficulty speaking, extremely red and swollen throat, obvious redness and swelling of the epiglottis or glottis, excessive phlegm or saliva, flaring of the nose, protrusion of the sky, missing pelvis, intercostal space and epigastric suction Depression appears during the Qi, accompanied by aversion to cold and strong heat, or high fever and upset, sweating like rain, dry mouth and desire to drink, constipation, short and red urine, red tongue, yellow or greasy coating, and rapid or slow pulse. Acute laryngeal wind syndrome is a common symptom [3]. 9. Treatment of acute laryngitis

Pay attention to the dyspnea of ​​patients with acute laryngitis, and relieve the symptoms of dyspnea according to the cause. If third or fourth degree dyspnea occurs, tracheotomy should be performed immediately , in order to suck out phlegm and saliva through the tracheal tube, keep the respiratory tract open, and maintain breathing [2]. 9.1 Treatment with prescriptions 9.1.1 Prescription 1 9.1.1.1 Treatment method

Release heat and detoxify, eliminate phlegm and resuscitate [2]. 9.1.1.2 Prescriptions

You can choose Qingwen Baidu Powder [Note] Qingwen Baidu Powder ("Epidemic Rash Yi De"): Gypsum, Rehmannia glutinosa, rhinoceros horn, coptis, gardenia, platycodon, and skullcap. , Anemarrhena, red peony root, scrophulariaceae, forsythia, licorice, peony bark, light bamboo leaves. Treatment: The prescription uses rhinoceros horn as the main medicine, combined with scrophulariaceae, raw rehmannia root, red peony root and paeonol bark to relieve heat, cool blood and detoxify. For heat caused by blood, use coptis, skullcap, gardenia, gypsum, anemarrhena, and forsythia to clear away heat, purge fire, and detoxify, and dispel heat caused by qi. Platycodon and licorice can unblock lung qi and soothe the throat [2].

Modifications: For those with excessive phlegm and saliva, choose Tianzhuhuang, Fritillaria, Guawei, Tili, Zhuru and other drugs to clear away heat and phlegm, and combine them with Liushen Pills ("Lei's Prescription") ), Realgar Jiedu Pills [Remarks] Realgar Jiedu Pills "Three Causes and One Disease Syndrome"): Grind realgar, turmeric, and croton cream into fine powder, make vinegar paste into pills, as big as mung beans, take 1.5 per serving g. , Zixuedan ("Taiping Huimin Hejiju Prescription"), Zhibaodan ("Taiping Huimin Hejiburo Prescription") and other medicines that clear away heat, detoxify, eliminate phlegm and resuscitate [2]. For those with constipation, you can add rhubarb, Glauber's salt, etc. [2]. 9.1.2 Prescription 2 9.1.2.1 Treatment method

Dispel wind and eliminate evil, detoxify and reduce swelling; or relieve lung heat, clear stomach and reduce fire. 9.1.2.2 Prescriptions

Choose Qingyan Xiaozhuang Drink or Qingyan Lige Decoction [Remarks] Qingyan Lige Decoction ("Zizhen Collection of General Practice of Laryngology"): Forsythia suspensa, gardenia, scutellaria baicalensis, Mint, burdock, parsnips, schizonepeta, xuanming powder, scrophulariaceae, honeysuckle, rhubarb. 9.1.3 Prescription 3 9.1.3.1 Treatment method

It can purge heat, detoxify, reduce swelling and soothe the throat [1]. 9.1.3.2 Prescriptions

Modified treatments such as Qingwen Baidu Yin and Qingyan Lige Decoction can be used [1].

If you suffer from irritability and dizziness, you should take Anguan Niuhuang Pills [1] to relieve the symptoms and relieve phlegm. 9.2 External treatment method 9.2.1 Injection of medicine

Use Bingboran Powder [Note] Bingboran Powder ("Surgery Authentic"): Xuanming powder, cinnabar, borax, and borneol, grind into very fine powder. , Zhuhuang Powder [Remarks] Zhuhuang Powder (experienced prescription): Renzhongbai 3g, puffball powder 15g, indigo naturalis 3g, catechu 3g, Xuanming powder 1.5g, borax 3g, mint 1.5g, coptis 1.5g, bezoar 0.9 g, pearl powder 0.9 g, plum slices 0.9 g, grind into very fine powder. Wait for heat-clearing, detoxifying, swelling and expectorant drugs, and blow your throat frequently [2].

Waifu Bingbor Powder [Remarks] Bingbor Powder ("Authentic Surgery"): Xuanming powder, cinnabar, borax, and borneol, ground into very fine powder. , Indigo Naturalis Powder [Remarks] Indigo Naturalis Powder (experienced prescription): 60g Indigo Naturalis, 120g gypsum, 120g talc, 60g Cortex Phellodendron, grind each into fine powder and mix well. , and gargle with throat clearing disinfectant. 9.2.2 Steam inhalation

Use honeysuckle, chrysanthemum, mint, patchouli, peilan, scallion, perilla and other herbs, decoct them in appropriate amounts, and let the patient inhale their vapor to dispel wind, clear away heat, reduce swelling and clear up the orifice [ 2]. 9.2.3 Gargle

For those with redness and swelling in the throat, gargle with mouthwash to clean the local area and to detoxify and reduce swelling [2]. 9.3 Acupuncture treatment 9.3.1 Acupuncture

Take Hegu, Shaoshang, Shangyang, Chize, Shaoze, Quchi, Tianding, Futu, Fenglong and other points. 2 to 3 points each time, using the purgative method without leaving needles [2]. Or take Shao Shang and Shang Yang bleeding to relieve heat [2]. 9.3.2 Ear acupuncture

Select points such as Shenmen, throat, and asthma points, acupuncture, and retain the needle for 15 to 30 minutes, 1 to 2 times a day [2]. 9.4 Grappling method

Grappling method is suitable for patients with acute throat diseases who have severe swelling and pain and difficulty in getting water into the throat. Capture can harmonize qi and blood, dredge meridians, and relieve symptoms [5]. 9.4.1 Unilateral capture method

[5]

During the operation, ask the patient to sit upright and raise his hand to the side, with the thumb on top and the little finger on the bottom. If the patient raises his left hand flat, the surgeon stands directly to the side of the patient's raised hand. Use the index finger, middle finger and ring finger of the left hand to press the patient's thenar back (equivalent to the Hegu point), clasp the wrist with the little finger, face the rib surface of the thumb with the patient's thumb, and press forward with force, and use the thumb of the right hand to press the patient's clavicle At the upper edge of the shoulder joint (equivalent to the shoulder point), hold the armpit tightly with the index finger, middle finger, and ring finger, and pull it outward with force (Figure 3). During the operation, a third person can be asked to stand in front of the patient and slowly pour down the decoction or semi-liquid. At this time, the throat pain is significantly relieved and you can swallow. This method can be used continuously. 9.4.2 Bilateral capture method

[5]

The patient sits on a chair without a backrest. The doctor stands behind the patient and stretches his hands from the patient’s armpits to the chest. Press the upper edge of the clavicle with the index finger, middle finger, and ring finger, press the patient's ribs with both elbows and arms, and at the same time, the doctor's chest is close to the patient's back. After the position is fixed, start exerting force. Use both hands to pull apart the patient's left and right sides (along the clavicle to the shoulder blade). At the same time, press the patient's ribs and back with both elbows, arms and chest. The three aspects of strength should be used at the same time, which can loosen the patient's throat and facilitate swallowing. The assistant will feed the pre-made medicinal soup or gruel to the patient to swallow.

During the operation, attention must be paid to the patient's general condition, and the operator must use appropriate force and not be too rough. 9.5 The scraping method

The scraping method, commonly known as "gua sha", involves using the edge of a porcelain spoon dipped in oil or water to scrape the patient's skin until purple-red patches appear on the skin. You can also use two fingers to lift and pinch the patient's skin to make the skin purple-red. This method can unblock the meridians and release the evil heat from the body to the surface, thus achieving the purpose of treatment. It is generally suitable for the early stage of excess heat syndrome.

[5]

If the throat is swollen and painful, first lift the Fengfu point, and then lift the Guanxi point behind both ears, the arm and body points on both sides, as well as Quchi, Jianshi, Daling, and Tai Yuan et al. On the back, always follow the bladder meridian of Foot Taiyang, lift and scrape from top to bottom (from Feishu to Ganshu, Weishu, from Dachangshu to Bladdershu). People with weak constitution should rarely use this method. [5]

When you first feel sore throat, you often take the area of ​​the neck (i.e. the carotid artery), apply a little sesame oil, and scrape it with the edge of a thick copper coin. Scrape from top to bottom, avoid scraping from bottom to top. Scrape the right side for sore throat on the left side, scrape the left side for sore throat on the right side. Mild illnesses are often cured after scraping, and symptoms of severe illnesses can also be alleviated. [5] 9.6 Tracheotomy

For patients with third or fourth degree dyspnea, tracheotomy is feasible [2]. For patients with severe dyspnea, tracheotomy can also be performed if necessary based on this disease [2]. 9.7 Treatment of dyspnea

Dyspnea caused by foreign bodies in the larynx, laryngeal trauma, laryngeal bacteria blocking the airway, etc. should be treated according to the cause [2]. For patients with severe dyspnea, tracheotomy can also be performed if necessary based on this disease [2]. 9.8 Nursing care of patients with acute laryngitis

The ancients had a saying of "walking around to see laryngeal wind", which describes the condition of this disease as critical and changing rapidly. In severe cases, it can cause suffocation and death in an instant, so care should be taken [2 ]:

(1) Closely observe changes in the condition, be fully prepared, and carry out rescue operations at any time [2].

(2) In order to avoid aggravating the symptoms of dyspnea, you should rest more and exercise less [2].

(3) If there is a lot of phlegm and saliva, take a semi-recumbent position [2].

(4) Drinking drugs should be swallowed slowly so that the drug can stay in the local area for a longer time and exert a greater effect [2]. 9.9 Medical Records

Zhang Ruwei Medical Records: A woman named Li from Jiangbei knocked on the door for treatment in the middle of the night. Three people came and opened the door to let them in. However, they heard the woman's throat sounding like a saw, and she could not move with her fingers. The patient has shortness of breath and will die from breathlessness before dawn. Therefore, he pries open his teeth and blows in Guan Guan Powder and Wu Niu Powder. If he vomits greasy phlegm as thick as pomegranates after a while, he can only speak after half a cup of phlegm. After blowing the secret medicine together with Zhuhuang, Liuhua, Zhongbai, and still adding Wuniu powder, the pulse is slippery and rapid, and the coating is greasy and thick. Urgent prescription: 1 qian each for Chen Danxing and Jiujie Acorus, 3 qian for bamboo pinellia, Sichuan clam, light almond, whole melon trichosanthes, fried pachyrhizus, 1 and a half qian for raw citrus aurantium, 3 qian for fried ginger silkworm, and mint. Ye Qifen was told to take one dose and see the patient again in the morning. Why did he not return for several days? I was in suspense. Suddenly, the man came with another woman to diagnose liver and stomach pain. He said... decoct the head of the medicine and it will turn into orange. Decoction the second dose and take it. He recovered immediately, but due to financial constraints, no further treatment was required. (Excerpted from "Traditional Chinese Medicine Self-Treatment Series for All Diseases - Throat Disease") 10 Dietary taboos for patients with acute laryngitis

Patients with acute laryngopharyngeal disease should avoid hot and sweet foods to avoid fueling fire, breeding phlegm and dampness, and aggravating the condition [2 ]. 11 Prevention of acute laryngitis

Pay attention to early prevention and treatment of various throat diseases to avoid developing acute laryngeal rheumatism [2]. 12 About acute throat wind

Acute throat wind is the name of the disease [6]. See Volume 60 of Puji Fang. It is also known as walking horse throat wind (see "Zhang Shi Yi Tong")[3] and tight throat wind (see "Yizong Jinjian" Volume 66)[2]. It is a type of laryngeal wind [2]. It refers to acute throat disease with inspiratory dyspnea as the main manifestation [3]. It is named because of its rapid onset and serious condition [2]. If critical symptoms such as jaw clenching and mouth locking occur, it is called strangiotrope [2].

Acute laryngitis is equivalent to laryngeal edema and difficulty breathing caused by various acute inflammations of the throat and neck in Western medicine.

Acute laryngeal wind belongs to the scope of acute laryngeal obstruction [2].

For details, see the sharp throat wind bar. 13 About throat wind

Throat wind is the name of the disease [7]. See "Secret Keys and Prescriptions for Syndrome and Treatment" [7]. It refers to a throat disease characterized by sore throat and difficulty breathing [3]. Generally refers to a variety of throat diseases [7].

"Laryngology Heart Methods" Volume: "The archaeological name for laryngeal disease is generally called throat wind [7]."

In the literature over the years, there are many names for throat wind. The meanings vary, but generally refers to various diseases of the throat, including certain oral, labial and tongue diseases. For example, the volume "Laryngology Heart Methods" says: "The archaeological name for laryngeal disease is generally called throat wind." "Secret Notes on Laryngology" divides 12 symptoms of laryngeal wind; "Illustrated Notes on Laryngology Control" divides 16 symptoms; "Experienced Laryngology Zizhen Collection" divides 18 symptoms; "Chonglou Jade Key" divides 36 symptoms.

See the sharp throat wind, tight throat wind, locked throat wind, entangled throat wind, and dumb miasma throat wind.

See the throat wind article for details.

Human body surface area calculator BMI index calculation and evaluation Female safe period calculator Pregnancy date calculator Normal weight gain during pregnancy Safety classification of medication during pregnancy (FDA) Five elements and eight characters Adult blood pressure evaluation Body temperature level evaluation Diabetes diet recommendations Clinical biochemistry common units conversion basal metabolic rate Calculate sodium supplementation calculator Iron supplementation calculator Commonly used Latin abbreviations for prescription Quick check Common symbols for pharmacokinetics Quick check Effective plasma osmolarity calculator Ethanol intake calculator