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The difference is as follows: Carbuncle is a condition in the lungs that causes carbuncle ulcers and coughs up saliva, which is similar to lung abscess, lung gangrene and other diseases. It is mostly caused by wind and fever and depression in the lungs; Or due to alcohol or craving, fried hot and thick taste, dry heat and lungs.
The changes in the condition are generally divided into three stages, the manifestation period: the main manifestations are chills and fever, sweating, cough, chest pain, pulse floating, etc.; Pus stage: the main manifestations are cough and chest fullness, chest pain, constant cold, pulse slippage and other symptoms; Ulcerative period:
The main manifestations are coughing up pus and blood. It can also be used for other diseases.
Lung cancer is the most common primary malignant tumor of the lung, and the vast majority of lung cancers originate from the bronchial mucosal epithelium, so it is also called bronchial lung cancer. In the past 50 years, the incidence and mortality rate of lung cancer have increased rapidly in all countries in the world, especially in industrialized countries, and lung cancer has ranked first among male patients who die of cancer. More than 40 years ago, the vast majority of patients who underwent surgery for lung diseases in China were pulmonary tuberculosis, followed by bronchiectasis, lung abscess and other lung purulent diseases, and there were few cases of lung cancer.
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Acute attack of pulmonary carbuncle, semi-high fever, chest pain, cough, thick sputum with blood in the sputum. The onset of lung cancer is sluggish and the fever is not high, and there are systemic symptoms such as cough with blood in sputum, mental fatigue, and weight loss, and the symptoms of lung cancer and pulmonary carbuncle are similar. With the help of modern medical examinations, it is not difficult to distinguish.
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Carbuncle refers to a syndrome of fever, cough, chest pain, vomiting of fishy and turbid sputum, and even vomiting of pus and bloody sputum due to heat and poison stasis in the lungs, resulting in sores in the lobes of the lungs, flesh and blood rotting, and the formation of abscesses.
Carbuncle is one of the internal carbuncles and is a relatively common disease in internal medicine. Traditional Chinese medicine has rich experience in this disease, and many effective prescriptions have been created by generations of doctors, many of which have been used in clinical practice for a long time.
Pathogenesis. This disease is caused by feeling the external evil, the internal offense in the lungs, or the phlegm and heat are abundant, and the lungs are steamed, resulting in heat and blood stasis, which is brewed into carbuncles, and the blood and flesh are corrupted and purulent.
1. Feel the external evil.
It is mostly caused by the invasion of the lungs by the mouth, nose or fur of the wind and heat, or because of the wind and cold attacking the lungs, which is not dispersed in time, and the inner connotation is incomprehensible.
2. Phlegm and heat are abundant.
Ordinary people are too addicted to alcohol or eat spicy and scorching thick taste, brewing dampness, steaming phlegm and turning heat, and burning in the lungs; Or the lungs have phlegm and heat, or the phlegm of other organs is turbid and stasis for a long time, and it dries up in the lungs, forming a pulmonary carbuncle. If there is phlegm and heat in the lungs, combined with external wind and heat, and internal and external evil, it is more likely to cause this disease.
If the overwork and the righteous qi are weak, the external guard is not solid, and the external evil is easy to take advantage of the weakness to invade, which is an important internal cause of disease.
3. Ulcerative period.
For phlegm, heat and blood stasis obstruct the lungs, the flesh is rotten and the blood is corrupted and suppurated, the lungs are damaged and injured, the abscess is ulcerated, and a large amount of fishy and foul-smelling purulent sputum or pus and bloody sputum is discharged.
4. Recovery period.
After the abscess ulcers are leaked out, the evil poison is gradually exhausted, and the condition tends to improve, but due to lung damage, it can be seen that the evil goes to the positive and the deficiency, and the yin hurts the process of qi depletion, and then the righteous qi gradually recovers, and the carbuncle and ulcer gradually heals. If the sepsis is not exhausted after the collapse, the evil love is positive and false, and it will be repeated every time, and it will not heal for a long time, and the disease will be mild and sometimes severe, and it will become chronic.
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Carbuncle is a symptom of heat poison stasis in the lungs, blood and flesh decay, and abscess is formed. It is one of the internal carbuncles. Clinically, it is characterized by fever, cough, chest pain, coughing up fishy and turbid sputum, and even pus and blood.
Lung abscess and other diseases such as purulent pneumonia and pulmonary gangrene in Western medicine can be treated according to the syndrome differentiation of this disease.
**Pathogenesis] The occurrence of this disease is based on the deficiency of righteous qi and internal qi, or the abundance of phlegm and heat in the lungs. The disease is located in the lungs, and the pathological nature is mainly the real heat syndrome of evil prosperity. The main pathogenesis is the evil heat, poison and evil depression of the lungs, the evaporation becomes phlegm, the phlegm and heat obstruct the lungs, and the blood stagnation is stasis, and the phlegm heat and stasis heat and blood stasis are intertwined, and the heat and blood stasis form carbuncles.
Diagnosis and Differential Diagnosis].
1 Basis for diagnosis.
1) The onset is very urgent, often sudden chills and high fever, cough and chest pain, coughing up and vomiting a large amount of fishy and turbid sputum, and even pus and blood.
2) Pus, blood, turbid sputum is spit into the water, the sinking one is carbuncle pus, and the floating one is phlegm; Those who eat raw soybeans or raw soybean juice without feeling a fishy smell will have a carbuncle in the lungs. In addition, in chronically ill patients, "purple and curved claws" can be seen, and the finger ends are drumstick-like.
3) Chest X-ray, large areas of dense inflammatory shadows or translucent areas and fluid levels can be seen in the lungs.
4) Bronchoiodine oil angiography, fiber bronchoscopy, etc., are helpful for the diagnosis of pulmonary carbuncles.
2 Key points of identification.
1) Phlegm drinking: Patients with phlegm drinking cough, although they also have cough, cough reversal, and large amount of sputum, are easy to be mixed with pulmonary carbuncles. However, the onset of phlegm cough is relatively slow, although the amount of phlegm is large, each is white foamy, and there is no fishy smell and purulent sputum, nor is it both phlegm and blood.
2) Pulmonary impotence: Pulmonary impotence is a chronic disease with weak lungs as the main lesion. The onset is slow, the course of the disease is long, the patient is weak, mostly secondary to other diseases, and is characterized by fever, coughing and spitting saliva foam.
3) Tuberculosis: Tuberculosis is a chronic consumptive infectious disease of the lungs caused by tuberculosis infection, with cough, hemoptysis, hot flashes, night sweats, and weight loss as the main symptoms, and if necessary, combined with X-ray examination, tuberculin test, etc., the diagnosis can be further defined.
Cough, chest tightness and shortness of breath, coughing up sputum, blood in the sputum, and low-grade fever, this symptom may be a manifestation of lung cancer, and it must be checked in time, so as to avoid delay**.
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