Objective: To observe the effect of Xiaoyong Liyan Decoction combined with auricular acupoint therapy on the clinical symptoms and inflammatory reaction of recurrent suppurative tonsillitis in pediatric patients with wind- heat - aggravated lung syndrome.Methods: One hundred and seventy cases of children with recurrent suppurative tonsillitis with wind - heat against the lung syndrome admitted to Puyang Hospital of Traditional Chinese Medicine from January 2022 to June 2024 were selected, and were randomly divided into two groups using the envelope method, with 85 cases in a single group. The control group was given conventional symptomatic treatment with western medicine, and the treatment group was given Xiaoyong Liyan Decoction combined with auricular acupoint therapy on the basis of it, with a continuous intervention of 7 d. Inflammatory factors, the time of improvement of symptoms and signs, the degree of tonsillar enlargement, the Chinese medicine symptom scores as well as the rate of adverse reaction reaction were compared between the two groups.Results: White blood cell count (WBC), C - reactive protein (CRP), tumor necrosis factor - alpha (TNF - α), and interleukin 8 (IL - 8) were lower in both groups after treatment compared with before treatment, and were lower in the treatment group after treatment (P < 0.05). The time for fever reduction, disappearance of sore throat, disappearance of purulent secretions, and swelling of tonsils in the treatment group were shorter than those in the control group (P <0.05). The degree of tonsil enlargement after treatment in both groups was improved compared with that before treatment, and the degree of tonsil enlargement after treatment in the treatment group was lighter (P < 0.05). The primary symptom scores (fever, sore throat, tonsillar enlargement, purulent secretion)and secondary symptom scores (irritating dry cough, obstructive sensation, nausea, thirst) were lower in both groups after treatment compared with those before treatment, and they were lower in the treatment group after treatment (P <0.05). There was no difference in the rate of adverse reaction response between the two groups (4.71% in the control group and 7.06% in the treatment group) (P >0.05).Conclusion: Xiaoyong Liyan Decoction combined with auricular acupoint therapy can reduce inflammatory reaction, improve tonsil enlargement and promote disease recovery in pediatric recurrent suppurative tonsillitis with wind - heat against the lungs.

Xiaoyong Liyan Decoction  /  Auricular acupoint therapy  /  Wind - heat invading the lungs syndrome  /  Pediatric recurrent purulent tonsillitis  /  Inflammatory response  /  Adverse reactions