Laryngitis according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Laryngitis factsheet
Possible causes and remedies:
Symptoms: Difficulty swallowing Stuffiness of chest and diaphragm Feeling of a lump in the throat which comes and goes
Recommended formula: Ban Xia Hou Pu Tang
Symptoms: Insomnia Dry cough Dry mouth and thirteen other symptoms
Recommended formula: Yang Yin Qing Fei Tang and four other formulas
In Chinese Medicine, laryngitis can be associated with three so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here laryngitis can be caused by three different patterns.
To understand whether someone's laryngitis might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from laryngitis alone. For instance when laryngitis is caused by the pattern Qi-Phlegm, patients also experience symptoms such as difficulty swallowing, feeling of a lump in the throat which comes and goes and stuffiness of chest and diaphragm. Similarly, patients with Qi-Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with thick white coating.
We've listed below a description of the three patterns associated with laryngitis so that you can start to get an understanding of the various possibilities according to Chinese Medicine.
Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below two formulas that can help treat the various patterns associated with laryngitis, depending on which pattern fits your profile.
The three "patterns of disharmony" associated with laryngitis
Crow-Dipper Rhizomes (Ban Xia) is the key herb for Ban Xia Hou Pu Tang, a formula used for Qi-Phlegm
Qi-Phlegm
Pulse type(s): Slippery (Hua), Wiry (Xian)
Tongue coating: Thick white coating
Recommended herbal formula: Ban Xia Hou Pu Tang
Symptoms: Difficulty swallowing Stuffiness of chest and diaphragm Feeling of a lump in the throat which comes and goes
Laryngitis might be due to Qi-Phlegm if the condition is paired with typical pattern symptoms such as difficulty swallowing, feeling of a lump in the throat which comes and goes and stuffiness of chest and diaphragm. Similarly, patients with Qi-Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with thick white coating.
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Lung Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Recommended herbal formulas: Yang Yin Qing Fei Tang, Qing Zao Jiu Fei Tang, Bu Fei E Jiao Tang, Jiu Xian San, Mai Men Dong Tang
Symptoms: Insomnia Dry cough Dry mouth Tiredness Thin chest Weak voice Dry throat Malar flush Hoarse voice Night sweats Tickly throat Aversion to speak Hot palms and soles Thin body lacking strength Feeling of heat in the afternoon Low-grade fever in the afternoon
Exterior Heat and Dryness can invade the Lungs and exhausts the Body Fluids. If it is not dealt with for a long time, it leads to Lung Yin Deficiency. Typical manifestations are dry cough, throat and mouth, aversion to speak as well as Hoarse voice.
Other factors can cause this pattern such as the Deficiency of Kidneys or Stomach Yin as well as prolonged Lung Qi Deficiency due to excessive smoking or use of voice.
Empty-Heat symptoms appear if the Lung Yin Deficiency condition is not treated for a while. Patients can feel malar flush, low-grade fever as well as Heat in the palms and chest, especially in the evenings.
Lung Yin Deficiency generally occurs in middle-aged and elderly patients as a result of overwork, irregular diet and smoking. However, it can also occur in a child after whooping cough.
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
Recommended herbal formulas: Mai Men Dong Tang, Yi Wei Tang Shen Ling Bai Zhu San, Mai Men Dong Tang, Yi Wei Tang
Symptoms: Thirst Retching Dry mouth Hiccuping Dry throat Dry stools Constipation Poor appetite Slight thirst Bleeding gums Epigastic pain Epigastric pain No desire to eat Feeling of hunger Feeling of fullness Hot palms and soles Desire to drink in small sips Feeling of heat in the afternoon Slight feeling of fullness after eating
The Stomach is responsible for receiving foods and drinks, ripening them and sending them to the Spleen for further digestion. Therefore, the Stomach is the origin of Body Fluids. It is also an Organ that likes Cold and Dampness which are both Yin characteristics. Stomach Yin Deficiency harms this functions and cause Dryness and Heat. As a result, symptoms such as thirst, dry stools, dry mouth and dry throat appear. It also cause the tongue coating to fall off.
Due to lack of Body Fluids, there is constipation with dry stools. Retching and hiccups may also occur as Stomach's Qi downward function is impaired.
If the Yin Deficiency situation last for a long period of time, it can potentially develop Empty-Heat. It's typical manifestations are often quite mild and appears only in the afternoon or evening, such the mild fever or feeling of heat. The patients experiences thirst or hunger but there is no desire to drink or eat, or they only drink in small sips. They also prefer warm liquids and their appetite is poor.
The two herbal formulas that might help with laryngitis
Mai Men Dong Tang
Source date: 220 AD
Number of ingredients: 6 herbs
Key actions: Nourishes the Stomach. Generates Body Fluids. Directs Rebellious Qi downward.
Why might Mai Men Dong Tang help with laryngitis?
Because it is a formula often recommended to help with the patterns Lung Yin Deficiency and Stomach Yin Deficiency which are sometimes associated with laryngitis. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Ban Xia Hou Pu Tang
Source date: 220 AD
Number of ingredients: 5 herbs
Key actions: Regulates the flow of Qi, treats esophageal spasm. Clears Phlegm.
Why might Ban Xia Hou Pu Tang help with laryngitis?
Because it is a formula often recommended to help treat Qi-Phlegm, a pattern sometimes associated with laryngitis. If it looks like you might suffer from Qi-Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).
