Throat arthritis parting syndrome differentiation 
 
 
Cao Yuancheng Shandong zibo city hospital 
 
 
China's traditional Chinese medicine to 

        Throat arthritis is ring dipper and cricothyroid joint inflammation. Rheumatism, kind rheumatism, virus infectious arthritis, throat and laryngeal trauma can cause throat arthritis side or both sides. In the clinical, bronchial foreign body sensation and sore throat are common acute phase, swallowing and speaking sore throat is aggravating, radiation to the ear. For ring dipper joints to open and close the glottis, cricothyroid joints to adjust the glottis tensity, the two joint inflammation, often shouted. As to the patient, easy and chronic pharyngitis, acute laryngitis and chronic laryngitis confused, delay no more. The author in detail to identify, use of traditional Chinese medicine treatment effect, the personal experience introduction is as follows. 
 
        Clinical manifestations of 
 
        The acute phase 
 
        Common hoarseness and sore throat, early laryngeal foreign body sensation when voice and deglutition, later sore throat can increase gradually, and often to the ear of radiation. Hearing difficulty breathing and apparent inflammatory swelling degree and fixed the position of the vocal cords. Vocal fixed at outside of the booth can appear hearing or voice, red more show or fixed in vocal cords adduction bits, can appear dyspnea, wheeze. The primary disease symptoms, such as rheumatic or rheumatoid arthritis symptoms, can not be ignored. 
 
        Laryngoscopy: visible arytenoid mucosal hyperemia, swelling, and can be affected area, between the scoop scoop back end of the epiglottis fold and chamber, vocal cord more than normal. The vocal cords can be fixed in inside or outside the booth. On one side or on both sides of the Adam's apple thyroid cartilage trailing edge central or cricoid cartilage throat have tenderness. 
 
        Chronic phase 
 
        Or rigidity. See more at after acute attack repeatedly, but an acute episodes can become chronic. Its symptoms depends on the joint fixed position, can appear the hearing or breathing difficulties, throat symptoms are not obvious. If on one side of the lesion, was higher than that of vocal cords, a voice when the contralateral arytenoid arytenoid accessible from side. Sometimes visible ring dipper joint area mucosal thickening, ulcer, the formation of granulation scar, etc. 
 
        Specialized examination 
 
        Ring dipper arthritis in scoop of mild hyperemia, swelling, vocal cord closed slightly restricted or outreach activities. Pressure with a probe scoop department can cause severe pain. If arthritis is heavier, ring dipper joint fixed by the vocal cords in the median or intermediate position. Arthritis, voice when the vocal cords cricothyroid relaxation. Such as inflammation is limited to a side, visible glottis deflection, cricothyroid joints barriers on both sides, the glottis fissure in spindle. 
 
        In addition to blood picture change, blood sedimentation can be normal, often positive rheumatoid factor experiment, the neck can have tenderness. Diagnosis should identify with different vocal cord paralysis, of trying to touch the scoop with a probe, ring scoop arthritis often not activities. 
 
        Anyone suspected throat arthritis should be eligible for laryngoscopy, neck, and palpation, when necessary and laboratory examination. Visible under the ring dipper arthritis, laryngoscope scoop of side area mucosal swelling, congestion; Line under indirect laryngoscope, scoop area when palpation of strainer area will have significant tenderness. Limited of vocal cord movement, serious ring scoop joint fixed, therefore at fixed side of vocal cords. 
 
        Visible side under the cricothyroid arthritis, laryngoscope vocal relaxation, such as side lesions can appear the glottis deflection, bilateral cricothyroid arthritis joint activity obstacle, the bilateral vocal cords is flabby, glottis closure are prismatic joints. Cervical palpation of cricothyroid joints where there is tenderness. 
 
        Patients in the episodes should be prohibited from use. Western medicine multi-purpose salicylic acid preparations pain, local lateral neck with 2% salicylic acid sodium ions to penetrate. Caused by inflammation of the steroid hormone and antibiotic treatments are available. If they are fixed on both sides of the vocal cords, under indirect laryngoscope clicked arytenoid, arytenoid transposition is feasible. Ring a practical way to massage cricothyroid joint arthritis. 
 
        The doctor of traditional Chinese medicine syndrome differentiation treatment 
 
        Acute laryngeal arthritis belongs to the "urgent throat dark" category of traditional Chinese medicine, often secondary to acute rhinitis, sinusitis, acute pharyngitis, rheumatoid arthritis, can also occur alone. If produce in children's illness is more serious, the main symptoms of cough, phlegm, throat dry, tickling, foreign body sensation. Individual visible in patients with fever, chills, and so on. Severe swollen throat, difficulty in breathing, but rare in adults. The author thinks according to the clinical experience in the following card type. 
 
        Cold attack throat card 
 
        Onset nasty, pawn or raise his voice hoarse, micro throat ache is unwell, cough, throat congestion, slightly swollen vocal paler, associated with fever evil cold, stuffy nose cried clear; Tongue reddish moss thin white, pulse tightly. 
 
        Therapeutic principle: breeze, cold xuan lung sounds. With breeze, pharynx soup. 
 
        Formula: 10 grams of ephedra, cassia twig 12 grams, 15 grams, notopterygium alone live 12 grams, 15 grams, radix puerariae radix bupleuri 12 grams, Sue. 12 grams, lily magnolia 12 grams, 15 grams of herba schizonepetae, windproof 10 g, 12 g, batryticated silkworm mint 12 grams, platycodon grandiflorum 12 grams, licorice root 6 g, 12 g almond, white before 12 grams, broiled asters 12 grams, rhizoma ligustici wallichii 12 grams, 20 grams. The water decoction. 
 
        Depending on the condition, can cooperate with jing pills for prevention, radix bupleuri oral.
 
 
 
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2014-10/23/content_92190.htm