First, treatment
The treatment of pleurisy depends on its etiology. Those caused by bacterial infections should be treated with antibiotics. Virus infection does not require anti-infection treatment. For patients caused by autoimmune diseases, treatment of basic diseases can make pleurisy subside.
1. western medicine treatment:
① Antibiotic therapy
A. Anti-tuberculosis drug therapy: it is suitable for treating tuberculous dry or exudative pleurisy. Isoniazid 300 mg/day, or rifampicin 300 mg/day, or ethambutol 0.75- 1 g/day, 1 time, for 3 months. Streptomycin 0.75- 1g daily, intramuscular injection 1-2 months, alternately used with oral drugs, with a total course of treatment of 6-9 months.
B. Non-tuberculous pleurisy: corresponding drugs should be selected according to the primary disease (such as infection and tumor).
C. Purulent pleurisy or tuberculous empyema with infection: penicillin C is injected intramuscularly for 4 times per day1.60-3.2 million units, and 807 units can be injected into the chest cavity.
② Analgesia: Take aspirin 0.6 g or indomethacin 50 mg orally, 1 3 times a day, or 15-30 mg codeine 3 times a day, 1.
③ Thoracic puncture and drainage: it is suitable for patients with exudative pleurisy with large pleural effusion and obvious dyspnea, or with effusion still not absorbed after long-term treatment. Do not exceed 1000ml each time, 2-3 times a week.
④ Hormone therapy: Combined with anti-tuberculosis drugs, it has a positive therapeutic effect on eliminating systemic toxic symptoms, promoting the absorption of effusion and preventing pleural thickening and adhesion. Prednisone 15-30mg can be taken orally in three times. When the systemic symptoms improve and the absorption of hydrops is obviously reduced, it can be gradually reduced, usually for 4-6 weeks.
2. Chinese medicine treatment:
① Pathogens invading the chest and lungs: aversion to cold and fever, cough with little phlegm, stabbing pain in chest and hypochondrium, bitter mouth and dry throat, red tongue with thin coating and rapid pulse.
Treatment: reconciliation and clearing heat, regulating qi and dredging collaterals.
Prescription: Trichosanthes kirilowii and Trichosanthes kirilowii each 30g, Bupleurum chinense and Paeonia lactiflora each 65438 05g, Scutellaria baicalensis, Pinellia ternata, Fructus Aurantii, Platycodon grandiflorum and Cortex Mori each 65438 00g, and Glycyrrhiza uralensis each 6g.
② Stop drinking in chest and hypochondrium: Coughing and spitting will cause pain and difficulty in breathing. Coughing and wheezing can't make you lie flat, with white and greasy tongue coating and heavy pulse.
Treatment: Drain water and drink water.
Prescription: Stemona Stemona 30g, Fructus Trichosanthis and Poria15g, Semen Lepidii1g, Cortex Mori, Su Yu, Pericarpium Citri Tangerinae, Rhizoma Pinelliae, Fructus Zanthoxyli, Bulbus Allii Macrostemonae, and Orange 10.
③ Stagnation of phlegm and blood stasis: chest pain, chest tightness, dyspnea, persistent, dark purple tongue with white fur and thready pulse.
Treatment: resolving phlegm and promoting blood circulation, regulating qi and dredging collaterals.
Prescription: Semen Coicis 30g, Fructus Trichosanthis, Radix Paeoniae Rubra, Poria 15g, Inula, SEAO, Semen Armeniacae Amarum, Rhizoma Pinelliae, Rhizoma Cyperi, Pericarpium Citri Tangerinae, Fructus Aurantii, Fructus Lipuidambaris 10g, and modified milk (including decoction) 6g.
④ Internal heat due to yin deficiency: cough with little phlegm, dry mouth and throat, hot flashes, night sweats, fever of the five senses, red cheekbones, emaciation, red tongue with little fur and rapid pulse.
Treatment: nourishing yin and clearing heat.
Prescription: Radix Adenophorae, Radix Ophiopogonis, Rhizoma Polygonati Odorati, Pollen and Stemonae each 65438±05g, Radix Pseudostellariae 65438±03g, Cortex Mori, Cortex Lycii, Folium Mahoniae, Radix Bupleuri, Radix Curcumae and Semen Armeniacae Amarum each 65438±00g, and Bulbus Fritillariae Cirrhosae powder 6g (orally).
Second, prevention and aftercare.
Pay attention to rest and eat a diet with high protein and vitamins.
2. The treatment should be lasting and thorough.
I wish you health and happiness!