Linlin Clinic ｜ Patients of bronchial expansion patients -what should I do if it is difficult to row sputum?

Author:Guangdong Provincial Hospital Time:2022.07.29

Medical Guidance: Professor Lin Lin, Director of the Department of Division of Breathe and Critical Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine

[Open column] This column is a special issue column of the Department of Respiratory and Critical Medicine of the Traditional Chinese Medicine Hospital of Guangdong Traditional Chinese Medicine Hospital and Disciplinary leader, and Professor Lin Lin led by the team. Treatment and conditioning will introduce the knowledge of healthy life, daily health skills, common sense of lungs and lungs, and introduce lung nodules, lung cancer, interstitial lung disease, slow obstructive pulmonary, asthma, expansion of bronchies, various viruses and bacteria Sexual pneumonia, acute, chronic cough, allergic rhinitis and other types of respiratory disease prevention, treatment, daily conditioning and lung recovery.

The story of the 55th clinic

Aunt Li frequently cough and pushed sputum for more than a year, and was diagnosed with bronchial dilation some time ago. After a period of anti -inflammatory treatment, the cough has improved significantly, but there are still a lot of sputum every day, especially after getting up in the morning, noon and at night after lying down, and more sputum discharge. This made Aunt Li very troublesome, so she came to the outpatient clinic of Professor Lin Lin in Guangdong Provincial Hospital of Traditional Chinese Medicine. I would like to ask the professor why he had so much sputum? How to treat it better?

How does sputum cause?

Patients with bronchiectasis are damaged due to the structure of the airway, resulting in the accumulation of bacteria and pus sputum difficulty in the bronchial pipe. Some bacteria contained in the air inhaled from the outside world are prone to grown in these pus, which eventually leads to aggravation of infection, which causes a lot of pus. Infection → tracheal destruction → sputum accumulation → re -infection, endless endless, so repeated, malignant circulation, causing the bronchus to expand continuously. Sputum is a hotbed of infection and a pusher of the trachea destruction. It must be cleaned to interrupt this vicious circle.

At the same time, sputum also affects the daily life of patients and expansion, which is one of the troubles of the expansion patients. First of all, the sputum blocking the pipe can cause the breathing to be unpopular. When you lay down the sputum when you sleep, it will cause a constant cough and sputum. After a period of time, you can calm down and rest. Secondly, because of bacteria in sputum, they are worried that their family members will be infected all year round, and sputums are constantly causing sputum in public places. The more serious sputum affects the harmony of the family of bronchial expansion and bothering all aspects of their lives, work, and social.

Active and effective sputum is a key link for bronchial dilatation treatment!

1. Actively cough and sputum, and drain the sputum in the lungs as well as possible. If you have the ability to sputum, try your own sputum that you can cough directly.

2. If there is sputum but it is difficult to giggle, you can do tracheotomization. Or take some phlegm drugs, such as amproxyl, catexine, etc., making sputum thinner and easy to discharge.

3. Mechanical vibration assisted sputum. There are many kinds of sputum excretion instruments on the market. The cheese high -frequency vibration chest helps to discharge sputum, suitable for some coughing middle -aged and elderly people.

4. Strengthen the exercise of lung function and increase aerobic exercise. If you choose Taijiquan, climbing mountains, jogging, fast walking, swimming, lip -reducing breathing and other exercise methods, you can also effectively help smooth sputum.

5. TCM treatment. The intervention of traditional Chinese medicine and acupuncture also has a significant effect on the refreshing and expectorant. Aiming at each patient's different situations, specialist Chinese doctors and acupuncture are performed, and treatment and conditioning from overall can help improve the inflammation of the airway and reduce the production of sputum.

6. Position drainage and phlegm: This is a simple and effective way to discharge sputum. Let the patient lie on the bed, raise the buttocks, low head, deep inhalation and cough deeply. The family members pat the back to the back to help the patient with hollow palms to help the sputum. Eliminate the mucus accumulated inside, you can do it every morning, before going to bed at night, and before and after lunch break. Such a position can place the parts with sputum infected in a relatively high position, and use gravity plus the back vibration to promote sputum to discharge naturally.

Prescription expansion of phlegm and food therapy

1. Cat Claw Cao Cao Cao Cao Lean Soup

Materials: 15g of cat claws, 15g of Houttuynia cordata, 200g of lean meat.

Method: Wash the cat's claw grass, Houttuynia cordata, wash the pork lean meat and cut into pieces. Put it into the pot together and add 2500 ml of water. After boiling the high heat, change it to the fire pot for about two and a half hours, and add salt to season. Drink 2-3 times a week.

2. Mother Gegen stewed chicken soup

Materials: Zhejiang Fritillaria 15g, Pueraria 15g, Chicken Half.

Method: Chop the chicken into small pieces, put it in boiling water, add a spoonful of cooking wine, simmer the blood foam, remove and drain it. Put the chicken nuggets, Pueraria, and Zhejiang Fritillaria in the pot, pour it into the water for about 1 hour, add salt to season and eat.

Medical guidance: Lin Lin, chief physician, professor, doctoral supervisor of Guangzhou University of Traditional Chinese Medicine, director of the Department of Division of Breathe and Cympapture of Guangdong Provincial Hospital of Traditional Chinese Medicine, academic leaders, master of Chinese medicine, and Professor of Sinic Medical Masters, Professor Hong Guangxiang, and Professor Xun Enxiang. Professor Liu Weisheng, a famous Chinese medicine medicine in Guangdong Province. He is currently the chairman of the Fever Branch of the Chinese National Medicine Society, deputy chairman of the Chinese Traditional Chinese Medicine Society, vice chairman of the High School Respiratory Professional Committee, and chairman of the Director of Respiratory Diseases on Respiratory Diseases.

Good at: Clinical and basic scientific research on the treatment of respiratory diseases in combination of traditional Chinese and western medicine. It is good at the treatment of asthma, pulmonary inflammation, bronchial dilation, chronic blockers, lung cancer, lung nodules, various causes of acute and chronic coughs in the treatment of Chinese and Western combination Diagnosis and treatment of respiratory diseases such as interstitial pneumonia and respiratory failure. ️ Self -management and lung rehabilitation treatment technology of respiratory diseases, as well as ️ ️ ️ Good at using traditional Chinese medicine syndrome differentiation to treat various difficulty diseases. ️ Good at physical balance and health conditioning. Lead the formulation of "Guidelines for Slow Pulmonary Traditional Chinese Medicine Pulmonary Rehabilitation" and "Chinese Pharmaceutical Treatment of Adult Aposterity Clinical Application Guidelines". Participate in the formulation of many industry guidelines such as "Guidelines for the Diagnosis and Treatment of Chronic obstructive pulmonary disease (2011 version)" and "Cough Diagnosis and Treatment Guide (2015)". Won the first Chinese young female scientist, the National and Guangdong May 1st Labor Awards, the National and Guangdong March 8 Red Banners, the first outstanding female Chinese medicine practitioners in the country, the first national traditional Chinese medicine inheritance, the Ten Jie of Nanyue, and the excellent Chinese medicine clinical clinical of Guangdong Province Honorary titles such as talents and outstanding female science and technology workers in Guangdong Province. The editor -in -chief published 6 monographs and 4 invention patents. The scientific research results have successively won 9 National Science and Technology Progress Award, the Science and Technology Award of the Chinese Academy of Chinese Medicine, the Guangdong Provincial Science and Technology Award, and the Guangzhou Science and Technology Progress Award, and 3 invention patents.

Disposal time:

On Tuesday afternoon, the seventh floor of Da De Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital

On Thursday morning, the third floor of the Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital needs outpatient clinics

Introduction to the Team of the University of Science and Technology of Disposal and Critical Critical Medicine

The Department of Respiratory and Critical Critical Medicine of Guangdong Provincial Hospital of Traditional Chinese Medicine was established in 1986. It has been built into a discipline with strong levels of Chinese and Western medicine for more than 30 years, strong comprehensive service capabilities, and high academic status in the industry. The key specialist of the State Administration of Traditional Chinese Medicine enjoys a high popularity in South China and even nationwide.

The specialty focuses on deepening clinical and theoretical mechanisms such as chronic lung diseases such as chronic lung block, bronchial asthma, bronchial asthma, bronchial expansion, lung cancer, lung nodule, interstitial pulmonary disease, pulmonary hypertension, chronic respiratory failure, sleep respiratory disorders and other chronic diseases. Through excavation and inheritance of ancient and modern experience, developing series of specialties and intrapetic medicines, the academic level is ahead of the National Traditional Chinese Medicine Hospital.

The specialty team is good at the prevention and treatment of chronic respiratory diseases, covering core content such as early prevention, treatment, rehabilitation, and chronic disease management of the disease. Specialty Chinese medicine has distinctive characteristics. It carried out the treatment of traditional Chinese medicine such as self -blood therapy, acupuncture acupoints, acupoint injection, and traditional Chinese medicine lung rehabilitation. It has a curative effect on chronic cough, chronic obstructive pulmonary, bronchial asthma, bronchial expansion and other diseases. At the same time, modern diagnosis and treatment technologies such as lung function testing, multi -guided sleep monitoring, bronchial mirror examination, FENO, and induction of sputum cytological examination are carried out to provide patients with a diversified and personalized Chinese and Western medicine combined diagnosis and treatment services.

Team members' diagnosis time:

Discipline leader: Lin Lin

Professor, doctoral supervisor

Director of the Department of Respiratory Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, academic leader

Deputy Chairman of the Chinese Medicine Society of Chinese Medicine Society

President of the Fever Branch of the Chinese National Medicine Society

Chairman of Lingnan Traditional Chinese Medicine Respiratory Medical Alliance

Disposal time:

Every Thursday morning, the outpatient clinic of Ersha Island Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine

Chen Yuanbin, the head of interstitial pulmonary disease sub -specialty

Deputy Chief Physician, Ph.D. in Medicine, Visiting Scholar of Royal Melbourne University of Science and Technology in Australia

Member of the Breakthrobiology Group of the Guangdong Medical Association Highness Diseases Branch, executive member

Good at: interstitial lung disease, chronic obstructive pulmonary disease, bronchial dilatation, bronchial asthma and other respiratory diseases such as interstitial lung disease, chronic obstructive pulmonary disease, bronchial dilatation disease.

Disposal time:

Every Friday morning, the 8th Floor of Slower Clinic, Da De Road, Guangdong Provincial Hospital of Traditional Chinese Medicine

Every Thursday afternoon, the Department of Internal Medicine of the University of the University of Traditional Chinese Medicine Hospital

Tong Xiaoping

Deputy Director Chinese Medicine, Master of Medicine

Director of the Fever Branch of the Chinese National Medicine Society, a member of the Rare Disease Respiratory Group of the Guangdong Pharmaceutical Society, a member of the Guangdong Female Physician Association of Breathing and Critical Critical Causes

Good at: respiratory diseases (such as lung fibrosis, chronic obstructive pulmonary disease, bronchial asthma, chronic pulmonary heart disease, pulmonary infectious diseases, respiratory failure, etc.) and traditional Chinese and western medicine. Essence

Disposal time:

Every Tuesday afternoon, the Department of Internal Medicine of the University of the University of Traditional Chinese Medicine University of Traditional Chinese Medicine

Lin Xinghua

Resident, a master's degree in medicine

Director of thermal Disease Branch of the Chinese National Medicine Society, member of the Respiratory Diseases Committee of the Guangdong Provincial Society of Traditional Chinese Medicine

Good at: combined Chinese and Western medicine to treat respiratory diseases, such as interstitial lung disease, chronic obstructive pulmonary, asthma, pneumonia, etc.

Supply: Division of Respiratory and Critical Medicine of Guangdong Provincial Hospital of Traditional Chinese Medicine