Several misunderstandings about pharyngitis medication
Regarding the use of pharyngitis drugs, there are common problems of safe medication in reality:
1) Medication without syndrome differentiation.
Do not distinguish pharyngitis, cold and heat, deficiency and reality, and use medicine without overall treatment.
2) Medication without distinguishing medicines.
If you don't distinguish between cold and hot medicine, use it when it's warm or cold.
3) Pharyngitis clears away heat and detoxifies.
The most common pharyngitis medication safety issues, especially Western medicine and traditional Chinese medicine, are used on Pudilan, Banlan root, and blue qin when pharyngitis is seen.
4) Antibacterial drugs should be applied to pharyngitis.
Without symptom analysis and clinical examination, antimicrobial drugs are prescribed for pharyngitis.
Detailed explanation of commonly used drugs for pharyngitis
(1) Pharyngitis tablets
Formula: Radix Radix, Baibu (made), Asparagus, Peony Bark, Ophiopogon Vulgaris, Coltsfoot Flower (Made), Wood Butterfly, Rehmannia Root, Radix Radix Root, Green Fruit, Cicada Molt, Mentholin Oil.
Medicinal properties: Moisturizing yin and dryness, relieving pharyngeal cough medicine.
Focus: Lack of lung yin, hot cough, dry and itchy throat, cough.
Note: The phlegm is white and thin, do not use.
(2) Throat clearing and throat relieving granules
Formula: Scutellaria baicalensis, Xiqingguo, Platycodon, Zhuru, Fat Dahai, Orange Red, Shell, Mulberry Leaf, Vinegar Incense, Perilla Seed, Perilla Stem, Agarwood, Menthol
Medicinal properties: Reducing gas, warming cold phlegm, clearing heat and relieving pharynx and other cold and heat drugs are composed of each other.
Emphasis: Chronic pharyngitis and tonsillitis converted by external wind and heat. There is a foreign body sensation in the throat, the kidneys are not able to accept qi, the lungs are upside and the throat is itchy, chronic cough, and pharyngitis is coughed for a long time.
Note: Tonsil suppuration, fever, must be seen by medical attention.
(3) Good throat lozenges
Formula: Green Tea, Green Fruit, Platycodon, Fat Sea, Mulberry Leaf, Orange Red (Orange Red), Perilla Seed (Perilla Seed), Perilla, White Sugar
Medicinal properties: Throat clearing and throat granules are reduced, food grade products.
Emphasis: Chronic pharyngitis and tonsillitis converted by external wind and heat. There is a foreign body sensation in the throat, the kidneys are not able to accept qi, the lungs are upside and the throat is itchy, chronic cough, and pharyngitis is coughed for a long time. Use by mouth for quick relief of pharyngitis discomfort.
Caution: Topical use, adjunctive use.
(4) Compound green olive lozenge
Formula: fresh green fruit, wheat winter, scrophularia, rehmannia and menthol
Medicinal properties: It is composed of liquid decoction prescription and medicine, nourishing yin, clearing heat and relieving pharynx. The quasi-font number is B, a dual-use product for medicine and food.
Focus: Hot, dry throat, swelling and pain, itchy cough.
Caution: Topical use, adjunctive use. Cold, phlegm and white sputum are not used.
What should I pay attention to in combination with drugs?
1) General (including acute) pharyngitis
For acute and critical conditions, seek medical treatment combined with nebulization therapy to quickly alleviate and prevent aggravation of the condition.
2) Infectious pharynitis
If there is an infection, it can be combined with antimicrobial drugs or other anti-infective drugs.
3) Persistent pharyngitis
For example, if the throat is itchy and difficult to cough, the throat has a foreign body sensation, the chest discomfort when coughing, and the mouth sputum is scarce and white, you can use the combination of throat clearing granules and Suhuang cough capsules, which can enhance the therapeutic effect, but it should be noted that both drugs contain perilla, so Suhuang cough can be reduced and used in combination.
4) Gastric reflux and pharyngitis
Pharyngitis cough, if reflux gastritis or reflux esophagitis is also diagnosed, it should be treated with proton pump inhibitors.
Safe Medication Warning:
There is no panacea in the world, and it may be counterproductive to use medicine without distinguishing between syndromes and indiscriminately using drugs without symptoms.
Author: Dong Jiaxing, deputy chief pharmacist of the First People's Hospital of Qujing City