Is traditional Chinese medicine good for chronic bronchitis?

Written by Yuan Qing
Pulmonology
Updated on June 28, 2025
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Chronic bronchitis primarily refers to a cough lasting more than two months per year and recurring for over two years; this condition is called chronic bronchitis. The occurrence of chronic bronchitis is usually related to long-term heavy smoking and exposure to polluted air. Traditional Chinese Medicine (TCM) has shown good effects in treating chronic bronchitis. Many elderly patients with chronic bronchitis, especially those who cannot take Western medicine or are allergic or have side effects, might consider trying Chinese herbal remedies. By taking Chinese medicine internally and using external methods, symptoms of chronic bronchitis can be well controlled. (Please use medication under the guidance of a physician.)

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Written by Wang Xiang Yu
Pulmonology
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How is chronic bronchitis diagnosed?

Chronic bronchitis: how is it diagnosed? First, we need to understand what chronic bronchitis is defined as. It refers to the chronic nonspecific inflammation of the trachea, bronchial mucosa, and surrounding tissues. We emphasize the chronic process, and currently, diagnosis is primarily based on clinical symptoms. This means the patient must exhibit symptoms such as coughing and expectoration, and these symptoms must persist for more than three months for at least two consecutive years. Additionally, it is crucial to exclude other diseases. Any organic disease that presents with symptoms of coughing, expectoration, and wheezing must be ruled out, such as tuberculosis, pneumoconiosis, lung abscess, lung cancer, heart disease, bronchiectasis, bronchial asthma, gastroesophageal reflux, and pulmonary interstitial fibrosis, among others.

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Written by Wang Xiang Yu
Pulmonology
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Chronic bronchitis chest X-ray manifestations

Patients with chronic bronchitis may have completely normal chest X-rays or lung CT scans in the early stages, meaning that if a patient exhibits symptoms of chronic bronchitis, such as coughing and expectorating for more than three months continuously or over two consecutive years, they can still be diagnosed with chronic bronchitis even if their chest X-ray appears normal. Additionally, as chronic bronchitis progresses over time, some patients may develop thickening of the bronchial walls or interstitial inflammation in the small bronchioles and alveoli, etc. These conditions can manifest on chest X-rays as coarse, disordered lung textures in a net-like or strip-like pattern, or as patchy shadows, which are generally more evident in the lower fields of both lungs. Observing these changes on a chest X-ray can assist in diagnosing chronic bronchitis. Furthermore, as the disease progresses, some patients with chronic bronchitis may develop into chronic obstructive pulmonary disease (COPD) or pulmonary heart disease, and corresponding changes might be observable on chest X-rays. Additionally, patients with chronic bronchitis often experience acute exacerbations or concurrent infections, which may lead to patchy exudates visible on the chest wall.

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Written by Wang Xiang Yu
Pulmonology
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Is chronic bronchitis contagious?

Chronic bronchitis refers to some chronic non-specific inflammation of the bronchial mucosa and surrounding tissues. Its main symptoms are coughing and expectoration, so many people are concerned about the contagion from patients with chronic bronchitis. However, chronic bronchitis itself is not a contagious disease and is not considered for acute infectious disease management. This means that most of the time, it is relatively safe to be in contact with patients suffering from chronic bronchitis. Nonetheless, there are some exceptions, such as certain cases where a chronic bronchitis patient might also be afflicted with mycoplasma infections or certain viral infections, such as H1N1 influenza, H3N2 influenza, or other infections like tuberculosis. In such cases, the chronic bronchitis patient may potentially be infectious.

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Written by Wang Xiang Yu
Pulmonology
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Is chronic bronchitis treatable?

Chronic bronchitis exists, but before treating it, we must first have a correct understanding of the disease. Chronic bronchitis is a long-term illness that can have a slow onset and may last for decades, with the possibility of acute exacerbations throughout one's life. Moreover, there is no cure for chronic bronchitis yet. Currently, the treatment for patients with chronic bronchitis mainly depends on the stage of the disease and its symptoms. Most of the time, patients are in the remission phase. The primary treatment during this phase involves addressing risk factors. For instance, patients who smoke must quit smoking, as most patients experience significant relief from cough and phlegm after quitting. Additionally, patients with a history of dust exposure or harmful gas exposure should avoid further contact as much as possible. Furthermore, when the condition is stable, patients may engage in physical exercise to improve their physical condition and prevent colds. A small number of patients may experience respiratory infections and repeated aggravations, in which case, consider using immunomodulators or traditional Chinese medicine as adjunctive therapies. Patients with chronic bronchitis may experience acute exacerbations of their condition, meaning an increase in cough and phlegm, or the appearance of purulent sputum that is difficult to expectorate. In these cases, the main treatment method is still anti-infection therapy. Commonly used anti-infection medications include quinolones, macrolides, and cephalosporins. Some patients may experience frequent and severe cough and phlegm, and have difficulty expectorating the mucus. In such cases, mucolytic and cough suppressant medications are required for symptomatic treatment, commonly using drugs such as ambroxol, bromhexine, and eucalyptus menthol. A few patients may also experience wheezing, known as asthmatic bronchitis, which may require the use of anti-asthmatic medications such as aminophylline and various nebulized medications. (Note: The use of specific medications should be under the guidance of a doctor.)

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Written by Wang Xiang Yu
Pulmonology
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Chronic bronchitis symptoms

Chronic bronchitis is also known as "old chronic bronchitis." From the name, it can be inferred that its cough and expectoration last for a long time and its onset is slow, which can manifest as acute exacerbation. The main symptoms of chronic bronchitis are cough and expectoration, either with or without wheezing. The cough in chronic bronchitis usually occurs in the morning, meaning that the cough is more pronounced upon waking up. The sputum is generally white, sticky, mucoid, or frothy, and may occasionally contain streaks of blood but generally is not associated with coughing up blood. In addition to coughing and expectoration, a small number of patients may experience wheezing or shortness of breath. In cases where the wheezing is more pronounced, it is also referred to as asthmatic bronchitis.