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Internal Medicine

3. Foreign body sensation in the throat and cough due to spleen deficiency and dampness
Dry throat, foreign body sensation in the throat, cough. Examination on local region: slightly red membrane on throat, lymph follicle hyperplasia, dry or sticky membrane in the throat, pale and flabby tongue with white and sticky coating, soft and rolling pulse. Ingredients: chao Bai Zhu, shao Dang Shen, Fu Ling, chao Yi Yi Ren, Bai Bian Dou, huai Shan Yao, jiang Ban Xia, zhi Hou Po, chao Zhi Qiao, Mu Xiang, Jie Geng.
4. Cough and itching sensation in the throat due to weak defensive qi and invasion of pathogenic factors
Cough and itching sensation in the throat, no sputum, combined with aversion to cold and wind, lassitude. Ingredients: sheng Huang Qin, chao Bai Zhu, Tai Zi Shen, Fang Feng, Jin Jie, Can Tui, chao Jiang Can, Xin Ren, Ju Geng, Qian Hu, Zhi Zi Yuan, Bo He.
Summary: Add Bei Mu, Mu Li, Kun Bu, Hai Zao, Dan Shen, Niu Xi, Chuan Xiong, Chi Shao, Bai Shao to eliminate stagnation and activate blood for lymph follicle hyperplasia and angiotelectasis; add Jiang Can, Di Long, Wu Wei Zi, zhi Yuan Zhi to dispel wind and stop spasm, promote lung and calm mind for severe cough and spasm on throat. Although this kind of cough is deficient type, we do not need to apply heavy tonification, we apply combination of clearing and tonifying.

Key Words: deficiency, laryngeal cough, differentiation and treatment of TCM

Writer: Xiaoguang Liu
E.N.T Department in Zhejiang TCM Hospital (310006)

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