The reality that has to be faced is that more and more children are found to have adenoid hypertrophy, and long-term adenoid hypertrophy is detectedIt is easy to form adenoid facial features such as upturned lips, protruding teeth, irregular dentition, and high arch of the frontal bone, and it is difficult to recover.
Because of the high incidence of adenoid hypertrophy, with the development of the Internet in recent years, it is well known by parents, so it is called "the first ugly child in children" and "children's Internet celebrity disease" by many people, mainly because few people in the past, especially our generation of parents, knew about this disease.
Outpatient case: treatment of adenoid hypertrophy in children from specimens;
Li Taotao (pseudonym), a girl, 4 years old, goes to kindergarten.
Chief complaints: mouth breathing, snoring at night, sometimes heavy and sometimes light, poor diet, picky eater, loose stools, easy to sweat, easy to catch a cold, physical examination: fatigue, weight loss, complexion, slight congestion of the nasal mucosa, red tongue, white and greasy.
History: history of allergic rhinitis with no other special circumstances.
Examination: local nasopharyngoscopy showed bilateral hypertrophy of the inferior turbinate and middle turbinates, adenoidal hyperplasia in the nasopharynx, occluded posterior nostrils about 3 4, and the diagnosis was adenoid hyperplasia, with a small amount of discharge from the nasal passages.
Diagnosis: Adenoid hypertrophy diagnosed by Western medicine, nasal asphyxia diagnosed by Chinese medicine;
Syndrome differentiation: lung and spleen qi deficiency syndrome.
Treatment: Nourish the spleen and lungs, dissolve phlegm and disperse knots.
Prescription: Astragalus membranaceus, parsnip, fried atractylodes, Xinyi, Angelica dahurica, Houttuynia cordata, Yam, Coix seed, Jiao Hawthorn, Chicken Inner Gold, Melon Peel, Prunella vulgaris, Zhejiang fritillary, raw oyster.
Doctor's advice: decoction without decoction 14 doses, one dose a day, morning and evening separately, advice on dietary precautions, can not eat spicy and stimulating food, cold, greasy, tonics, beef, mutton, fish and shrimp hair, desserts, etc.
Acupuncture point massage: 1) The first one: open the gate of heaven, from the center of the eyebrows to the front hairline, push 100 times;
2) Push the Kan Palace, from the brow to the tail of the brow 100 times;
3) Rub the sun, 50 to 100 times;
4) Knead the incense on both sides of the nose for 1 to 3 minutes;
5) Rub the Fengchi acupoint for 1-3 minutes;
Second diagnosis: the child's symptoms of snoring at night have improved, the stool has improved, once a day, and the appetite and nasal congestion have improved; If the effect is not changed, then the original side will be added or subtracted, and the decision will continue.
Traditional Chinese medicine believes that children's congenital spleen and stomach function has not yet developed perfectly, if parents are acquired and poorly adjusted, the spleen and stomach are weak, and the spleen is born with lung gold, which will lead to maternal diseases and children in the long run, and phlegm turbidity and endogenous will lead to adenoid hypertrophy; Lung disease can also cause adenoid hypertrophy caused by sub-disease and motherhood.
Therefore, the treatment is mainly to strengthen the spleen and lungs, dissolve phlegm and disperse knots. Fangzhong astragalus, fengfeng, and fried atractylodes are jade screen powder, which is used to nourish the lungs, invigorate qi and strengthen the surface, and prevent external evils; At the same time, yam, coix seed, fried atractylodes can strengthen the spleen, invigorate qi and dispel dampness, scorched hawthorn, chicken gold to strengthen the spleen appetizing, spleen health is damp to go, add Xinyi, Angelica angelica can warm the lungs, lungs and nose are treated. In order to achieve the purpose of improving adenoid hypertrophy.
In addition, after ruling out other diseases, these conditions should raise the suspicion that the child's adenoids are enlarged.
First: children often pick their nostrils with their hands, and if the adenoids are hypertrophied, they will block the nasal drainage, resulting in an increase in the secretions in the nasal cavity, and the child will unconsciously pick and dig with his hands;
Second: open the mouth to snore, when the child's adenoids are hypertrophied, it will lead to frequent mouth breathing, poor breathing, and frequent snoring when sleeping;
Third: If the child's breathing is similar to a snoring sound during the day, it means that the adenoids may be very serious;
Fourth: sleep is not steady, easy to sweat, under normal circumstances, children often sweat when sleeping, or accompanied by teeth grinding, or even when they wake up, it means that the adenoids have hypertrophy!
I am Dr. Wang Daohan from a tertiary public hospital in Beijing, specializing in adenoid hypertrophy and allergic rhinitis-related oral and nasal diseases for more than 10 years, during which I have seen too many children with adenoid hypertrophy, rhinitis, constipation, spleen and stomach weakness, and hyperactivity of tics leading to multiple diseasesIt is not easy for parents to take care of their children, so I hope that through my method, I can use professional skills and patience to exchange for parents' peace of mind, and I can help. I also hope that my popular science can help everyone;
Adenoidal hypertrophy