Prevention and Treatment of Chronic Bronchitis

Chronic bronchitis ay isang kondisyon na nabibilang sa persistent cough, phlegm, o kasama ang asthma at recurring episodes. Ang ilang mga tao ay nagkaroon ng chronic bronchitis dahil sa hindi natapos na acute bronchitis, ngunit ang karamihan ay may silent onset. Ang pangunahing sanhi ay bacterial infection, irritating fumes, dust, air pollution, cold exposure, pollen allergy, lalo na sa mga taong sumusunod sa smoking, na may 2–8 times higher incidence kaysa sa hindi sumusunod. Ang sakit ay karaniwan sa matatanda, lalaki ang mas marami kaysa babae, at lumalala nang maaga. Malala, maaaring magdulot ng obstructive emphysema at chronic primary heart disease. Isang common condition na nakakasira sa kalusugan. Ang pangunahing mga hakbang sa pangangalaga ay sumusunod:1) Diet therapy: ① Loquat Leaf Porridge: 10–15g loquat leaf, 50g rice, at tamang dami ng rock sugar. Unang lutuin ang loquat leaf sa cloth bag, alisin ang dumi, kunin ang concentrated juice, idagdag ang rice at tubig, lutuin hanggang maging porridge, idagdag ang rock sugar bago ikinain. Gamitin araw-araw sa tanghalian at hapunan. Ginagamit para sa phlegm-heat syndrome. ② Wo Xue Tang: 45g yam, 12g burdock seed, 18g persimmon frost cake. Unang lutuin ang yam at burdock seed, kunin ang juice, idagdag ang persimmon frost cake, i-pastehang, kainin nang hati-hati araw-araw. Ginagamit para sa lungo, spleen, and yin deficiency. ③ Jellyfish and Water Chestnut Soup: 250g jellyfish, 500g water chestnut, lutuin sa soup, kainin nang hati-hati araw-araw. Ginagamit para sa phlegm-heat syndrome. ④ Angelica root 15g, ginger 15g (in cloth bag), yam 50g, lamb meat 100g. Ilagay sa clay pot, idagdag ang tubig, lutuin hanggang matuyo, idagdag ang konting salt, kainin ang meat at inumin ang soup, kainin nang 5–7 araw. Ginagamit para sa lungo-spleen deficiency-cold. ⑤ Bird’s nest 6g, silver ear fungus 9g, rock sugar 15g. I-buhusan ng tubig ang bird’s nest at silver ear fungus, linisin, idagdag ang rock sugar, lutuin sa steam hanggang matuyo, inumin nang 2–3 beses bawat linggo, 4 weeks. Ginagamit para sa lungo-spleen-kidney yin deficiency. ⑥ Radish 500g cut into pieces, bitter apricot kernel 15g (remove skin and tip), pig lung 250g, linisin at i-boil sa boiling water, idagdag sa clay pot, lutuin hanggang matuyo ang lungo, idagdag ang konting salt, kainin ang lungo at inumin ang soup, kainin nang 2 beses bawat linggo. Ginagamit para sa lungo deficiency with phlegm turbidity.2) Single prescription remedies: ① Stemona root, any quantity, crush into juice, concentrate into syrup-like consistency, 3g per dose, drink with hot water, 3 times daily. Ginagamit para sa phlegm-damp syndrome. ② One autumn white pear, 3g fritillary powder. Ihiwa ang center ng pear, ilagay ang fritillary powder, lutuin sa tubig, inumin ang buong soup nang isang beses. Ginagamit para sa yin deficiency with phlegm-heat. ③ Cortex mulberry 12g, loquat leaf 12g, figleaf 12g, boil in water, take once daily. Ginagamit para sa phlegm-heat syndrome. ④ Gardenia 6g, apricot kernel 6g, peach kernel 6g, white pepper 7 grains, glutinous rice 7 grains, all ground to powder, mix with one egg, apply on foot sole (left for men, right for women), change every day.3) Acupuncture therapy: Body acupuncture: Main points are LUEN, DAZHU, FENGMEN. Add SP 10, ST 36, SP 11, ST 21 if there is excessive phlegm; add LIEQUE, CHIZE if cough is severe; add TIANTU, DINGCHUAN if asthma is severe. Use both needle and moxibustion: moderate needling, retain for 10–15 minutes; moxa 3–5 cones per point, once daily. Ear acupuncture: Points include lung, trachea, SHENMEN. Add JIAOGAN, ADRENAL if asthma is present. Use medium stimulation, retain for 30 minutes or more, once daily or every other day. Also use press needle for 2 days, or use Vaccaria seeds (or mustard seeds) to press one ear point, instruct patient to press the area frequently to enhance stimulation, remove after 3 days, switch to opposite ear, alternate between ears.4) Qigong therapy: Recommended to practice internal nourishment qigong, supplemented by qigong breathing exercises (also known as chronic bronchitis exercise). Can also choose 6-word method, Baoyang Gong, or Baduanjin according to condition. Beginners start with lying position, gradually transition to sitting or standing based on condition and constitution. Once focused, guide mind to Dan Tian, but avoid too small area or strong intensity. Some female patients may experience menstrual disturbance from focusing on Dan Tian, so can shift to Zhongfu instead. For those who feel anxious or have many thoughts, or not used to closing eyes, can try focusing on toes. Additionally, Tai Chi breathing method helps relieve cough and phlegm, and when combined with internal nourishment qigong, significantly improves efficacy. Key movements include shaking hands and stretching chest, finger washing lung meridian, swinging sleeves to Zhongfu, opening and closing lung leaves, concentrating and relaxing muscles, regulating breath and nourishing Dan Tian, floating sea and retrieving moon, rinsing saliva and transforming fluid.5) Prevention and care: ① Timely treatment of colds is crucial to prevent progression. Patients must be advised to maintain good habits, engage in physical exercise, improve nutrition, pay attention to weather changes, keep warm (especially back), avoid contact with sick people (avoid public places during flu season; isolate if someone at home is sick), use dietary adjustment, vinegar fumigation, internal medication, or cold bath as preventive measures. If infected, treat immediately and control quickly. ② Educate patients that smoking is a major factor worsening this condition, helping them quit. Use nicotine gum, tea, or acupuncture if necessary. ③ Advise patients to maintain clean environment, avoid polluted areas, prevent dust irritation, and avoid allergens. Numerous studies confirm that apart from weather factors and smoking, air pollution and certain allergens are also important causes. [Bronchitis]