Hello everyone, I am Dr. Wang, and there are many children with adenoid hypertrophy in my outpatient clinic every dayTheir parents came to me because they didn't want surgery, so should adenoid hypertrophy be operated on?
I will tell you about a small patient last month, who has a history of rhinitis in the pastWhen I came, the symptoms of nasal congestion, runny nose, and snoring were very obvious, the local pannu hospital to check adenoids a n083. Parents really don't want to operate on their children, and after the operation,Rhinitis is still a legacy for him.
I prescribed some nasal spray hormones and shalves, but the effect was not very ideal, and the symptoms of a cold worsened;
After understanding his situation, combined with the tongue coating and complexion, it also belongs to the symptom type of lung and spleen qi deficiency, so I prescribed him No. 1 Fang Zhi Yan and Anti-Glandular Soup, which is relatively simple and the taste is convenient for children to accept.
Prescription: Astragalus membranaceus, parsnip, Codonopsis, Shallot, Tangerine peel, Xinyi, Angelica Angelica, Cimicifuga, Lulutong, Bupleurum, Banxia, raw oysters, licorice formula, decoction instead of decoction, take once a day in the morning and evening (Note, only for this personal case, Zhongpin syndrome differentiation one person, do not copy and abuse the prescription without authorization).
In this way, after less than two treatments, the adenoids atrophied to 036；In the later stage, regulating the spleen and stomach and improving immunity are the top priorities to consolidate the therapeutic effect and reduce **.
Like the astragalus we commonly use,Astragalus plus Codonopsis, strengthen the spleen and invigorate qi, suitable for children with weak spleen and stomach;
Astragalus plus sage, invigorating qi and raising yang, qi and yin are supplemented, which is good for children with lung and spleen deficiency;
Astragalus plus atractylodes, strengthen the spleen and dampness, fix the surface and stop perspiration, improve spleen qi deficiency and love sweating;
After the third treatment, the child stopped because the child's condition was stable, the symptoms disappeared, and the tongue coating was a normal thin white color. That is to say, the child did not choose the hand tree, and the adenoid hypertrophy and atrophy were normal.
Adenoid hypertrophy is actually a thing that will accompany children's growth and development, it is actually a lymphoid tissue in our nasopharynx, which is part of our body's defense function.
Adenoids, also called pharyngeal tonsils, belong to the same class as our palatal tonsils, which are part of the pharyngeal lymphatic ring; The invasion of external evil into the human body is through the mouth and nose, and the first barrier from the mouth and nose is these lymphatic tissues.
Whether it's a spovirus infection or a bacterial infection, adenoids and tonsils are the first barrier against them.
So without these things, our first barrier may be compromised; So we generally don't advocate cutting it out.
Unless it is the child's rational adenoid hypertrophy, which has caused a lot of adverse effects, resulting in the child not being able to breathe normally, mouth breathing, snoring is very serious, and even waking up at night, and then affecting the development of his facial and jaw, and even the development of height and intelligence, etcIn the case of ineffective conservative treatment, we should consider discretionary excision in this case. Do you understand?
Adenoidal hypertrophy