How to treat tonsil suppurative suppository?

Traditional Chinese medicine believes that wind-heat moth or epidemic febrile disease, unclear residual pathogens, pathogenic heat burning lung yin and body fluid injury lead to less throat; The essence and body fluid is phlegm, and the phlegm heat condenses into laryngeal nucleus, so the laryngeal nucleus is red and swollen. Or because moths have long-term lung and kidney dryness and water dryness, kidney yin deficiency, yin deficiency and body fluid deficiency, it will lead to the loss of the throat orifice, and yin deficiency will lead to the burning of the laryngeal nucleus, so the contracture of the laryngeal nucleus becomes a disease.

Modern medicine believes that this disease is caused by delayed treatment of acute tonsillitis. Sometimes it can also occur after some acute infectious diseases such as scarlet fever, diphtheria, measles and flu. Due to the infection of bacteria and viruses, there are purulent secretions in the tonsil recess, the drainage in the tonsil recess is not smooth, and the pathogens in the recess breed and evolve into chronic inflammation.

The lesion is mainly in the tonsil recess. Exfoliated dead skin tissue, lymphocytes, leukocytes and bacteria gather in the crypt to form embolus, which blocks the crypt, leading to poor drainage in the crypt and forming small cysts or abscesses. When the body's resistance drops, the bacteria in the crypt multiply in large numbers, which leads to the proliferation of lymph in tonsil and the increase of lymph follicles, causing tonsil enlargement, which is called proliferative type. Repeated infection leads to lymphatic necrosis, fibrous tissue hyperplasia and tonsil atrophy, which is fibrous. Because the crypt of the latter is closed, inflammatory products can not be excreted, absorbed by the body and transformed into systemic diseases.

treat cordially

(a) general rehabilitation treatment

Eliminate various pathogenic factors, such as quitting smoking and drinking, correcting constipation and indigestion, eliminating external stimuli such as dust and harmful chemical gases, and actively treating neighboring diseases and systemic diseases.

(2) TCM classification and TCM treatment

1. deficiency of lung yin

The pharynx is dry and red, slightly itchy, dull pain, dry cough, little and sticky phlegm, unpleasant cough and bad choking; The laryngeal nucleus and palatal arch are dark red, the laryngeal nucleus is hypertrophy, and there are yellow and white pus spots on it, or cheese-like pus plugs are squeezed out. The whole body has malar cheekbones in the afternoon, fever in hands and feet, dry nose, intolerance of talking, red or dry tongue, and rapid pulse.

[Treatment] Nourishing yin and promoting fluid production, resolving phlegm and relieving sore throat.

[Prescription] Qingfei Ma Xiao Decoction or Yangyin Qingfei Decoction combined with Xiaoyu Pill: winter mulberry leaf 12g, roasted loquat leaf 12g, pumpkin peel 13g, Fritillaria cirrhosa 13g, pumice 25g, seaweed 13g, kelp 6503.

2. Deficiency of kidney and flourishing fire

Dry and red throat, burning, pain, itching, foreign body sensation, dry mouth and dislike drinking alone; The laryngeal nucleus and tongue arch are dark red, the laryngeal nucleus is shrunk, the surface is uneven and covered with scars, and there are yellow and white pus spots on it, or there are cheese-like pus plugs extruded; General dizziness, tinnitus, deafness, soreness of waist and knees, fever of five senses, insomnia due to fatigue, red tongue with little coating, and rapid pulse.

[Treatment] Nourish yin to reduce fire and moisten throat.

[Prescription] Qingshenxiaomi Decoction or Baizhi Dihuang Pill: Cortex Phellodendri 12g, Achyranthes bidentata 13g, Radix Scrophulariae 13g, Fenghuang I 12g, Bulbus Fritillariae Cirrhosae 13g, Lily 13g, and Olibanum.

(C) modern Western medicine treatment methods

1. Conservative therapy

(1) external use of tonsils: apply 3% hydrogen peroxide, 1% zinc oxide solution, 1% ~ 2% iodine glycerin and 10% tannic acid glycerin on the surface of tonsils, once a day, and 1 0 times is a course of treatment.

(2) Intratonsillar injection: inject 0.5% procaine solution containing 5% absolute ethanol into the tonsils at three injection points, namely, upper, middle and lower injection points, 2ml at each point, and inject both sides at the same time, 1 time per week and 1 course of treatment for three times. Or inject 0.5 ~ 2ml 10% ~ 30% sodium thiosulfate into different parts of bilateral tonsils, once a day, and once a day.

(3) Recess irrigation therapy: choose effective antibiotics for recess irrigation.

(4) Cryotherapy; Liquid nitrogen and freon contact tonsil 1-4 minutes through the dust head of a special freezer, making it partially necrotic, repeating 1 time every 3-4 weeks until it is completely destroyed, but it is still difficult to completely remove it.

2. Surgical therapy

Simple tonsillitis is mainly treated conservatively. When the treatment is ineffective and the inflammation is irreversible, surgical resection should be considered. Tonsillectomy is to remove all tonsils and their capsules together.

(d) Single drugs and empirical prescriptions

Moth-killing tea: 7 grams of Hedyotis diffusa, 4 grams of dark plum, 4 grams of orange, 4 grams of safflower and 4 grams of raw licorice, soaked in water instead of tea.

(5) Acupoint therapy

(1) Body acupuncture: Take Taixi, Buccal Vein, thenar, Zusanli and Sanyinjiao with moderate or weak stimulation, and keep the needle for 20-30 minutes, once a day, 1 0 times as a course of treatment.

(2) Ear acupuncture: Take tonsils, throat, lungs, kidneys and adrenal glands, select them for 3 times, bury them for 7 days, and change points in turn.

(3) Acupoint injection: Take Tiantu, Quchi and Kongzui points, one side at a time and two sides alternately, and inject 2ml of 10% glucose solution every other day 1 time, with 7 times as a course of treatment.

(4) Acupoint magnetic therapy: sticking magnetic sheets on bilateral tonsil points and Tian Rong points, with the surface magnetic field intensity of 500- 1000 gauss, sticking at night and uncovering during the day, 10 times as a course of treatment.

(5) Acupoint irradiation with He-Ne laser: Acupoint irradiation with 2.5 MW He-Ne laser (spot diameter is about 65438±0.5mm), and bilateral tonsil points and Tian Rong points are selected every other day 1 time, 1 time is a course of treatment, and each point is irradiated for 5 minutes, and the irradiation distance is1.

(6) drug therapy

Compound grass coral buccal tablets, compound melon seed gold buccal tablets, four seasons throat moistening tablets, etc.

(7) Branding method

Suitable for patients with laryngeal hypertrophy, this method is to burn the affected area with a small soldering iron and destroy the diseased tissue to achieve the purpose of treatment. The diameter of welding head is 0.5 ~ 1 cm, and it has many shapes such as long, square and circle. It is welded on a steel wire handle with a length of 20cm and a thickness of 0. 1 cm. When in use, the welding head is burned red on the alcohol lamp, dipped in sesame oil and quickly branded on the throat nucleus, each time 10 ~ 20 times. Be careful when making brands. Usually about 20 times every other day, until the laryngeal nucleus gradually becomes smaller and calms down. If the patient feels pain, an anesthetic can be used at the laryngeal nucleus to relieve the pain.

Prevention and care

(1) Take part in sports, carry out cold-resistant training, strengthen physical fitness, improve the body's reactivity and resistance, eliminate all unfavorable factors, and desensitize allergic reactions.

(2) Timely and effective treatment of acute tonsils to prevent inflammation from turning into chronic diseases.

(3) Patients should eat more light food and less irritating food such as onion, ginger, garlic and pepper to keep their stools unobstructed. Frequently washing the patient's tonsil recess with normal saline to remove the accumulated substances in the recess and reduce the reproduction of pathogens and the stimulation of their toxins, which is helpful to reduce the activity of tonsil lesions and improve local and systemic symptoms.