First, to meet patients
My visit on Saturday morning, I received a small patients, female, now eight years old, accompanied by my mother and I said, sick children already half a year, half a year ago due to colds, sore throat, cough, symptoms such as flow yellow stuff, at home to take medicine symptoms disappear, but a few days to go to school and repeatedly cough, sometimes a dry cough, sometimes with sputum, oral cephalosporins and stop coughing drugs has no obvious effect on its own. This cough is worse, especially at night and early in the morning. I want to seek the help of Chinese medicine treatment. I heard diffuse wheezing in both lungs on auscultation, prolonged expiratory phase, and no hyperemia in the pharynx. I found that the child’s face was pale with pale tongue and white fur, and there were no symptoms of wheezing, shortness of breath, or chest tiredness. The blood routine showed that white blood cells were 7.61*10^9/L, eosinophils were 7.70, and lymphocyte ratio was 39.3%. Combined with symptoms, cough variant asthma was diagnosed.
Second, the treatment process
Variable asthma is also called allergic cough, cough generally lasts more than four weeks, often in the night and (or) early morning attack or aggravation, mainly dry cough, no signs of infection in clinical, after a long time antibiotic treatment can be diagnosed as variable asthma, it is a kind of children’s asthma, the disease is mild, the prognosis is good. I use the method of integrated traditional Chinese and western medicine to give the treatment plan:
One oral loratadine syrup, once daily, anti-allergy therapy.
Inhalation of budesonide suspension and terbutaline sulfate aerosol, 1-2 times daily, is effective in relieving airway spasm.
3 reduce indoor pollution, maintain indoor good ventilation and certain insolation time, often sweep, vacuum, the ground does not spread carpet, purify cloth makes especially the toy that takes nap. Avoid contact with allergens, such as pollen, cockroaches, and fungi.
Four oral Suhuang cough capsule, three times a day, play the role of desensitization cough.
Five self-made Chinese medicine paste ointment daily Tiantu, Dazhui, Feishu, Pishu, Zusanli and other acupoints. Tonifying lung and invigorating qi, enhancing children’s immunity.
Three, matters needing attention
Because the child always cough, so the first thing to supplement moisture, parents should drink lots of water to the child, lest produce water shortages, but also pay attention to the child’s daily diet, don’t give her eat the food of acrimony stimulation, lest stimulate bronchial mucosa caused severe cough, if parents smoke, must pay attention to go outside to smoke, smoke spread a loose it back again after contact with children, The smell of smoke can also irritate the airways and make coughing worse. Daily take the children out for a walk to exercise, but now there are catkins outside the season, pay attention to children wearing masks, wear the right amount of clothes, do not wear more or less, this is not conducive to the recovery and treatment of the disease.
Four, therapeutic effect
After treatment for a week, the child’s cough frequency is reduced. At night and occasionally in the morning, the child can have a good sleep and the complexion is improved. After treatment for half a month, there was no cough at night or in the morning, but only after activity in the daytime. The cough was dry, no phlegm, no other uncomfortable symptoms, increased appetite and adequate sleep. After a month of treatment, all the symptoms disappeared and the mother told me that she could no longer hear her cough.
- Insight of doctors
In this case, the child is coughing for half a year parents didn’t get to see a doctor, actually already very delayed treatment, may not let the child have asthma, but is because drag not to treat the disease, finally caused asthma, many children trouble started are caused by slight illness, parents feel just caught a cold not good, no seriously on the heart, As a result, after a period of time, it becomes a serious illness, not only delaying treatment, but also affecting the extent of the disease. Parents are the best teachers, the children when their parents don’t care about the child’s disease at an early age, it is easy to cause the child grow up to also have the same psychological, feel myself is a small problem, need not special care, in the long term the problem could be intensified eventually become a big problem is incurable, body uncomfortable, so it is medical treatment in time, don’t procrastination disease, Not only for children, but also for our adults. Most of the time, adults feel that what the disease is gone, but some diseases are not so simple as imagined. We must come to the hospital for treatment in order to get the best recovery.