ENT & Eyeyān hóu zhǒng tòng

Sore throat

Also called:throat painpharyngitis
From the TCM perspective: Sore throat: external heat or internal fire

Overview

Sore throat is irritation and pain on swallowing, often with redness and swelling. TCM usually attributes acute cases to external wind-heat or exuberant lung-stomach heat; recurrent ones may be yin-deficiency deficiency fire or dryness.

☯Common patterns (syndrome differentiation)

1

External wind-heat

Key distinguishing signs
Acute pain with mild fever, cough, nasal symptoms and red throat, rapid floating pulse
Treatment principle
Disperse wind-heat and benefit the throat
2

Exuberant lung-stomach heat

Key distinguishing signs
Severe pain and swelling, difficult swallowing, thirst, bad breath, constipation, red tongue with yellow coat
Treatment principle
Clear heat and resolve toxicity, reduce swelling
3

Yin-deficiency deficiency fire

Key distinguishing signs
Mild chronic pain with a dry throat worse at night, weak voice, night sweats, dry red tongue
Treatment principle
Nourish yin and downbear deficiency fire
4

Spleen deficiency with damp accumulation

Key distinguishing signs
Recurrent pain with phlegm, a muffled voice, heaviness, fatigue and poor appetite, pale enlarged tongue
Treatment principle
Strengthen the spleen and transform dampness

Daily self-care

  • Gargle with warm salt water, drink warm fluids and rest the voice.
  • For heat: honey/mint/chamomile, avoid hot and fried food; for dryness: hydrate and humidify.
  • Humidify air and avoid secondhand smoke.

When to seek medical help

The following warning signs require prompt medical evaluation — do not rely on self-treatment:

  • Trouble breathing, swallowing, opening the mouth, or uncontrolled drooling.
  • Uvula/severe swelling with a muffled voice and fever (possible abscess).
  • Pain over a week, or hoarseness over 3 weeks, or a neck lump.

Medical disclaimer: Educational content about traditional Chinese medicine for information only; it is not a diagnosis or treatment and does not replace a qualified clinician. If symptoms worsen or warning signs appear, seek medical care.