Is Loquat Syrup or Ryukakusan Suitable for Cough with Phlegm? - Traditional Chinese Medicine

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Is it suitable to take loquat syrup or Ryukakusan for a cough with phlegm due to a cold?


Hello Dr.
Chang: Regarding the cough caused by a viral infection with yellow phlegm, is this what Traditional Chinese Medicine refers to as a "heat cough"? I usually do not have a cough, but due to a bacterial infection, I am experiencing a productive cough with thick phlegm.
Is it appropriate to use over-the-counter products such as loquat syrup or Ryukakusan in this situation? Thank you for taking the time to respond, I appreciate it.

Mr. Chen, 40~49 year old female. Ask Date: 2024/03/19

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello Mr.
Chen: Regarding over-the-counter medications, it is not appropriate to answer online as it can lead to misunderstandings or imply endorsement of products, so I cannot respond here.
I apologize for that! It would be more suitable to consult with your attending traditional Chinese medicine physician.
Dr.
Chang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital.

Reply Date: 2024/03/19

More Info


When dealing with a cough accompanied by phlegm, especially when it is associated with a viral infection, it is important to understand the nature of the cough and the characteristics of the phlegm. In traditional Chinese medicine (TCM), a cough with yellow phlegm is often categorized as a "heat cough," which indicates that there is an excess of heat in the body, typically due to an infection or inflammation. This can manifest as a productive cough with thick, yellowish phlegm, which may be a sign of a bacterial infection or a more severe viral infection.

Loquat syrup (枇杷膏) and Ryukakusan (龍角散) are both popular remedies used in TCM and can be beneficial for coughs. Loquat syrup is known for its soothing properties and is often used to relieve coughs and throat irritation. It contains ingredients that can help to moisten the lungs and reduce phlegm, making it suitable for a cough with phlegm, especially if the phlegm is thick and difficult to expel. The syrup can also help to alleviate throat discomfort, which is often associated with coughing.

On the other hand, Ryukakusan is a traditional Japanese herbal remedy that is also effective for coughs. It is composed of various herbs that work together to suppress coughs, clear phlegm, and soothe the throat. Ryukakusan is particularly useful for dry coughs or coughs that are accompanied by a tickling sensation in the throat. However, it can also be effective for productive coughs, as it helps to break down phlegm and make it easier to expel.

Given your situation, where you are experiencing a cough with yellow phlegm due to a bacterial infection, both Loquat syrup and Ryukakusan could be appropriate choices. However, it is essential to consider the underlying cause of your symptoms. If the cough is primarily due to a bacterial infection, it may be necessary to consult a healthcare professional for appropriate antibiotic treatment, as herbal remedies alone may not be sufficient to address the infection.

In addition to using these remedies, it is crucial to stay hydrated, as fluids can help thin the mucus and make it easier to expel. Warm teas, broths, and plenty of water can be beneficial. Additionally, using a humidifier in your living space can help keep the air moist, which may ease coughing and throat irritation.

If your symptoms persist or worsen, or if you experience additional symptoms such as fever, shortness of breath, or chest pain, it is important to seek medical attention. Persistent coughs can sometimes indicate more serious conditions, and a healthcare provider can perform the necessary evaluations to determine the best course of action.

In summary, both Loquat syrup and Ryukakusan can be suitable for a cough with phlegm, particularly if you are experiencing symptoms associated with a viral or bacterial infection. However, it is essential to monitor your symptoms and consult a healthcare professional if necessary to ensure that you receive the appropriate treatment for your condition.

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