Wind-heat affecting the lung

　　Wind-heat affecting the lung is caused by external wind-heat evil attacking the lung defense, leading to lung failure in dispersing and clearing. Wind-heat invades the lung, leading to lung failure in clearing and purifying, lung Qi ascending, resulting in cough; lung Qi fails to disperse, nasal cavity is not smooth, body fluid is affected by heat evil, leading to nasal obstruction and the discharge of thick mucus; wind-heat disturbs the throat, leading to throat pain. The lung governs Qi and belongs to the defense, and when the lung defense is attacked by evil, the defense Qi resists, causing fever; the defense Qi is oppressed, and the body surface is not warmed, leading to aversion to cold. Heat injury to body fluid leads to slight thirst. The red tongue tip and thin yellow fur, floating rapid pulse are signs of wind-heat affecting the surface and attacking the lung.

　　Wind-heat affecting the lung can manifest as various diseases such as common cold, cough, hemoptysis, asthma, edema, lung disease (in the early stage). If diagnosis is delayed or the pathogen's pathogenicity is strong (such as Staphylococcus aureus infection), complications such as myocarditis, pericarditis, hemolytic anemia, thrombocytopenia, meningitis, hepatitis, pancreatitis, splenomegaly, gastrointestinal bleeding, nephritis, hematuria, proteinuria, and so on may occur. If symptoms of poisoning or sudden aggravation of respiratory distress occur during treatment, and the body temperature persists or recedes and then rises again, the possibility of complications such as empyema, pyopneumothorax, and bullous lung should be considered.

　　Cough with thick, yellow sputum, nasal obstruction with thick, yellow mucus, fever, slight aversion to cold, dry mouth and throat pain, red tongue tip with thin yellow fur, floating rapid pulse.This syndrome is characterized by cough and wind-heat exterior symptoms. Wind-heat invades the lung, leading to lung failure in clearing and purifying, resulting in cough. The heat evil boils and consumes body fluid, causing thick, yellow sputum. Lung Qi fails to disperse, and the nasal cavity's body fluid is affected by wind-heat, leading to nasal obstruction and the discharge of thick, yellow mucus. The lung's defense is attacked by evil, and the defense Qi resists, causing fever; the defense Qi is oppressed, and the body surface is not warmed, leading to aversion to cold. The consumption of body fluid by heat leads to slight thirst. The tip of the tongue turns red due to the invasion of wind-heat in the upper jiao, and the lung is affected; the thin yellow fur and floating rapid pulse are signs of wind advancing..

　　In the care of patients with wind-heat affecting the lung, if sweating occurs, it can be dried with a towel, or wiped with a warm and damp towel, and change the sweat-soaked clothes in time to avoid exacerbating the condition due to cold; for thirst, it is recommended to drink various fruit juices, cold drinks, or honeysuckle water; for throat pain, honeysuckle and licorice water or isatis root water can be used for gargle; for constipation, take senna leaves or grass seed tea to relieve the evil heat; for those suffering from summer heat, drink juice made from coix seed and mung bean. The rest can be seen in the treatment of wind-cold affecting the lung.

　　When diagnosing wind-heat attacking the lung, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. Patients should undergo sputum culture and routine sputum examination to observe the amount, smell, nature, and color of sputum.

　　In addition to general treatment, patients with wind-heat attacking the lung should also pay attention to dietary regulation, as follows.

　　1, Mulberry and Qingtiankui drink:15 grams of mulberry bark, 12 grams of Qingtiankui, decoct and strain, add appropriate amount of rock sugar, drink as tea.

　　2, Houttuynia reed stem decoction:30 grams of houttuynia, 15 grams of reed stem, 3 dates, boil together with water, strain and drink in two doses.

　　3, Almond pear drink:10 grams of almonds (peeled and crushed), 1 to 2 duck pears, appropriate amount of rock sugar. First, cut the duck pears into pieces and remove the core, boil with almonds, add rock sugar when the pear is cooked, and drink as tea.

　　4, Gypsum and almond porridge:30 to 60 grams of gypsum, 10 grams of almonds (peeled and pointed), boil in water for 20 minutes first, remove the medicine residue, add 30 grams of rice and cook into porridge, season with salt and eat.

　　For patients with wind-cold attacking the lung, in addition to resting in bed, drinking plenty of water, oxygen therapy, and actively expectorating, the most important link is anti-infection. The treatment of this disease includes treatment for pathogens and empirical treatment. The former is based on the results of sputum culture and drug sensitivity test, selecting antibacterial drugs sensitive to in vitro tests; the latter is mainly based on the epidemiological data of pneumonia pathogens in the local area, selecting antibacterial drugs that may cover pathogens. In addition, antibacterial drugs and routes of administration are also selected based on the patient's age, underlying diseases, severity of the disease, and whether there is aspiration.

　　If suspected to be the disease, the first dose of antibacterial drug should be administered immediately. After the condition stabilizes, the intravenous route can be changed to oral treatment. The course of antibacterial drugs for pneumonia should be at least 5 days, and most patients require a course of 7 to 10 days or longer. Normal body temperature for 48 to 72 hours, and no clinical signs of instability of pneumonia can discontinue the use of antibacterial drugs.