Is cold with yellow phlegm caused by a wind-cold cold or a heat cold?

Written by Yuan Qing
Pulmonology
Updated on December 30, 2024
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Cold with yellow phlegm is generally classified as a wind-heat cold in Traditional Chinese Medicine. Colds are categorized based on the different pathogenic factors involved: wind-cold colds and wind-heat colds. A wind-cold cold is primarily caused by exposure to pathogenic wind-cold, characterized mainly by coughing up white phlegm, feeling chilly but not hot, and a reluctance to drink water. On the other hand, a wind-heat cold follows exposure to external wind-heat pathogens. Its symptoms include feeling hot instead of cold, coughing, yellow phlegm, yellow nasal discharge, sweating, irritability, and constipation. Therefore, the presence of yellow phlegm typically indicates a wind-heat cold. There are many medicinal treatments for wind-heat colds, particularly those that clear heat and detoxify the body, all of which can be used to treat a wind-heat cold.

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How to treat viral colds depends on whether it is an epidemic flu or a common cold. If it is just a common viral cold, special treatment is generally not needed. Pay attention to rest, ensure sufficient good sleep and appropriate indoor temperature and humidity. By drinking more boiled water and eating more vegetables, you can naturally recover. If it is epidemic flu, you can choose to take antipyretic analgesics and antiviral drugs to relieve symptoms. You can take Qingkailing, combined with acetaminophen, vitamin C, Yinqiao tablets, and other medications. Note: Medications should be used under the guidance of a doctor.

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Most colds in children are caused by viral infections. During a cold, it is normal to take oral cold medications and antiviral drugs. Additionally, we should consider the specific condition of the child's cold. For simple symptoms like sneezing and a runny nose, just taking cold medications and antivirals should suffice. However, if the child has other symptoms such as gastrointestinal nausea and vomiting, it may be necessary to also use digestive aids to adjust the stomach and intestines. If the cold is accompanied by fever, with temperatures exceeding 38.5 degrees Celsius, antipyretics are also needed for treatment. Besides medication, it is important to maintain a light and reasonable diet and ensure proper rest during a cold. (The use of medications should be under the guidance of a doctor.)

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Is a cold with green nasal discharge serious?

Having a cold accompanied by green purulent nasal discharge is a common and frequent symptom in otolaryngology. The cause of these symptoms is primarily fungal sinusitis caused by a fungal infection in the patient. When these symptoms occur, it is important to first complete a paranasal sinus CT, electronic nasopharyngoscope, complete blood count, and nasal secretion culture to identify the pathogen causing the patient's illness and make a clear diagnosis. Additionally, timely use of antiviral drugs and medications that clear the throat and open the nasal passages should be administered for symptomatic treatment. For patients with sinus ostium blockage and fungal sinusitis, functional endoscopic sinus surgery is also needed to open the sinus ostium, restore normal drainage between the sinus and the nasal cavity, and thus achieve a cure for the patient's condition.

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