Patient's question:
Hoarseness, accompanied by cough, nose discharge yellow-green the day before yesterday, stomachache. Previous treatment and effectiveness: Did not take any medicine. What kind of help is needed: How to treat? What medicine to take?Doctor's answer:
Hello. The child has caught a wind-heat cold. According to the TCM principle of syndrome differentiation and treatment, fever is divided into wind-cold fever and wind-heat cold. Only by using symptomatic topical medication can the fever be resolved naturally. Otherwise, the illness may worsen or persist.Suggestions:
Wind-cold fever:
Main symptoms include high fever with chills, headache, sore throat, general discomfort, dry cough with thin white sputum, stuffy or clear nasal discharge, no sweating, thin white tongue coating, and floating or floating pulse.
Recommended medications: Yanfang Baidu San, Tongxuan Lili Wan, Mahuang Zhiscou Wan, and Xiao'er Si Zheng Jiu Heanshu Li Fei Jiu.
Use as per instructions or follow medical advice, with ginger and scallion decoction as an herbal decoction.
Precautions: Avoid using Sangju Feihuai Pian, Yinqiao Jiedu Pian, Lingqiao Jiedu Pian, and Compound Feihuai Pian.
Wind-heat cold:
Symptoms include mild chills, high fever, stuffy headache, sore throat, slight thirst, minimal sweating, cough with yellow sputum, thin white or slightly yellow tongue coating, red tip of the tongue, and floating rapid pulse.
Recommended medications: Sangju Feihuai Pian, Yinqiao Jiedu Pian, Lingqiao Jiedu Pian, Vc Yinqiao Pian, and Compound Feihuai Ling Pian.
Take as per instructions. In severe cases, double the dosage (reduce for children).
Precautions: Avoid using Qianghuo Wan, Lili (Shanshu, Tongxuan) Wan.
Clinical manifestations of wind-heat cold:
Main symptoms:
1. High fever, slight chills, no sweating or minimal sweating, headache, and body aches;
2. Stuffy nose, yellow-thick nasal discharge, cough, and sore red dry throat.
Secondary symptoms:
Minimal sweating, dry mouth/thirst, and yellow-thick sputum.
Tongue and pulse: Red tip of the tongue, thin yellow coating, and floating rapid pulse.
A diagnosis of wind-heat cold can be confirmed if the main symptoms (1) and secondary symptoms, or main symptoms (2) and secondary symptoms, are present along with typical tongue and pulse.
Treatment suggestion: Symptomatic treatment is recommended. If the condition does not improve, consider bronchial infection or pneumonia.
Advice: Consult a doctor for auscultation and imaging diagnosis. If necessary, undergo chest X-rays for a thorough examination.
For mild infections, antibiotics can be taken. For cough or sputum, Xianzhu Liyu Koufuye or Xiao'er Magan Granules can be used.
In severe cases, intravenous infusion is recommended.
Be cautious of mycoplasma infection. If suspected, intravenous erythromycin injection or oral azithromycin dry suspension may be prescribed.
Rest is essential. If fever occurs, use antipyretic medication for symptomatic treatment.
If you have any questions, feel free to ask again. Wishing your family good health.
The above advice is for the question "My son has a slightly hoarse voice with cough and green-yellow nasal discharge." Hope it helps. Stay healthy!