Chronic pharyngitis, a chronic inflammation of the pharyngeal
mucous membrane and submucous lymphoid tissues, is often caused
by unsatisfactory treatment of acute pharyngitis or repeated
occurrences of upper respiratory tract infection and it is
related to high-dust environment. Clinically it manifests itself
as itching, dryness, soreness of the throat, cough, a feeling of
foreign body or obstruction in the throat. In TCM it belongs to
the category of "hou bi," or inflammation of throat.
Main
Points of Diagnosis
1. The patient has discomfort, dryness and
itching, swelling and soreness, a feeling of foreign body in the
throat or being stuck with sputum. He or she often wants to
"hang ka" (make a cough sound like "hang ka" ) or has irritated
coughs.
2. The patient has a sensation of obstruction and fullness in
the throat and a feeling of being blocked when swallowing
without any food but no difficulty in eating.
3. The patient is apt to feel nausea and vomiting when he or she
gets up in the morning.
4. Examination shows that the mucous membrane of the
retropharyngeal wall becomes dark red and congestive, or there
are dilatation of micrangium, attachment of exudates,
hyperplasia of lymphoid follicles, red swelling and thickening
of the lateral pharyngeal bands and pachynsis of uvula.
Differentiation and Treatment of Common Syndromes
1. Internal Treatment
1) The Type of Dryness of the Lung due to Yin-Deficiency
Main symptoms and Signs: There are such symptoms as dryness,
slight pain or a sensation of burning heat or foreign body in
the throat. Congestion, diffuse dark redness and dilatation of
micrangium of the pharyngeal mucous membranes and thickening of
the lateral pharyngeal bands may be present, accompanied with
itching of the throat, cough with little sputum, fidgets due to
deficiency and dreaminess. The tongue is red and the pulse
thready and rapid.
Therapeutic Principle: Nourishing yin, moistening dryness and
purging pathogenic fire to relieve sore throat.
Recipe: Clear Dew Decoction
lucid asparagus
ophiopogon tuber
fresh rehmannia root
dendrobium
loquat leaf
prepared rehmannia root
bitter orange
platycodon root
All the above herbs are to be decocted in water for oral
administration.
2) The Type of Stasis of Qi and Stagnation of Phlegm
Main Symptoms and Signs: The patient has a sensation of
obstruction or foreign body in the throat, often wants to "hang
ka" (make a "hang ka" sound of cough) and feels nausea when
getting up in the morning. He may have hyperplasis of lymphoid
follicles in the retropharyngeal wall and thickening of the
lateral pharyngeal bands, accompanied with chest distress. The
tongue is dark red with yellow fur and the pulse thready and
slippery.
Therapeutic Principle: Promoting circulation of qi, alleviating
mental distress and reducing phlegm to resolve masses.
Recipe: Decoction for Clearing the Throat
old radish leaf
loquat leaf
scrophularia root
belamcanda rhizome
curcuma root
oroxylum seed
Sichuan fritillary bulb
bitter orange
Chinese globeflower
olive
trichosanthes root
All the above herbs are to be decocted in water for oral
administration.
For those with poor appetite and loose stool, add Chinese yam
and parched atractylodes rhizome. For those who have soreness
and weakness of the loins and feverish sensation in the palms
and soles, add dodder seed, dogwood fruit and cibot rhizome. For
those with symptoms of intense fire due to yin-deficiency, add
moutan bark, bark of Chinese corktree and achyranthes root.
2. External Treatment
1) Perlingual: Have slices of lily bulb immersed in honey for 7
days, then take them out for perlingual; or use frosted
persimmon for perlingual instead.
2) Oral insufflations of powder drugs: Powder of Borneol and
borax (see the treatment of acute pharyngitis) and Indigotic
Powder Drug for Oral Insufflations are to be blown onto the
pharynx wall.
3) Compress on the acu-point Yongquan. Mix Powder of Evodia
Fruit with vinegar for compress on the acu-point Yongquan (K 1).
This is practiced once a day.
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