Traditional medicine helps to prevent chronic rhinitis.

With the development of urban construction, factory exhaust, automobile exhaust, bacterial dust and decorative materials make the air more and more "toxic", which irritates or damages the respiratory mucosa, and the incidence of chronic respiratory inflammation (including chronic sinusitis) also increases. According to statistics, the incidence of this patient group is as high as 16.3%, and the course of the disease is prolonged, which is difficult to heal for a long time, and it will also be complicated with nasal polyps. Recurrent symptoms such as nasal congestion, runny nose, headache, head swelling and dizziness have seriously affected the quality of work, study and life of patients.

Western medicine treatment of chronic rhinosinusitis mainly uses mucosal vasoconstrictor, oral antibiotics or surgery and other local drugs. Although it has a certain curative effect, it is difficult to eliminate all the symptoms, and even many operations are often caused by the recurrence of nasal polyps, which makes patients feel uncomfortable. As early as more than two thousand years ago, there was a description of "sinusitis" in Neijing, which was similar to chronic sinusitis: "People with sinusitis are not only nasal turbidity." Why is this disease so difficult to treat? After all, there are two reasons. First, external causes: poor environmental quality, which is called "external evil" by Chinese medicine; First, internal cause: the patient's poor constitution, repeated colds, long-term unhealed, and the spread of lesions caused chronic sinusitis, which is called "positive qi deficiency" in Chinese medicine. Traditional Chinese medicine has formed its own unique characteristics and advantages in treating "sinusitis" according to the guiding ideology of "qi deficiency is caused by the combination of pathogenic factors" and "vital qi should be kept inside, and pathogenic factors should not be dried". It is embodied in the following aspects:

Strengthening vital energy and eliminating pathogenic factors simultaneously

Traditional Chinese medicine believes that chronic rhinosinusitis is mostly caused by heat in the liver and gallbladder, weakness of the lung and spleen, stagnation of phlegm and dampness, and ignorance of the nose. Therefore, Xanthium sibiricum, Flos Magnoliae, Radix Angelicae Dahuricae, Herba Agastaches, Scutellariae Radix and other drugs with the functions of clearing away heat and dampness, dredging orifices and expelling pus are often used for treatment. Patients who have been ill for a long time are often in poor health, and their condition is often controlled after treatment. Once they catch a cold, their old illness recurs. Therefore, while eliminating the pathogenic factors, they should strengthen their health. Drugs such as Radix Astragali, Atractylodis Rhizoma, Poria, etc. It should be properly added to support the healthy qi of patients, treat both the symptoms and root causes, improve the curative effect and reduce the recurrence.

Internal and external governance

In addition to decoction and Chinese patent medicine, acupuncture, health massage, topical medication (nasal drops, blowing medicine, smoking) and other simple, economical and effective treatment methods can also be combined with diet therapy, such as taking "Houttuynia Cordata Carassius auratus soup", which is more practical and therefore popular with patients.

Treat nose and pharynx at the same time

Patients with chronic sinusitis often feel throat discomfort, which is caused by chronic inflammation of nasopharynx, oropharynx and laryngopharynx mucosa due to long-term purulent nasal discharge, local lymphoid tissue hyperplasia and increased secretion. Drugs for relieving sore throat and resolving phlegm, such as Fritillaria thunbergii, Arctium lappa, Isatis indigotica, etc., have been added to the traditional Chinese medicine formula. To enhance the curative effect.

Professor Zhang Chonghua, a famous old Chinese medicine doctor, did not use the routine of "Xanthium sibiricum Powder" as usual, but followed the principle of Neijing, treating the focus of purulent secretion accumulated in sinus cavity as abscess and treating it according to syndrome differentiation. Considering that chronic rhinosinusitis is caused by long-term discharge of pus and runny nose, which will lead to physical weakness over time, it belongs to the syndrome of deficiency and excess, so it is necessary to pay attention to invigorating spleen and benefiting qi and cure the root cause at the same time, so it has achieved good curative effect. Professor Zhang Zhonghua commonly used traditional special prescriptions such as Toupu Powder, Qishou Huoxiang Pill, Qianjin Weijing Decoction and Chamomile Decoction to treat this disease, and summed up his own experience: Zhuyuan Decoction: 9 grams of Huoxiang, 9 grams of dried tangerine peel, 30 grams of raw Astragalus, 30 grams of Coicis Semen, 65,438+02 grams of Trichosanthes, 65,438+02 grams of Gleditsia sinensis, 6-9 grams of Chuanxiong and 9 grams of Rhizoma Paridis. Many chronic and intractable rhinosinusitis still have pus and runny nose after operation, and have been cured after use. Patients with chronic rhinitis and sinusitis should do paranasal massage by themselves every morning and evening. If you persist for a long time, you can really get the effect of prevention, treatment and health care of nasal diseases.

(Deputy Chief Physician Zang Chaoping has an expert clinic every Monday afternoon, Wednesday and Friday morning)