Bronchiectasis
Bronchiectasis
[Overview]
Bronchiectasis is a common chronic purulent bronchial disease. Department of the disease and surrounding tissues of chronic bronchial inflammation and purulent destruction of the wall, resulting in cylindrical or cystic bronchial lumen expansion and deformation due. Clinically with chronic cough, purulent sputum, cough and spit is characterized by recurrent hemoptysis. About 80% of the disease before the age of onset in 10, with a history dating back to childhood measles, whooping cough, or bronchial pneumonia; about 30% of the patients had history of repeated acute respiratory infections. Timely diagnosis and treatment of this disease such as infection control, prognosis is still good. Bronchiectasis is a Chinese “cough”, “lung abscess”, “coughing up blood” and other areas.
[Etiology and pathology]
Bronchiectasis causes are both internal and external factors, because the feelings of six evils of the evil outside, invasion of Pulmonary, lung failure Xuan Su, lung damage network;
By dysfunctional internal organs, within the evil in the lung, Su-down power, network caused lung damage.
Pathological changes of the lack of righteousness, health and foreign non-solid, complex due to feelings of six evils of the evil, invasion of pulmonary system may cause lung failure in Xuan Su, Yu and heat evils, lung damage network, so see cough, cough , hemoptysis embolism. Known as phlegm intrinsic, external evil, stagnation in the lung, lung failure purges, lung damage network; evil hot steaming liquid into the sputum, obstructive pulmonary orifices, which in turn caused by poor qi and blood stasis stagnation , phlegm and blood stasis in each node, brewing into a stench of purulent sputum. The organs dysfunction, anger Shangni Fan Fei, cause lung failure in the purges, the lung network damage, and cough hemoptysis. In addition, repeated illness, Haoshangqiyin that Yin Hyperactivity, formed is virtual evil love.
[Diagnostic points
1 long-term cough, spit a lot of purulent disease, sputum volume and position related.
Standing can be divided into foam sputum, mucus and necrotic tissue sediment layer.
(2) intermittent hemoptysis, with or without cough and showed only recurrent massive hemoptysis (also known as dry bronchiectasis).
3. Recurrent pulmonary infection, characterized by recurrent infections and for the same parts of the delayed healing.
4 physical limitations often heard in the thick lesions, the wet?? Sound. Some patients have clubbed fingers (toes).
5.X-ray shows increased pulmonary step down texture, rough mess, or irregular shadows and light hair Cheung ring shadows.
6. Bronchography, chest CT, bronchoscopy may be changed accordingly.
[Dialectical type]
1 hot lung injury symptoms: cough, spit, bloody sputum or hemoptysis, sore throat itchy throat, dry mouth, dry nose, or thinking you hot. Red tongue, thin yellow, floating pulse.
Syndrome analysis: feeling hot dry wind evil, injury in the lung, the lung failure purges, lung damage network, it is itchy throat cough, bloody sputum; hot disability allowance, so the dry mouth, dry nose; red tongue, thin yellow, floating pulse to feel the hot dry wind evil, hot flashes signs of disability allowance.
2. Fanfei anger symptoms: cough array for, bloody sputum or cough spit pure blood, blood red, chest pain, irritability, mouth pain. Red tongue, thin yellow coating, pulse a few strings.
Syndromes: anger Shangni Fanfei to lung failure purges, lung damage network, so cough hemoptysis; liver of the network fabric to flank, anger partial Kang, Yong Zhi context, it Xiongxie pain; anger on the inflammation Therefore, mouth pain, irritability; red tongue, thin yellow coating, pulse a few strings for the signs of anger partial Kang.
3 phlegm obstruct the pulmonary symptoms: cough, expectoration thick yellow, or bloody sputum, mouth pain, dry mouth, chest pain. Red, yellow and greasy coating, slippery pulse.
Syndrome analysis: evil heat obstruct the lungs, burning Jin into the illness, the Su-down right lung, so cough, thick yellow expectoration; lungs network is damaged, bloody sputum; phlegm Yu steam, so the mouth pain, dry mouth; phlegm obstruct the lung, the lung and the network does not, so Xiongxie pain; red tongue, yellow greasy number of phlegm obstruct the lung of the elephant.
4 Yin Hyperactivity symptoms: cough, sputum less bloody sputum or hemoptysis, bloody red, dry mouth and throat, zygomatic red, five upset hot, hot flushes and night sweats. Red tongue, little coating, rapid pulse.
Syndromes: Yin Hyperactivity purges with the city lost, it is less cough illness;
Hot burning lungs, damage lungs network, so the repeated bloody sputum or hemoptysis: Yin-chun, lack, not on the order, so dry mouth and throat; Yin Huo-wang, the zygomatic red, five upset hot, hot flushes and night sweats; tongue quality red little coating, rapid pulse are signs of heat for the deficiency.
[And Treatment]
1 hot Therapeutic lung injury: heat lungs, ning network to stop bleeding.
Recipe: Decoction Sang apricot.
9 grams almonds 12 grams of mulberry leaves as the shell 12 g 10 g light Dougu Gardenia Kernan Adenophora 10 30 g 12 g Rhizoma Imperatae skins reed rhizome 30 grams 12 grams 12 grams 6 grams of licorice multiple intersecting subtraction with the disease: both fever, headache, sore throat and other evidence of exogenous wind-heat, add 9 grams of honeysuckle, forsythia 12 grams, Arctium 12 grams, to Xin Liang Xie table, heat Liyan; fluid and more worse, Jiamai winter 12 g, Scrophulariaceae 12 grams, TCS 12 grams, the Yin and moistening.
(2) anger Fanfei Therapeutic: Liver Xiefei, cooling blood to stop bleeding.
Recipe: White Powder diarrhea Dai clams addition and subtraction.
Morus alba 10 g Digupi 12 grams 10 grams of skullcap gentian 6 Ridge clamshell indigo 6 g 15 g 12 g habitat Eclipta Chine 30 grams 12 grams 12 grams each the size of thistle 6 grams of licorice subtraction with the disease: cough more blood, pure blood red who Jiadan Pi 15 g, red peony 12 grams, 37 powder 3 grams (blunt) to heat purging fire, cooling blood to stop bleeding; anger even more, dizziness, red eyes, upset easily anger, Jiadan Pi 12 grams, 10 grams gardenia, to Liver Xiehuo.
3 phlegm obstruct the lung Therapeutic: phlegm, cooling blood to stop bleeding.
Recipe: “daughter” of reed stems Decoction.
Reed rhizome 30 grams melon peach kernel 15 grams 15 grams 12 grams raw Yiyiren Campanulaceae 6 grams berberine as the shell 12 g 3 g Pinellia 10 grams 6 grams of licorice subtraction with the disease: those thick yellow expectoration, Ghassan White 12 g , Trichosanthes jen 12 grams, with phlegm; phlegm obstructing lung, cough Erchuan full, plus Tinglizi 15 grams to Xiefei Qing Xie.
4 Yin Hyperactivity rule is: Yin and lungs, ning network to stop bleeding.
Recipe: Gu Jin Tang Lily addition and subtraction.
Habitat, winter oats 12 g 12 g 12 lily peony 15 grams angelica 6 grams as shellfish Scrophulariaceae 12 g 10 g 15 g Rhizoma Imperatae Alexis picrorhizae 3 grass 10 grams raw licorice 6 grams subtraction with the disease: recurrent hemoptysis, plus white and 12 grams of multiple intersecting 10 grams to cooling bleeding; blood and more, Qaa glue 9 g, notoginseng powder 3 grams (blunt) to nourishing and bleeding; hot flashes zygomatic red, plus annua 9 g, turtle 9 grams, Digupi 12 grams, Bai Wei 12 grams, to lay off Hot; night sweats, add glutinous rice root 12 grams, 15 grams of wheat floating, Schisandra 6 grams of oysters, 30 grams, the convergence of fixed astringent.
[Chinese medicine]
1 silver yellow tablets every 4, 3 times a day.
2 tablets each compound andrographolide 4, 3 times a day.
[Side] is simple
1 Lily 10 grams, white, and 10 grams of Adenophorae 6 grams, one hundred six grams, Shuijianbi, health agents, 2 service, long-term use.
2. Rhubarb 10 grams, 10 grams as shellfish, Shuijianbi day l, sub-2 service. With hemoptysis.
3 white and 10 grams of gelatin 10 g, Panax 3 grams, Puhuang 6 grams, 30 grams thistle, Shuijianbi day l, sub-2 service. With hemoptysis.
[] Other therapies
Acupuncture: optional Feishu, Ze-foot, between the lines, big red, thenar, most holes, after the river, gu and other points, each 3 to 4 points, with reducing method.
Food therapy: Lily Yiyiren soup: Lily 100 grams, Coix 100 grams, add crystal sugar, soup consumption, the effectiveness of lungs and phlegm.
Physical therapy: can tai chi-based, with jogging, walking, etc., in order to reconcile the yin and yang, enhance physical fitness.
[Notes]
1 to avoid large blood clots blocking the airway hemoptysis, purulent sputum, cough slightly fishy, can be used drainage postural drainage, drain service will hold the spit, to keep the airway open.
2 drugs is not easy to control, age 40 years of age, body in good condition, could be lung segment or lobe resection.
(3) Strengthen nutrition, diet Taboo. Avoid spicy foods, avoid alcohol.
4. Ye Yue emotions, to avoid emotion.