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Guo Xiao Yun
Pulmonology
About me
Graduated from the Clinical Medicine Department of Gannan Medical College in 2004, and has been working in the respiratory department for 15 years. Studied further in the Respiratory Department of Nanda Hospital in Jiangxi Province. Specializes in the diagnosis and treatment of various respiratory diseases, such as chronic bronchitis, chronic obstructive pulmonary disease, bronchiectasis, severe pneumonia, and bronchial asthma. In the past five years, published over ten papers in provincial and national journals, and led the development of "Lavage Fluid Combined with Mechanical Ventilation for the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease and Type II Respiratory Failure." Able to successfully complete teaching tasks at the hospital.
Proficient in diseases
Diagnosis and treatment of various respiratory diseases such as chronic bronchitis, chronic obstructive pulmonary disease, bronchiectasis, severe pneumonia, and bronchial asthma.
Voices
How to differentiate between Wind-Cold Common Cold and Wind-Heat Common Cold
The differences between colds caused by wind-cold and those caused by wind-heat mainly lie in the symptoms. Colds caused by wind-cold are due to the invasion of wind-cold into the body, often as a result of exposure to cold environments. Common symptoms include chills, cold limbs, dizziness, fatigue, and coughing up white phlegm. On the other hand, colds caused by wind-heat occur due to the invasion of wind-heat, which frequently happens in the summer. Clinically, they are characterized by symptoms such as dark urine, coughing up pus-filled phlegm, high fever, headaches, and sore, swollen throat. Whether it is a cold caused by wind-cold or wind-heat, both can lead to related discomfort in the body and need active treatment and management to prevent the condition from worsening.
What are the allergens for allergic cough?
Allergic cough can be triggered by many allergens. For example, during pollen allergy seasons, one may react to pollen, and it is also possible to react to dust mites, dust, animal dander, paint, feed, and foods that may include allergens like seafood, eggs, and milk. Cold air can also trigger reactions in patients with allergic cough. When individuals with allergic cough come into contact with the aforementioned allergens, it may enhance the reactivity of their airways, causing persistent spasmodic contraction. As a result, patients may experience persistent, irritating dry coughs. In such cases, it is advised to promptly remove oneself from exposure to the allergens and take antihistamines orally, such as loratadine. It is also advisable to avoid contact with these allergens routinely to prevent the onset of allergic cough. (Please follow the doctor's prescription when using medications.)
Is a sore throat caused by a cold with wind-cold or a cold with wind-heat?
Sore throat may be caused by a cold due to wind-cold or wind-heat, which are terms used in traditional Chinese medicine. However, from a Western medicine perspective, both wind-cold and wind-heat colds are caused by viral infections, and in rare cases, bacterial infections. When bacteria or viruses invade the respiratory tract's mucous membranes, especially the mucous membranes of the throat, it leads to congestion and swelling of the throat mucosa, increased exudation of inflammatory secretions, resulting in symptoms such as sore throat, throat discomfort, and coughing up phlegm. Therefore, a sore throat could be due to a cold caused by wind-cold or wind-heat. In such cases, it is appropriate to take some anti-cold medications or some Chinese patent medicines to alleviate the symptoms.
What is wind-heat cold?
Wind-heat cold is a term used in traditional Chinese medicine, referring to a type of cold caused by the invasion of heat into the body. Clinically, it mainly presents with symptoms such as coughing, coughing up purulent sputum, thick and abundant sputum that is difficult to expel, as well as high fever with chills. The body temperature can reach above 39°C within a few hours, and there may also be headaches, dizziness, sore limbs, fatigue, and sore, swollen throat. Therefore, patients with wind-heat cold should drink plenty of water and take some heat-clearing and detoxifying Chinese patent medicines orally. For patients with a body temperature higher than 38.5°C, antipyretic medication such as ibuprofen should be taken orally to reduce the temperature back to normal. In daily life, it is important to focus on a light diet and avoid spicy and irritating foods.
What are the differences between a hot cold and a cold cold?
The difference between a hot cold and a cold cold mainly lies in the causes and symptoms. If a cold is mainly caused by the invasion of wind-heat evil into the body, it is clinically characterized by yellow urine, coughing up purulent sputum accompanied by high fever, headache, and sore throat discomfort. On the other hand, a cold cold is primarily caused by the invasion of wind-cold evil into the body, and it is clinically characterized by white, thin sputum, and symptoms such as chills, cold limbs, dizziness, and fatigue. Whether it is a hot cold or a cold cold, from the perspective of Western medicine, most are caused by viral infections. Therefore, taking some anti-cold medication or some traditional Chinese medicines can improve symptoms and shorten the duration of the illness.
Can I drink milk when I have a cold?
During a cold, it is okay to drink milk because milk contains abundant proteins, various trace elements, and minerals that can supplement the body's nutrition, boost the immune system, and facilitate recovery from the cold. However, during a cold, it is advised not to drink cold milk but to drink warm milk instead, as gastrointestinal function is also weakened during a cold. Drinking cold milk might irritate the gastrointestinal tract, leading to symptoms such as abdominal pain, bloating, and diarrhea. Moreover, it is important not to drink excessive amounts of milk during a cold. Drinking a moderate amount of milk is acceptable, as too much milk can increase the burden on the gastrointestinal tract. Besides drinking milk, consuming fresh vegetables and fruits and drinking plenty of warm water can also help speed up recovery from a cold.
The difference between bacterial cold and viral cold
The primary differences between bacterial colds and viral colds are as follows: Firstly, their pathogens are different. Bacterial colds are caused by bacterial infections, such as Streptococcus pneumoniae and Staphylococcus aureus, which can lead to bacterial colds. Viral colds are caused by viral infections, including rhinovirus, adenovirus, and respiratory syncytial virus. Secondly, their clinical symptoms also differ. Bacterial colds may present with high fever, coughing, and purulent sputum. In contrast, viral colds rarely involve a high fever, and typically include symptoms such as sneezing, runny nose, nasal congestion, and coughing up white mucus. Thirdly, their treatment methods differ. Bacterial colds generally require anti-inflammatory medications, while viral colds are often treated with antiviral medications.
What are the symptoms of asthma?
Asthma is a chronic airway disease that clinically manifests as noticeable chest tightness and shortness of breath during acute attacks, especially when exposed to allergens such as cold air, pollen, animal dander, or consuming foods that are likely to cause allergies, such as eggs, milk, and seafood. This leads to high reactivity of the airways, causing spasms, and thus a range of clinical symptoms. In some patients, typical wheezing sounds can also be heard in the lungs. Asthma is a chronic disease that cannot be completely cured. During acute attacks, it is recommended to quickly remove oneself from allergens and actively administer antispasmodic and asthma-relieving medications to significantly improve symptoms of chest tightness and shortness of breath.
What should I do about Mycoplasma pneumonia?
Do not be overly anxious if you develop mycoplasma pneumonia, as it is a common and frequently occurring disease in clinical settings, caused by an acute inflammatory response in the lungs due to mycoplasma infection. You can take oral antimicrobial drugs such as rhubarb-type agents, for example, azithromycin, typically for a course of two to three weeks. Since mycoplasma lacks a cell wall, it is resistant to antimicrobial drugs like cephalosporins and penicillins. If the patient also experiences symptoms of coughing and phlegm, oral antitussive and expectorant medications, such as ambroxol and bromhexine, should be administered. If fever symptoms occur, temperature changes should be managed accordingly. After two to three weeks of aggressive anti-infection treatment, a follow-up lung CT is necessary to check if the lesions have absorbed and improved. (Please follow medical advice regarding medication.)