Dry Heaves

　　Dry heaves are often caused by the failure of the stomach to descend and the upward冲 of Qi. If there are no other problems with the body, it is very likely that the patient has chronic pharyngitis. One of the main symptoms of chronic pharyngitis is frequent dry heaves, with the throat often having phlegm sticking to it, and sometimes accompanied by throat pain and other symptoms. Poor physical condition, decreased body resistance, poor hygiene habits, air pollution, or accompanied by nasal and oral diseases and systemic diseases.

　　When dry heaves patients have bacterial infection, the number of white blood cells in the blood increases. If the sore throat is severe and affects swallowing, it can also cause malnutrition and metabolic disorders within the body. If not treated in time or if it recurs frequently, it can become chronic; if the infection spreads upwards, it can affect the ear, nose, and lead to acute rhinitis, sinusitis, and acute otitis media; if it develops downwards, it can invade the larynx, trachea, and lower respiratory tract, causing acute laryngitis, tracheitis, bronchitis, and pneumonia; if the pathogenic bacteria and toxins enter the blood circulation, it can cause systemic complications such as acute nephritis, septicemia, and rheumatism, which are extremely harmful to the body.

　　Dry heaves are divided into the following types of symptoms based on their types:

　　1. Spleen and stomach excess heat type dry heaves:The characteristic symptoms of dry heaves are characterized by frequent and persistent dry heaves, a loud voice, and abdominal fullness and pain. Accompanied by constipation, thirst, red tongue with yellow and dry coating, and full and large pulse.

　　2. Spleen and stomach deficiency heat type dry heaves:The characteristic symptoms of dry heaves are characterized by frequent dry heaves, epigastric stuffiness, and bitter taste in the mouth and restlessness. Accompanied by abdominal fullness and pain, red tongue with little coating, and thready rapid pulse.

　　3. Spleen and stomach cold excess type dry heaves:The characteristic symptoms of dry heaves are characterized by a low voice and cold pain in the epigastrium and abdomen. Accompanied by vomiting a small amount of saliva, white coating, and deep and wiry pulse.

　　4. Spleen and stomach cold deficiency type dry heaves:The characteristic symptoms of dry heaves are characterized by a low voice, epigastric stuffiness, and loose stools. Accompanied by lack of appetite, lassitude, tastelessness without thirst, pale tongue, thin white coating, and weak pulse.

　　5. Liver depression type dry heaves:The characteristic symptoms of dry heaves are characterized by a low and indistinct voice, occurring intermittently, and being triggered by emotional fluctuations. Accompanied by chest and side distress, lack of appetite, pale and red tongue, thin white coating, and wiry-thin pulse.

　　6. Food retention type dry heaves:The characteristic symptoms of dry heaves are characterized by dry heaves with a foul smell, an irresistible urge to vomit, chest stuffiness, and aversion to food. Accompanied by epigastric and abdominal distension, foul-smelling stools, thick and greasy tongue coating, and wiry slippery pulse.

　　To prevent dry heaves, it is necessary to improve the work and living environment, avoid the stimulation of dust and harmful gases; strengthen physical exercise, enhance physical fitness, prevent colds; have a regular lifestyle, avoid the stimulation of tobacco, alcohol, and spicy fried foods, eat more vitamin-rich foods, pay attention to voice, and the elderly should also pay attention to keeping the bowels通畅. It is necessary to strengthen physical exercise, enhance physical fitness, prevent respiratory tract infections, reduce the use of tobacco and alcohol, and actively treat diseases of the surrounding organs of the throat. Reasonably arrange life, maintain a pleasant mood, avoid worries and depression. Keep the indoor temperature and humidity appropriate, and the air fresh. It is advisable to eat light, sour, sweet, and nourishing foods such as fruits, fresh vegetables, and green fruits.

　　Patients with dry heaves should undergo a comprehensive physical examination based on their medical history, and auxiliary examinations should also be performed, specifically as follows:

　　Firstly, laboratory examinations

　　Laboratory examinations must be based on the objective materials understood from the medical history and physical examination for summarization and analysis, from which several possible diagnoses can be proposed, and then further consideration should be given to which laboratory tests should be performed to confirm the diagnosis. Such as blood and urine routine tests, biochemical tests, liver function, hepatitis B five items, etc.

　　Secondly, other examinations

　　1. Gastroscopy can detect esophageal, gastric, and duodenal inflammation, ulcers, tumors, and vascular lesions, while colonoscopy can detect colonic and rectal lesions.

　　2. X-ray, gastrointestinal barium meal examination, and barium enema are also important examination methods for gastrointestinal diseases. Especially, they can understand the motor emptying function of the gastrointestinal tract, wall lesions, and lumen stenosis. However, it cannot show small lesions. Patients who cannot undergo gastroscopy or colonoscopy can choose X-ray examination, which complements each other.

　　3. Ultrasound examination for liver, gallbladder, pancreas, spleen, and kidney is very accurate and is the preferred examination method for these organs.

　　Patients with dry heaves should avoid coffee, tea, and spicy foods in their daily diet. Eat less starchy foods such as potatoes, taros, vermicelli, noodles, sweet potatoes, etc., and do not eat soda biscuits and other foods. Eat less and more frequently, have meals at regular times, and do not eat foods that are too hard and difficult to digest. Patients should eat more foods rich in collagen and elastin, such as pork feet, pork skin, tendons, fish, beans, seafood, etc., and consume more foods rich in B vitamins, such as animal livers, lean meats, fish, fresh fruits, green vegetables, milk, beans, etc.

　　Patients with dry heaves should apply antibiotics (penicillin, ceftriaxone), sulfonamides, and antiviral drugs (such as morpholine diphosphate, amantadine, virucide, etc.). Locally, 1:5000 furazolidone solution or compound borax solution can be used for gargle, as well as duolai fen, chlorhexidine, mint tablets, or iodine tablets can be used for oral administration, or antiviral drugs can be inhaled through atomization. Dissolve lysosome tablets, domiphen lozenges, iodine lozenges, Liu Shen Wan, etc.; use compound borax solution, chlorhexidine mouthwash, warm and dilute salt water gargle; at the initial stage of the disease, 1% iodine glycerin or 2% silver nitrate solution can be used to rub the pharyngeal wall to help inflammation subside; atomization or fumigation treatment, inhalation of medicine gas, is effective for local inflammation, and patients also feel comfortable.