Question
A young child is experiencing cough with wheezing symptoms of tracheitis, with white thin sputum, and the condition has not improved since the New Year’s Eve. They have previously undergone antibiotic and traditional Chinese medicine treatment, but the effects were not significant. There was a brief improvement after discontinuing the medication, but the symptoms have recurred since 4 PM in the last two days.
Answer
For wheezing tracheitis, in addition to using anti-inflammatory and cooling blood medications, it is usually necessary to use antispasmodic and bronchodilator drugs. If it is a first recurrence and there are no further recurrences after recovery, there is no need to worry. However, if it recurs multiple times, it is necessary to rule out the possibility of bronchial asthma. Qingkailing and Yinhuang Granules are traditional Chinese herbal preparations for clearing heat and detoxifying, which can be taken. For medication selection, consider using cefixime for anti-inflammatory treatment, which has a good effect, and combine it with bronchodilator drugs such as salbutamol for nebulization therapy, budesonide oral terbutaline, etc. If necessary, conduct bronchial provocation tests, dilation tests, or lung function tests to determine if there is bronchial asthma.