The cough remedies shared upstairs and downstairs may be effective for some people, but not always, because everyone's cough has a different cause, and it's impossible to use the same "tricks" to solve the problem.

To give a simple example, an 18-year-old young man, cough for more than 2 years, and most of the early morning, night cough, violent dry cough, took a lot of cough medicine effect is not good, but also stewed a lot of Sydney do not get better, and finally in the respiratory department to do the lung function test, but also did a bronchial excitation test, a clear diagnosis of cough variant asthma. Once diagnosed as cough variant asthma, the doctor gave inhaled Sinebicol Dupont treatment (inhaled hormone + long-acting bronchodilator combination preparation), 3 days later, the patient's cough significantly reduced, 2 weeks after the cough disappeared. Such cases are very common, for the treatment of asthma, it must be hormones or anti-leukotriene drugs (such as montelukast) and other anti-inflammatory drugs will be effective, other cough medicine, such as dextromethorphan, phenylpropylphenidate and so on may be a little bit of an effect, but it is not a long-term solution. Not to mention other "tricks".

There is a patient, 45-year-old woman, coughing for more than 3 years, repeated, has been in accordance with the chronic laryngitis, chronic bronchitis to treatment, the effect is not good, repeated episodes, especially after eating a full meal coughing is more pronounced, and finally went to the respiratory department of the local hospital (the best local hospitals), the doctor asked a detailed history, found that the patient is often a full meal coughing obviously, and at the same time there will be acid reflux, After taking a detailed history, the doctor found that the patient often had a cough after a full meal, and also had acid reflux and belching, and suspected that she had a GERD-associated cough. In other words, this cough is caused by gastroesophageal reflux, acid reflux into the esophagus, throat caused by coughing, and finally given omeprazole, mosapride ate 2 weeks, the cough is significantly reduced, eaten 4 weeks, the cough basically disappeared. Such a cough, caused by acid reflux, taking more cough medicine is useless. The cause must be found in order to treat the cause.

There are many similar examples, so to treat a cough, you must first find the cause and then treat it. Otherwise, no amount of tricks may be helpful. Of course, for some coughs that are clearly caused by chronic laryngitis and chronic bronchitis, some foods that moisturize the throat and lungs may be effective.

From a medical point of view, cough is accompanied by the appearance of many diseases, and even the first symptom of some diseases, suppressing cough and stopping cough must not be carried out blindly. Before answering the question and answer, we first understand the physiological mechanism and significance of cough. Cough is an important reflex defense reaction of the body, coughing helps to remove respiratory secretions and foreign bodies in the airway, when the mucosa of the respiratory tract inflammation, or by foreign bodies, irritating gases and other stimuli, can be caused by an increase in airway secretions, through coughing can be secretions and foreign bodies out of the body. The reason why we cough is because the medullary cough center is stimulated to induce the cough reflex to complete. From the respiratory tract, pleura and other parts of the various stimuli into the cough center, the center and then into the subglottic nerve, phrenic nerve, spinal cord nerves, respectively, caused by the pharyngeal muscles and respiratory muscle movement, together to complete the cough action. Moderate cough is the body's self-defense mechanism for the protection of the organism, violent, frequent coughing is harmful, can cause a lot of discomfort, affecting daily life, and even cause respiratory muscle fatigue, injury, cause pulmonary alveoli, pneumothorax, etc., aggravate the original condition. In the clinical work of appropriate to give cough, cough suppression is very necessary, but need to pay attention to do not blindly cough, cough suppression, must be in the identification of the cause of the disease, the condition of the case, and then give the appropriate cough, cough suppression drugs, so as not to cover up the condition, delay the treatment of the original disease. The strongest central cough suppressant is morphine, which is a narcotic drug strictly controlled by the state and is easily addicted. Codeine is another powerful central cough suppressant, which is also a narcotic drug, and is generally not preferred in clinical practice. Dextromethorphan (central cough suppressant, does not belong to the scope of control of narcotic drugs) and its various preparations also have a strong cough suppressant effect, note that some countries do not recommend the use of such drugs with the population under 18 years of age, according to the needs of the disease can be appropriate choice. Some other cough suppressants such as pentoxyverine citrate tablets (central cough suppressant), weekly cough suppressants such as nalcodone and phenylpropylphenidate, compound methoxyverine capsules also have a good cough suppressant effect, compound licorice oral solution, honey-refined loquat paste is also very commonly used. In short, remember one sentence, do not blindly suppress cough, identify the cause of the disease is the first, must be in a clear condition of the grass-roots level, to the rational use of cough suppressants, do not put the cart before the horse, delayed condition. Thank you all.

Boil water with white radish and drink it, it's very effective. Wash a white radish and cut it into pieces, put it into a pot with the right amount of water and some rock sugar. Bring to a boil and cook over low heat for 5 minutes. When the temperature drops, you can drink. Drink three times a day, no more than three days, quasi-good.

Treatment that stops the cough for the sake of stopping the cough without exploring the cause is playing LM.

Then it's time to figure out the following three questions first:

First, what is a cough?

Second, what is the pharmacology of cough suppressants?

Third, is there a fast and effective way to stop a cough? What is it? How to use it?

First, what is a cough?

Cough is one of the most common clinical symptoms.

Coughing is a reflexive defense action by which secretions or foreign bodies can be removed from the respiratory tract.

Of course, many of the online encyclopedias, which I've checked and won't name, only mention coughing in the context of respiratory system diseases.

In fact, as a clinician, whether an internist (respiratory medicine) or a pediatrician, it's basically not wrong to think about it this way, but it's not comprehensive.

Because there are other causes of coughing that are not covered by online science, you can't stop coughing just for the sake of coughing or you'll be seriously misdiagnosed.

Examples include compression cough from tumors, gastroesophageal reflux cough, and compression from intracranial tumors causing central cough.

schema

Second, the pharmacology of cough suppressants

1 Cough-relieving, phlegm-reducing and asthma-relieving drugs

Slow onset of action, to respiratory diseases, cough, phlegm and asthma, clinically used in large quantities. It is divided into proprietary Chinese medicines (including Chinese medicines) and western medicines, which can be further divided into oral medicines and nebulized medicines.

Note that poppy husk is occasionally added to traditional Chinese medicine and is not classified in this category for the time being.

2 Cough suppressants

Mostly centralized cough suppressants from the brain, such as codeine hydrochloride, forskolin, poppy husk, etc.

Use with caution or contraindication in children and sparingly or with caution in adults.

Thirdly, are there any quick remedies or medicines to stop coughing?

There are! Not recommended or used with caution in pediatrics, this type of medication is called a cough suppressant!!!!

For example: powerful loquat cough drops because of the poppy husk in them.

For example: codeine hydrochloride

For example: Folcodine

However, I personally don't recommend routine use and watch out for other non-respiratory causes, i.e., watch out for differential diagnosis (differentiation from other diseases).

Of course, it is not always impossible to use it; it can be used for a short period of time for a general severe cough, or for a transient paroxysmal cough caused by a respiratory infection that is being considered in the first place.

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wrap-up

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1 Coughing

Mostly transient, even if it is a paroxysmal irritating dry cough, allergic cough; a few are wheezing coughs, and very few are persistent coughs (need to focus on differentiation, foreign body in the airway, tumor compression, intracranial tumor central cough, etc.).

2. Adequate water intake

Drinking small amounts of warm boiled water has the effect of clearing the throat and relieving cough and phlegm.

3 Honey

Cough and phlegm effect, since ancient times have been informed, ancient honey medicine, honey water cough and phlegm, but 1 year old or less cautious use of honey; long-term use of honey is not recommended.

===Medications to be used under medical supervision ====

4 Cough and phlegm medicines (excluding centralized cough suppressants or cough suppressants)

Clinically common.

5 Nebulized inhalation

Anti-cough and anti-inflammatory, resolves phlegm and asthma

6 Cough suppressants

Use sparingly, cautiously, prohibit

Take care to identify other non-respiratory infectious diseases before use

7 Chinese Medicine Acupuncture Point Patch

Unknown, with some efficacy.

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★★★Note one special case

I was told that there was a child with a recurrent, not violent, predominantly occasional cough, no fever, no shortness of breath, and no significant dry or wet rales were heard in the lungs. It ended up being an intracranial tumor cough.

Please note that this non-respiratory infectious cough is most often seen in adults.

The above is for reference only.

Coughs, which are usually more transient, should not be stopped just for the sake of it.

I hope this helps.

Rock Sugar Pear Juice

There are different reasons for coughing, such as cough variant asthma, which is basically useless to take cough medicine; for example, cough caused by gastroesophageal reflux, which is coughing when you lie down, but may be fine when you sit up. There are also some coughs that are temporarily useful after taking cough medicine, but they will still recur. So we still need to find the right cause and treat it.

The fastest way to relieve an illness is to treat the cause, such as a cough. In Western medicine, what we call cough is controlled by the medullary cough center and is accomplished by the involvement of a complete cough reflex arc. Coughing is a defensive neurological reflex of the organism that facilitates the elimination of respiratory secretions and harmful factors. Not all coughs are bad, but frequent coughing may not be good.

Coughs can be categorized as acute (less than 3 weeks), subacute (3-8 weeks), and chronic (greater than 8 weeks). Acute and subacute coughs are generally considered to be due to post-infectious coughs, such as colds; if the cough is more severe at night, cough variant asthma needs to be considered. Chronic cough needs to consider whether long-term smoking caused by chronic bronchitis, or lung cancer, etc.; whether there is occupational cough such as exposure to dust, irritating gases; some ACEI antihypertensive drugs such as enalapril, benazepril can also cause chronic cough; such as a cough accompanied by acid regurgitation belching, retrosternal burning sensation need to be considered gastroesophageal reflux disease; there is a history of allergic diseases need to be considered allergic rhinitis and so on. Middle-aged and elderly people need to consider lung cancer, recurrence of tuberculosis and so on. Therefore, no matter what kind of cough, find the cause is the fundamental treatment.

Hello and thank you for your question!

Fall and winter are the most common times for colds and coughs. Cold is one of the most common respiratory diseases. Chinese medicine categorizes colds into four types: wind-cold colds, wind-heat colds, summer-damp colds and seasonal colds (influenza). For frequent coughing, you can use DEFU Yanqing Tea. It is a herbal remedy with no side effects. Types of colds are: First, wind-cold type colds: the patient in addition to nasal congestion, sneezing, coughing, headache and other general symptoms, there is a cold, low fever, no sweat, muscle aches and pains, runny nose, spit thin white sputum, sore throat, mouth is not thirsty or thirst for hot drinks, thin white moss and other characteristics, usually have to wear a lot of clothes or cover the big quilt to feel more comfortable. The patient can be treated with medicines such as Cold and Flu Punch, Cold and Flu Clearing Heat Punch, Nine-flavored Qiangwu Pill, Tongxuan Lung Pill, and Noon Tea Pellet. If the patient has the symptom of constipation with internal heat, he/she can take Fangfeng Tongsheng Pill for treatment. Patients with wind-cold cold should not use medicines such as Sangju Cold and Flu Tablets, Yinqiao Xiexu Tablets, Antelope Xiexu Tablets, and Compound Cold and Flu Tablets. The key to treating wind-cold cold is to sweat a little bit (known as Xinwen to relieve the epidermis in Chinese medicine), and there are many ways to do this, including sauna, soaking feet in hot water (preferably with some wine), covering two layers of quilt, drinking ginger water, ginger porridge, etc. The main treatment for wind-cold cold is gui ji, which is the most effective way of treating wind-cold cold. The main treatment for wind-cold cold is Gui Zhi Tang, the first formula in the theory of typhoid, also known as the King of Harmony (Ephedra Tang is also the main treatment for wind-cold cold, but it is used with caution in the south). Summarize: It can relieve the symptoms with pungent and warmth, and promote lung circulation to disperse cold. Wind-heat type colds: In addition to the general symptoms of colds such as nasal congestion, runny nose, cough, headache, etc., the patient also has a heavy fever, thick yellow sputum, sore throat, usually before the cold symptoms, sputum is usually yellow or blackish, constipation, etc. The treatment should be based on the principle of pungent, cool and detoxification of the surface of the lungs, promoting the lungs and dispersing the cold. Treatment should be based on the principle of relieving the symptoms with pungent coolness. Patients can use Xiangxue Anti-Viral Oral Liquid, Cold and Fever Reducing Punch, Banlangen Punch, Yinqiao Antidote Pill, Antelope Antidote Pill and other medicines for treatment. Patients with wind-heat type colds should not use drugs such as Jiuwei Qiangwu Pill and Lung Liver Pill. C. Summer-damp type colds: patients show symptoms such as chills, fever, tastelessness, headache, headache, abdominal pain, diarrhea, etc. This type of cold mostly occurs in summer. This type of cold mostly occurs in summer. Treatment should be based on clearing summer heat, removing dampness, and relieving symptoms. The patient can be treated with medicines such as Huo Xiang Zheng Qi Shui and Yin Qiao Xie Tu Pill. If the patient's gastrointestinal symptoms are more serious, it is not suitable to use Baohe Pills, Hawthorn Pills, Xiangsha Stomach Relieving Pills and other drugs. Seasonal colds: The symptoms of patients are similar to those of wind-heat colds. However, the symptoms of patients with seasonal cold are more serious than those of patients with wind-heat cold. The patient may show sudden chills, high fever, headache, chills, chills, severe headache, body aches, fatigue, nasal congestion, runny nose, dry cough, chest pain, nausea, loss of appetite, infants and young children or the elderly may be complicated with pneumonia or heart failure and other symptoms. Treatment should be based on clearing heat and removing toxins, and dispersing wind and penetrating the surface. Patients can use Xiangxue Anti-Viral Oral Liquid, Fangfeng Tongsheng Pill, Chongshenling Tablets, Chongshen Tablets and other medicines for treatment. If a patient who has a cold is treated with Yin Qiao Xie Toxin Relief Tablets, Strong Yin Qiao Tablets, Xia Sang Ju Cold and Flu Tablets or Niuhuang Xie Toxin Relief Tablets, the treatment effect will be poorer.

Thanks for the invitation!

What's a quick and effective way to stop a cough?

The answer is clear: no!

Let alone fast, there is no slow way to stop a cough.

There are some methods that may or may not provide slightly more relief from coughing, but they are also usually inconclusive.

To understand this kind of problem, you first need to know something about coughs.

cough

Coughing is a protective reflex that protects the airways and lungs from aspiration, inhalation of irritants and pathogens, and removal of accumulated secretions.

Coughing is a symptom of a disease when it is triggered by a factor that causes the disease.

Like all other reflexes, cough firing consists of three parts: afferent nerve, central modulation of the cough, and efferent nerve.

Coughing occurs when the airways are stimulated by some factor, and the associated sensory receptors encode neural signals that are uploaded to the brainstem cough center, which rapidly reorganizes the movements of the respiratory muscles, switching from a normal breathing pattern to a coughing pattern. Specifically, this includes the movement of inspiratory muscles to inhale rapidly and then close the vocal folds, expiratory muscles including abdominal muscle contraction to increase the pressure in the thoracic cavity and then suddenly open the vocal folds, and violent contraction of the expiratory muscles to produce a strong airflow in the airway to expel secretions from the airway.

Factors that have been recognized so far that can produce a cough include chemical and mechanical factors.

The former, known to include capsaicin, acids, hypertonic and hypochlorinated solutions, compounds such as tobacco smoke, particulate matter/dust, leukotoxins such as resins, and cinnamaldehyde. Receptors that sense these stimuli include TRPV1 (capsaicin receptor), TRPA1, and other receptors. Afferent nerve fibers are C-fibers that conduct the injurious stimulus. The cough produced by this stimulus can be completely suppressed by anesthesia.

The latter, mainly respiratory tract tension and pull, have poorly defined receptors and are loosely referred to as "cough receptors". The cough produced by this stimulus is not inhibited by anesthesia.

The mechanism by which the cough center works is also currently unclear.

"Stop the cough."

In any case, the only two interventions we can make with regard to cough are stimulus afferents and central regulation.

How to intervene?

Nothing more than a reduction in stimulation, attenuation of irritant nerve signaling afferents, and inhibition of cough center regulation.

The most "effective" method of "stopping the cough" at the nerve afferent link is anesthesia. However, as mentioned earlier, even anesthesia can only control coughs caused by chemical stimuli and is ineffective for coughs produced by mechanical stimuli.

The so-called "effective" interventions in clinical practice are most of the peripheral "cough suppressants" that we use today, many of which are oral liquids. Some of these "cough suppressants" may reduce the intensity of the irritation to some extent. For example, drinking more fluids. As for what kind of liquids are more effective, there doesn't seem to be any particularly effective ingredients. It seems that, as long as the irritants are not listed above, such as chili water, acids, high osmolality fluids such as concentrated saline, etc., as long as they are isotonic or low osmolality fluids, all of them can reduce the irritation to a certain extent and alleviate the cough to some extent. For example, honey water, many folk recipes, such as rock sugar pear water (in fact, sugar or not, pear or not, it does not matter, as long as it is not too strong), or all have some effect.

But all of this, except for the anesthesia, is not worth the word "cough."

Central "cough suppressants" are mainly depressants, of which opiates, represented by codeine, are considered the most reliable. Codeine is therefore considered to be the "gold standard" for cough suppressants.

However, a number of double-blind controlled trials in recent years have found that codeine is unreliable as a cough suppressant and has not been shown to be more effective than placebo in "stopping coughs", or even more effective than honey water.

In other words, codeine, the "gold standard" of cough medication and a centralized cough suppressant, does not actually stop coughing.

Eliminating the cause is the only effective "cough medicine".

By this point, it is clear that there is no intervention other than anesthesia that is really going to stop the cough, including codeine.

So why is it that many cough suppressants have been in use for years and have been known to be effective in stopping coughs?

The reason for this is that most coughs caused by illnesses are a process, which stops as the disease subsides and heals, and the irritant that produces the cough is gradually reduced and eventually disappears. During this time, the cough is often attributed to the cough medicine used because the "cough" medicine has been taken - this is why, on the one hand, people complain that the cough is difficult to treat, but on the other hand, they believe that all cough medicines can stop the cough.

This has ultimately led to the creation of many fraudulent doctors and "cough medicine".

In the end, one sentence sums it up: there is no real way to stop coughing in the world, and fast is even more of a luxury.

Thank you; chronic bronchitis, belongs to the motherland medicine "cough", "phlegm", "croup", "wheezing evidence It belongs to the categories of "cough", "phlegm", "croup" and "asthma" in Chinese medicine. The etiology is complex, its internal factors, and internal organs. "The five viscera and six bowels are people cough, not only the lungs," the coupling is loose, easy to sweat, often easy to catch a cold and induced bronchitis. Spleen deficiency loss of transportation, fluid not cloth, gathered into phlegm, phlegm and dampness upward and for the disease. Kidney deficiency and essence loss, the kidney is not solid, the gas is not authorized, and cough and asthma. And "the original phlegm, the original in the kidney, phlegm, the original in the kidney, phlegm movement, the main in the spleen, phlegm into, stored in the lung. Lungs, spleen and kidneys, especially the kidneys are important. And the kidney for the innate nature of this, the real yin and real yang, the body of the yang depends on the supply of kidney yang, the body of the yin by the kidney yin nourishment. If the yin and yang of the kidneys are out of balance, the development of chronic bronchitis can be accelerated or aggravated, so the treatment of chronic bronchitis, tonifying the kidneys is a very important law.

[Examples of recipes]

Formula 1, 20 grams of ripened earth, 12 grams of cornelian cherry, 30 grams of Chinese yam, 20 to 30 sliced appendages (first boiled for 40 to 60 minutes), 30 grams of epimedium, 30 grams of walnut kernels, 12 grams of boneset, 10 grams of ephedra, 12 grams of dillon, 12 grams of flowers. Decocted with water.

Formula 2, mushroom ganoderma lucidum 30 grams (boiled first), Salvia divinorum 30, maitake 20 grams, schizandra 20 grams, wolfberry 20 grams, cinnamon 6 grams, licorice 6 grams. Water decoction. Add and subtract:If the person is cold, add Radix et Rhizoma Polygoni Multiflori and Radix Rehmanniae Praeparata. For those with phlegm fire, remove cinnamon, add silver flower and platycodon. If the lung is dry, add Huang Jing and Radix Rehmanniae. For those with obvious symptoms of blood stasis, add red peony and curcuma longa.