Dry flank pain

Introduction The dry hypochondriac pain mentioned by Chinese medicine is caused by lesions such as lung sputum and invading the pleura, burning sputum, qi and blood stasis, and collaterals. It is a painful disease mainly characterized by chest pain, dry cough, and pleural friction sound. This disease is equivalent to the dry (cellulosic) pleurisy described by Western medicine. Dry pleurisy is an early manifestation of tuberculous pleurisy, in which pleural congestion, edema, and a small amount of fibrinous exudate on the surface. Acute onset, fever, mild chest pain, increased pain during coughing or breathing.

Cause

Cause:

Because of the lung and other lesions invading the pleura, burning sputum, qi and blood stasis, collaterals are not.

an examination

Related inspection

Mammography X-ray examination chest CT examination

1, often have a history of pulmonary sputum, or blush, night sweats, weight loss, fatigue and other symptoms of rickets, ESR increased.

2, thoracic tingling is the main symptom, mainly located in the anterior aspect of the lower chest, exacerbated by deep breathing or coughing, often accompanied by fever, dry cough and other symptoms.

3, physical examination can be found that the affected side of respiratory movement is limited. Local tenderness and decreased breath sounds, limited pleural friction sounds under the armpits.

4, X-ray examination did not find a significant fluid image in the chest cavity, the respiratory movement of the affected side was restricted, and the diaphragmatic activity was weakened.

Differential diagnosis

Identification:

1. Chest pain is a common clinical symptom. There are many reasons, and the location and severity of chest pain are not necessarily consistent with the location and severity of the lesion. Trauma, inflammation, tumors and certain physical and chemical factors caused by tissue damage stimulate the intercostal nerve, phrenic nerve, spinal nerve root and vagus nerve are distributed in the esophagus, bronchus, lung, pleura, heart and aorta nerve shoots, can cause Chest pain.

2, angina pectoris (angina pectoris) is a clinical syndrome of coronary artery insufficiency, myocardial sharp, temporary ischemia and hypoxia caused by paroxysmal chest pain or chest discomfort. It is characterized by paroxysmal chest compression pain, which can be accompanied by other symptoms. The pain is mainly located in the posterior part of the sternum and can be radiated to the anterior and left upper limbs. It often occurs during labor or emotional excitement. ~5min, can be used once a day, or several times a day, rest or disappear after using nitrate ester preparation. The disease is more common in men, most patients are over 40 years old, tired, emotional, full of food, cold, rainy weather, acute circulatory failure are common causes.

3, side rib pain, chest rib joint pain, tenderness, chest expansion and upper limb activity pain increased. The right rib pain syndrome is more common with young women, and occurs in 2-4 thoracic rib joints. Can be single or multiple. The cause is not very clear, it is related to trauma, so it is common in manual workers and gymnasts.

4, rib pain: the ribs corresponding to the back of the thoracic vertebrae have a slight shift, causing the rib nerve to be stuck or stuck, it will be painful. There is muscle damage at the point of pain that produces a sterile inflammation station that stimulates the rib nerve to cause pain. Pain worsens when coughing, taking a deep breath, or sneezing.

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