How to treat children's cough without phlegm

Cough in children can not be ignored Cough is a common disease in children, especially in autumn and winter. So what should children do if they often cough? In response to this problem, the reporter recently visited Professor Yi, director of pediatrics of the Second Affiliated Hospital of Xiangya. The following is Professor Yi's experience on the etiology, prevention and treatment of cough in children for parents' reference: Don't stop coughing blindly. Cough is a protective reflex action of the human body, which can prevent foreign bodies from entering the trachea and bronchial system or prevent the accumulation of bronchial secretions. There is a difference between cough and cough. Where there is no phlegm, it is cough, and where there is no phlegm, it is cough. In the disease state, cough and expectoration often coexist, so they are collectively called cough. Cough generally does not need antitussive drugs, because there are secretions (sputum) in the lower respiratory tract, which can be excreted by coughing. If antitussive drugs are used, cough reflex will be inhibited, resulting in sputum retention in trachea and bronchus, aggravating illness or secondary infection; However, frequent coughing affects sleep or eating, and cough medicine can be used as appropriate when it brings pain to patients. To distinguish the cause and the location of the disease, we must first make a clear diagnosis. The main causes of cough are respiratory diseases (inflammation of pharynx, larynx, trachea, bronchus and lung, foreign body, bleeding, tumor, irritating gas inhalation, etc. ), pleural diseases, cardiovascular diseases (such as myocarditis and arrhythmia) and central factors. The cause of cough is not limited to the lungs, and the part of cough cannot be separated from the lungs. As the saying goes, "Dragon gas rings the bell". Cough is the main symptom caused by the dysfunction of lung, which leads to the dysfunction of lung, main qi, main respiration, main restraint and main waterway. Cough should be divided into infectious or allergic, acute or chronic, upper or lower respiratory tract, external or internal injury. Also pay attention to the time of coughing: coughing before noon belongs to stomach fire, coughing in the afternoon belongs to yin deficiency, coughing at dusk is anger floating in the lungs, and coughing at five o'clock is food accumulation in the stomach. Timely and appropriate treatment should be timely and appropriate in treatment, and should be treated with integrated traditional Chinese and western medicine. ⑴ Symptomatic treatment: When the sputum is too thick and difficult to cough up, you should drink more water to dilute the expectorant liquid, and expectorant drugs such as expectorant spirit, fresh bamboo juice and atomized inhalation therapy can be used to help remove phlegm. When coughing violently, Phenamin can be given to calm down and relieve cough. ⑵ Symptomatic treatment of western medicine: sensitive antibiotics such as penicillin and cephalosporin can be used for the treatment of bacterial infection, erythromycin drugs such as azithromycin should be used for the treatment of mycoplasma infection, and antiviral treatments such as ribavirin and acyclovir can be given for viral infection. ⑶ TCM syndrome differentiation and treatment: Generally speaking, the initial stage of cough is mainly to promote lung qi, the middle stage is mainly to eliminate phlegm and clear lung qi, and the later stage is mainly to replenish qi and nourish yin. Infectious diseases are mostly treated according to warm diseases, and allergic diseases are mostly treated according to internal injuries; Upper respiratory cough pays attention to dispersing lung and relieving sore throat, while lower respiratory cough pays attention to resolving phlegm and smoothing qi. And pay attention to the relationship between lung and large intestine, clearing fu-organs can purge lung. Common TCM symptoms ① Gai Hua powder, Su Xing powder and Zhisou powder can be selected for cold cough. ② Wind-heat cough can be treated with Xuanfei Decoction, Sangju Decoction and Maxing Shigan Decoction. ③ For damp-heat cough, you can choose Ganlu Xiaodu Dan, Qian Qian Lugen Plus Almond Talcum Decoction and Wu Ye Lugen Decoction. ④ Shenlong Pill, Liyan Mixture, Mulberry Bean Root Decoction and Banxia Deng Jin Decoction can be selected. ⑤ Qingzao Jiufei Decoction, Gualou Fritillaria Powder, Sangxing Decoction and Su Xing Powder can be used for dry cough. ⑥ Lung-heat cough can be treated with Qingfei Zhike mixture, Allium macrostemon powder and modified Allium macrostemon decoction. ⑦ Xie Fei Zhike Mixture, Qingqi Huatan Pill and Jinqing Huatan Decoction can be used for phlegm-heat cough, and Erchen Decoction and Sanzi Yangqin Decoction can be used for phlegm-dampness cough. ⑧ Stagnant cough can be treated with Qumai Erchen Decoction and Mabeizhang Decoction. Pet-name ruby Yin deficiency cough can choose Shashen Maidong Decoction, Lily Gujin Decoction and Yangyin Qingfei Pill. Indications for qi deficiency cough include Liujunzi Decoction, Bufei Decoction, Ginseng and Schisandra Decoction and Jiuxian Powder. Chinese patent medicines such as Jizhi Syrup, Hong Ju Tan Ke Liquid, Chuanbei Pipa Ointment, Jinzhen Oral Liquid and Xiaoer Jindan Tablets can also be selected in a dialectical way. Pay attention to aftercare and contraindications. In addition to drug treatment, we should strengthen the care of children and recuperate contraindications. Get enough sleep, drink plenty of water, eat more fruits and vegetables, and the diet should be easy to digest and nutritious. Should be light, avoid greasy, spicy and other irritating foods. As the saying goes, "fish make a fire, meat produces phlegm, and radish and cabbage are safe." Generally speaking, fish, shrimp, meat, chicken and other hair products, as well as spicy and irritating foods such as peppers will aggravate cough. Eat less sweet, sour, spicy and salty foods and irritating products, eat less fish, shrimp, meat, chicken legs, barbecue and other hair products, try to avoid carbonated drinks and eat less cold drinks. Reposting-how to recognize and treat baby cough-reposting baby cough is very common, and how to recognize and treat baby cough is a matter of great concern to parents. Traditional Chinese medicine believes that infants are weak in vital qi, weak in skin, poor in defense function, unable to adjust themselves to cold and heat, and vulnerable to exogenous evils such as wind, cold and heat, resulting in "cold cough" and "hot cough". Etiology of cold cough: wind-cold attack, declaration of descending lung qi, more common in winter and spring. Heat cough: Wind-heat invades the lung, which turns into heat when it enters the body, causing body fluid to burn, and the lung loses its clarity, which is more common in summer and autumn. Manifestations: cold and cough: thin and white phlegm, foamy, accompanied by headache, stuffy nose, runny nose, or chills, no sweat, red tongue, thin and white fur and tight pulse. Hot cough: yellow and thick phlegm, difficult to cough up, dry throat pain, thirst, often accompanied by fever, headache, dizziness, red tongue, thin yellow fur, floating pulse or floating number. Treatment and nursing cold and cough treatment: it is advisable to use the methods of dispelling cold, dispersing lung and relieving cough. You can choose to add or subtract San Ao Tang. Take 3 grams of Herba Ephedrae and Glycyrrhrizae Radix, and 5 grams of Semen Armeniacae Amarum, Herba Schizonepetae, Radix Peucedani, Radix Platycodi, Perillae Fructus, Fagopyri Esculenti, Pericarpium Citri Tangerinae, Ramulus Cinnamomi, Radix Stemonae and Rhizoma Cynanchi Stauntonii, and decoct with water, with 65,438+0 doses per day. Chinese patent medicine can choose Su Xing cough syrup and Xiaoqinglong oral liquid. Nursing: Keep the air fresh, the temperature and humidity appropriate, and open the window regularly for ventilation. Pay attention to air disinfection, no smoking indoors to prevent the stimulation of smoke and special smell. Pay attention to the weather change, and increase or decrease clothes in time with the climate change. Pay attention to adding clothes in air-conditioned rooms to prevent catching cold and aggravating cough. Don't drink, especially in summer. Treatment of hot cough: When expelling wind and clearing heat, dispersing lung qi and relieving cough are the treatment methods, Maxingshi decoction, 3 grams of Herba Ephedrae and Radix Glycyrrhizae, 0/0g of gypsum, 5 grams of mulberry leaves, chrysanthemum, almond, Peucedanum, Fructus Forsythiae, malt, Bulbus Fritillariae Cirrhosae, Platycodon grandiflorum and bamboo shavings can be selected, and decocted in water 1 dose every day. The Chinese patent medicine can be cough-relieving loquat syrup, snake bile Fritillaria liquid and Sanwei snake bile Fritillaria syrup. Nursing: Like a cold and cough, parents should strengthen the hygiene of the baby's room, with moderate temperature, humidity and dryness to prevent the stimulation of smoke and special smell. Have a light diet and don't eat spicy and exciting things. Dietotherapy, umbilical therapy, medicated bath diet cold cough: 3 slices of ginger, 30 grams of rice. Wash and chop ginger, and cook porridge with rice. 65438+ 0 ~ 2 doses per day for 3 ~ 5 days. It can warm spleen and stomach, dispel cold and benefit lung qi. Hot cough: 5 grams of Fritillaria, 30 grams of rice, and appropriate amount of sugar. Clean Fritillaria, put it in a pot, add appropriate amount of water, soak it for 5- 10 minutes, then add water to get juice, add rice to cook porridge, add white sugar when cooked, and then cook it once or twice before taking it, or grind Fritillaria into powder, take 1g powder each time, and put it in porridge for taking, 1-2 doses a day. It can eliminate phlegm and relieve cough, clear heat and spread lung. Umbilical therapy and cold and cough: ephedra 10g, Asari 10g, Schisandra chinensis 10g, poppy shell 10g, * * * ground into fine powder and bottled for later use. When in use, take a proper amount of powder, mix it with a proper amount of honey, apply it to navel, wrap it with dressing, and fix it with adhesive tape. Change the dressing 1 time every day until the condition is cured. It can dispel wind and cold, disperse lung and relieve cough. Hot cough: Scutellaria baicalensis 20g, Houttuynia cordata 15g, Indigo Naturalis 10g, Salvia miltiorrhiza 10g. * * * Grind into powder and bottle for later use. When in use, take a proper amount of powder, mix it with a proper amount of honey, apply it to navel, wrap it with dressing, and fix it with adhesive tape. Change the dressing 1 time every day until the condition is cured. It can clear away heat, spread lung, resolve phlegm and relieve cough. Cold and cough in medicated bath: select a proper amount of ginger, wash it, put it in a medicine pot, add a proper amount of water, soak it for 5- 10 minutes, then add water to decoct to get juice, put it in the bathtub, and take a foot bath when it is warm, 2-3 times a day, each time 1 0-30 minutes, continuously. It can warm lung and dispel cold. Hot cough: 5 grams of ephedra, 5 grams of almond, 5 grams of licorice, 0/5 grams of barley/kloc-,30 grams of gypsum. Soak the feet with water as above, take juice and soak them for 3-5 days, every time 1 5-30 minutes, 2-3 times a day1dose. It can clear away heat, spread lung, relieve cough and resolve phlegm. Hu (Chief Physician, Yuan 'an County Hospital of Traditional Chinese Medicine, Hubei Province) Many diseases in Oriental Baby may have cough symptoms, such as respiratory tract infection, bronchiectasis, pneumonia, pharyngitis and so on. Cough is only a symptom for western medicine, and the treatment mainly adopts anti-inflammatory and cough relieving. Traditional Chinese medicine believes that although cough is one of the main symptoms of lung diseases, there has been a saying since ancient times that "all internal organs make people cough, not just the lungs", pointing out that cough is not only a manifestation of lung diseases, but also can be caused when other organs are sick and involve the lungs. Cough can be caused by exogenous cough and internal injury cough. Exogenous cough is mostly caused by exogenous pathogens such as wind, cold, heat, dryness, etc., which are characterized by: acute onset, short course of disease, and often complicated with colds; Cough due to internal injury can be divided into spleen deficiency, lung deficiency and kidney deficiency. It is characterized by slow illness, long course of disease and recurrent attacks. Children cough more seriously than adults, and most of them cough. Parents will see a doctor, take medicine and hang water when they see their children coughing a little. As a result of drug treatment, children have poor appetite, poor nutrition and poor resistance. In this way, children are more likely to catch a cold and cough, and such children are caught in a vicious circle. Children often grow thin and black, and even cause asthma. Therefore, when a child has cough symptoms, parents should first observe his cough to see if there are complications and systemic symptoms, and then decide whether to seek medical treatment immediately. First, you need to see a doctor's cough quickly 1. The child suddenly coughed badly and had difficulty breathing. There may be a foreign body blocking the trachea. Things that are easy to swallow by mistake are peanuts, pencil boxes, pills, buttons, coins and so on. This situation is very dangerous, so you should go to the hospital in time. 2. High fever, cough, wheezing and dyspnea need to be sent to hospital immediately. Babies are prone to bronchiolitis, a kind of pneumonia. The child's face is not good, he often turns purple, or his breathing is accelerated, his shoulders are breathing with a whimper, and the lower part of his chest wall is sunken when he inhales, so he should also be sent to the hospital for treatment in time. Second, parents can observe that the cough that is not in a hurry to go to the hospital is 1. Although I have a cough and fever, I am in good spirits, mostly a cold or tonsillitis. 2. Cough after a cold, fever and cough. 3. Cough, phlegm, but no fever, good spirits. 4. Cough that only occurs in the early morning. 5. Slight cough when nervous or after exercise. Parents of the above five kinds of coughs need not worry too much. They can relieve symptoms and treat cough through diet therapy. Because cough is divided into exogenous cough and internal injury cough, exogenous cough is divided into wind-cold cough and wind-heat cough, different types of cough drugs are completely different, and the methods of diet therapy are also different. A simple way to teach parents is to observe the child's tongue coating. If the tongue coating is white, it is a cold and cough, indicating that the child is cold, the cough sputum is thin and white, and it is also stuffy and runny. At this time, you should eat some food that warms up phlegm and relieves cough. If the child's tongue coating is yellow and red, it is a wind-heat cough, indicating that the child is angry, coughing yellow and thick, not easy to cough up, and has a sore throat. At this time, you should eat some foods that clear lung, resolve phlegm and relieve cough. Cough caused by internal injuries is mostly chronic and recurrent. At this time, parents should pay attention to give their children some foods that regulate the spleen and stomach, tonify the kidney and replenish the lung. The specific methods are as follows: wind-cold cough 1. Ginger+brown sugar+garlic children have a cold. Drinking warm ginger brown sugar water can play a very good role in diet therapy. If the child has a cough at the same time, you can add 2 ~ 3 cloves of garlic to the ginger brown sugar water and cook it together. 2. Steam garlic water Take 2 ~ 3 cloves of garlic, mash them, put them in a bowl, add half a bowl of water, add a crystal sugar, cover the bowl and steam them in a pot. After the fire boils, steam it on low heat 15 minutes. When the water temperature of the garlic in the bowl is hot, feed it to the children, and garlic can be eaten without it. Usually 2 ~ 3 times a day, a small bowl. Garlic is warm and enters the spleen and stomach and lung meridians. It has a very good effect on treating cold cough and kidney deficiency cough, and it is convenient and simple, and children are willing to drink it. 3. Baked oranges. Bake the orange directly on a small fire and turn it constantly until the orange peel turns black and hot air comes out of the orange. When the orange is a little cooler, peel it off and let the children eat warm orange petals. If it is a big orange, children can eat 2 ~ 3 petals at a time. If it's little Gong Ju, the children can eat one at a time. It is best to take it with garlic water, 2 ~ 3 times a day. Oranges are warm and have the effect of resolving phlegm and relieving cough. After eating baked oranges, the amount of sputum will be significantly reduced, and the antitussive effect is very obvious, and children are willing to eat it. 4. Jiang Mo scrambled eggs with sesame oil Put a teaspoon of sesame oil in a wok, heat the oil, put it in Jiang Mo, soak it in the oil for a while, then add 1 egg and stir well. When children cough due to cold and physical weakness, let them eat it while it is hot before going to bed every night for a few days, and you will get obvious results. 5. Pear+Zanthoxylum bungeanum+rock sugar pear 1 piece, washed, cross-cut to remove the core in the middle, then put 20 Zanthoxylum bungeanum and 2 rock sugar, put the pears in a bowl and steam for about half an hour. A pear can be eaten twice. Steamed pepper and rock sugar pear are very effective in treating colds and coughs, but some children don't like the taste of pepper, so parents can choose for themselves. The above is the prescription for treating cough due to wind-cold. Parents should also pay attention to the following raw and cold foods that children should not eat: mung beans, crabs, mussels, snails, persimmons, grapefruit, bananas, kiwis, sugar cane, watermelons, melons, bitter melons, water chestnuts, arrowheads, kelp, lavers and raw radishes.