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Yuan Qing
Pulmonology
About me
Yuan Qing, male, associate chief physician, associate professor, medical doctor, Young Member of the Anti-Infection Branch of Beijing Pharmacological Society.
1996.7-2001.7 Shanxi Medical University, Bachelor of Clinical Medicine.
2001.7-2004.7 Master's degree student in the Department of Infectious Diseases, Beijing Friendship Hospital, affiliated to Capital Medical University.
2004.7-2009.7 Resident physician in the Department of Critical Care Medicine, Beijing Friendship Hospital, affiliated to Capital Medical University.
2006.7-2009.7 Doctoral student in the field of infectious diseases and critical care medicine at Capital Medical University.
2009.7-2014.3 Beijing Century Hospital, Department of Respiratory Medicine.
2014.4-present Beijing Century Hospital, Cadre Medical Department.
He has received further training in respiratory critical care at China-Japan Friendship Hospital. Engaged in clinical, teaching, and research work on respiratory infectious diseases, respiratory critical conditions, respiratory endoscopy, Chronic Obstructive Pulmonary Disease (COPD), and asthma. Proficient in respiratory medicine, particularly in theoretical knowledge, new developments, new technologies, and clinical diagnosis and treatment in the mentioned areas. Principal investigator of 1 bureau-level research project and 3 internal projects at the hospital. Co-author of 2 specialized books, with over 20 research papers published at home and abroad, including 5 papers indexed by SCI.
Proficient in diseases
Respiratory system infections, asthma, respiratory failure, various difficult-to-treat diseases, and the diagnosis of thoracic imaging particularly in benign and malignant tumors!
Voices
Can you eat durian when you have a cold?
Wind-heat colds are not recommended for consumption. Traditional Chinese Medicine classifies colds into wind-heat colds and wind-cold colds based on the different external pathogenic factors patients experience. Wind-heat colds are primarily caused by exposure to external heat pathogens. Patients mainly exhibit symptoms including dry mouth, thirst, sweating, and coughing up phlegm, typically presenting with yellow phlegm. Durian is a food that tends to be warming; thus, consuming durian during a wind-heat cold could potentially worsen the condition or prolong the duration of the illness. Therefore, if the patient's symptoms match those described above for wind-heat colds, it is generally not recommended to eat durian. Of course, if the symptoms mentioned above are not present, eating durian is not a problem. Durian is a very nutritious food that can also aid in digestion. It is quite a good fruit.
Symptoms of bronchial asthma cough
Bronchial asthma, commonly referred to as asthma, often results in symptoms such as wheezing, shortness of breath, chest tightness, and coughing in patients. However, these symptoms do not always appear simultaneously in an individual. It's possible for a single symptom to serve as the initial manifestation of bronchial asthma. For example, the condition may present solely as wheezing, chest tightness, or, notably, as coughing, where it is the only symptom. The characteristics of asthma-related coughing primarily include a certain rhythmic pattern, typically worsening during early morning or late night, and it can easily lead to coughing up blood. Additionally, the coughing may begin and end abruptly and can be triggered by exposure to cold air or strange smells, followed by spontaneous improvement after a period. These are distinctive features of bronchial asthma coughing.
Can tuberculous pleurisy cause pericardial effusion?
Tuberculous pleurisy can also cause pericardial effusion. Firstly, tuberculous pleurisy is actually caused by the tubercle bacillus, a type of immune response in the human body that manifests as inflammation in the serous cavity. The serous cavities include various types such as the pleura surrounding the lungs, the pericardium around the heart, and the peritoneum in the abdomen. Therefore, tuberculous inflammation can occur in multiple serous cavities, including the pleura, pericardium, and abdominal cavity. Of course, when diagnosing, one cannot solely rely on the presence of effusion in multiple serous cavities to diagnose tuberculous pleurisy. Instead, it is essential to aspirate the pleural fluid and test certain markers in it, such as adenosine deaminase and lactate dehydrogenase. Most importantly, the presence of acid-fast bacilli in the fluid should be checked. If detected, it can generally be diagnosed as tuberculous.
Symptoms of bronchial asthma cough
Bronchial asthma can also manifest as a disease primarily characterized by coughing, which we call cough-variant asthma. It does not necessarily exhibit typical symptoms of bronchial asthma such as wheezing, shortness of breath, and chest tightness; it manifests solely as coughing. This type of cough generally occurs more frequently in the early morning and at night, characterized primarily by a dry cough without mucus. If the coughing is severe, some chest tightness may occur, accompanied by symptoms such as an itchy nose, itchy throat, or the presence of hives, an allergic condition, which is different from ordinary coughs. Therefore, when these characteristics are present, attention should be paid to whether it is combined with bronchial asthma, rather than just a simple cold or bronchitis manifestation.
What are the medications for asthma?
Asthma, also known as bronchial asthma, is a chronic inflammatory lung disease involving various types of granulocytes. The main symptoms exhibited by patients are wheezing, shortness of breath, chest tightness, and coughing. These symptoms typically occur in the early morning or at night. Currently, the medications used to treat asthma primarily include local inhalants and oral medications. The inhalants generally consist of a combination formulation of long-acting bronchodilators and corticosteroids. Additionally, oral medications may include leukotriene receptor antagonists and histamine receptor antagonists. (The use of these medications should be under the guidance of a doctor.)
Is cold with yellow phlegm caused by a wind-cold cold or a heat cold?
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.
Does bronchiectasis cause nausea?
Bronchiectasis generally does not present with symptoms of nausea. Bronchiectasis primarily occurs when the body is infected with particular pathogenic microorganisms, such as Pseudomonas aeruginosa, atypical mycobacteria, or from childhood infections like measles or whooping cough that damage the cartilage of the trachea, causing the tracheal cartilage to fail in maintaining the normal shape of the trachea. Consequently, the trachea can become dilated due to the pulling by the surrounding lung tissue. Once diagnosed with bronchiectasis, the main symptoms displayed are coughing, coughing up phlegm, and some patients may also experience chest tightness and shortness of breath. Generally, it does not cause nausea. However, severe coughing or a significant amount of difficult-to-expel phlegm can lead to concurrent symptoms of nausea, but these are not directly caused by the disease itself, but rather by its complications. Therefore, appropriate treatment can significantly alleviate these symptoms.
Does mycoplasma infection affect pregnancy?
Mycoplasma is a type of microorganism that sits between bacteria and viruses. It is slightly smaller than bacteria but much larger than viruses. It can pass through bacteriological filters and can be cultured on specific media. Mycoplasma typically infects our respiratory tract as well as our urinary and reproductive systems, causing infections in these areas. However, mycoplasma does not enter the bloodstream and generally does not transmit to infants or young children through blood or the placenta, hence it usually does not affect pregnancy. Yet, if medications against mycoplasma are taken during an infection, there might be some effects on pregnancy. It is essential to consult a doctor or pharmacist to decide whether to use medication or not.
Bronchial asthma X-ray manifestations
Bronchial asthma is primarily caused by inflammation in the airways due to various inflammatory cells, leading to the narrowing and spasm of the bronchi. This impedes the effective expulsion of gases from the lungs through the bronchi, resulting in a disease characterized by symptoms such as wheezing, shortness of breath, chest tightness, and coughing. In patients with bronchial asthma, because of a large amount of gas remaining in the lungs, X-ray manifestations primarily include sparse lung markings, increased translucency, as well as some signs of widened intercostal spaces and lowered diaphragm. Generally, these signs are not specific and cannot be solely relied upon to diagnose or exclude bronchial asthma. It is also necessary to consider the patient's medical history and lung function tests for a comprehensive assessment.
Can people with respiratory failure exercise?
Whether people with respiratory failure can exercise depends mainly on whether the respiratory failure occurred acutely or chronically. Generally, it is usually advised against exercising during acute respiratory failure, such as severe pulmonary inflammation, drowning, or failure of the nervous system functions. Exercise during this time can worsen the body's oxygen deficit and increase oxygen consumption, potentially exacerbating the symptoms of the disease. However, for chronic respiratory failure, such as chronic obstructive pulmonary disease (COPD) or chronic pulmonary interstitial fibrosis, patients have long been enduring hypoxia or hypercapnia. These individuals can engage in appropriate respiratory rehabilitation exercises, such as respiratory rehabilitation gymnastics and some traditional Chinese medicine practices, which can greatly aid in the recovery from the disease, particularly respiratory failure. The decision primarily depends on the patient’s specific condition and their physical tolerance.