芩蒡消蛾散治疗小儿肺胃热炽型乳蛾的经验

Experience in the treatment of acute tonsillitis of lung-stomach-heat type by Qinbang Xiao'e powder

乳蛾,西医称为急性化脓性扁桃腺炎,是由于邪客喉核,核内血腐肉败所致的咽部疾病。以咽痛、喉核红肿为特征。因为易传变为水肿、心悸以及痹症等疾病,因此应加强此病的调护。孙丽平教授认为乳蛾临床常见多发,其原因复杂,现由于一些小儿平素嗜食肥甘厚味,不能运化,上攻咽喉,发为乳蛾,因此肺胃热炽型乳蛾更为常见多发。急性期治疗,以寒凉之药清其标,后以清热之药降肺胃之火,助脾运,消积滞,使内热无生,佐以甘淡缓急之品,则扶正,固本,善后。故后期注意平素调理饮食,节甘近蔬,少食辛辣之品,以防滋生内火;其次应保持大便通畅,防止肺火抗盛,注意周身环境,适当增减衣物,防止外感诱发本病。

Ru＇e,which is a Chinese name for acute tonsillitis in western medicine,is a disease in the throat,which is caused by the rotting of blood and flesh due to evil guest throat nuclear.It is characterized by sore throat and reddingness and swelling of throat nuclear.Because it is very likely to transform into edema,palpitation and arthralgia,additional care should be given to it.Prof.Sun Liping thinks that acute tonsillitis is clinically common and the causes are complicated.Nowadays the children love to have greasy and heavy food,which can＇t be digested easily,and it brings about damage to the throat,resulting in acute tonsillitis.Therefore,the lung-stomach-heat type is more common in acute tonsillitis.In the treatment at acute stage,some medicines with cooling effect should be used,followed by heat-relieving drugs in order to assist the digestion and keep heat from developing.Some assisting medicine can also be used to enhance the effect.Later,pay attention to dieting,eat less greasy and spicy food and more vegetables to keep heat away.In addition,try to maintain the bowel movement,and put on clothes according to the weather so as to stop the cold from inducing the disease.