Bronchitis

Bronchitis is an inflammation of the windpipe and bronchial tubes, the large airways that lead to the lungs. These airways swell and thicken, paralyzing the cilia, the tiny hairs that line the respiratory tract and sweep away dust and germs. Mucus builds up, resulting in a cough.
There are two types of bronchitis: acute and chronic. Acute is marked by a slight fever that lasts for a few days and a cough that goes away after several weeks. In chronic bronchitis, a hacking cough along with discolored phlegm persists for several months and may disappear and recur.

Acute bronchitis frequently follows a cold or the flu, though it can also result from a bacterial infection or exposure to chemical fumes. Chronic bronchitis occurs when the lungs have been irritated for a long time. The primary cause of chronic bronchitis is cigarette smoking. People with long-term exposure to secondhand smoke, workers routinely exposed to chemical fumes, and individuals with chronic allergies are also susceptible.

Supplements and herbs

Supplements can help strengthen your body's immune response and also stimulate its normal process of loosening and bringing up phlegm. The supplements for acute bronchitis should be taken only while you are ill. Those for chronic bronchitis require long-term use.

The following vitamins should be used daily. Vitamin C is particularly helpful in fighting off viruses that attack the respiratory system. Take it coupled with powerful antioxidants called flavonoids (or bioflavonoids), which are natural antivirals and anti-inflammatory. Vitamin A is also important for immune health. In chronic bronchitis, both vitamins assist in the healing of damaged lung tissue.

For an acute attack, drink horehound tea to help thin mucus secretions. Or use the herb slippery elm in place of horehound if you prefer. The amino acid-like substance NAC (N-acetylcysteine) also thins mucus and has been reported to reduce the recurrence rate of bronchitis.

The herbs Echinacea and astragalus have antibacterial, antiviral, and immune-strengthening properties. At the higher doses, they can be used to fight off acute bronchitis. For chronic or seasonal bronchitis, try taking the following herbs in rotation: Echinacea (200 mg twice a day), astragalus (200 mg twice a day), pau d'arco (250 mg twice a day), and 1,500 mg of reishi or 600 mg of maitake mushrooms a day. Use one herb for one week, then switch to another; continue this cycle as long as needed.

Homeopathy

Homeopathic remedies may help relieve discomfort caused by coughing and help the body overcome infection. Serious or prolonged bronchitis requires a physician's attention.

  • Antimonium tar.
    When this remedy is indicated, the person has a feeling of wet mucus in the chest, and breathing can make a bubbly, rattling sound. The cough takes effort and is often not quite strong enough to bring the mucus up, although burping and spitting may be of help. The person may feel drowsy or dizzy, and feel better when lying on the right side or sitting up.
  • Bryonia
    This remedy is often indicated when a cough is dry and very painful. The person feels worse from any movement, and may even need to hold his or her sides or press against the chest to keep it still. The cough can make the stomach hurt, and digestion may be upset. A very dry mouth is common, and the person may be thirsty. A person who wants to be left alone when ill, and not talked to or disturbed, is likely to need Bryonia.
  • Calcarea carbonica
    This remedy is often indicated for bronchitis after a cold. The cough can be troublesome and tickling, worse from lying down or stooping forward, worse from getting cold, and worse at night. Children may have fever, sweaty heads while sleeping, and be very tired. Adults may feel more chilly and have clammy hands and feet, breathing problems when walking up slopes or climbing stairs, and generally poor stamina.
  • Causticum
    Bronchitis with a deep, hard, racking cough can indicate a need for this remedy. The person feels that mucus is stuck in the throat and upper chest, and may cough continually to try to loosen it. A feeling of rawness and soreness can develop, or a sensation as if a rock is stuck inside. Chills can occur along with fever. Exposure to cool air aggravates the cough, but drinking something cold can help. The person may feel worse when days are cold and clear, and better in wet weather.
  • Dulcamara
    When a person easily gets ill after being wet and chilled (or when the weather changes from warm and dry to wet and cool), this remedy may be indicated. The cough can be tickly, hoarse, and loose, and worse from physical exertion. Tendencies toward allergies (to cats or pollen, for example) may increase the person's susceptibility to bronchitis.
  • Hepar sulp.
    The cough that fits this remedy is usually hoarse and rattling, with yellow mucus coming up. The person can be extremely sensitive to cold-even a minor draft or an arm out from under the covers may set off jags of coughing. Cold food or drink can make things worse. A person who needs this remedy feels vulnerable both physically and emotionally, and may act extremely irritable and out of sorts.
  • Kali bich.
    A metallic, brassy, hacking cough that starts with a troublesome tickling in the upper air tubes and brings up strings of sticky yellow mucus can indicate this remedy. A sensation of coldness may be felt inside the chest, and coughing can lead to pain behind the breast bone or extending to the shoulders. Breathing may make a rattling sound when the person sleeps. Problems are typically worse in the early morning, after eating and drinking, and from exposure to open air. The person may feel best just lying in bed and keeping warm.
  • Pulsatilla
    Bronchitis with a feeling of weight in the chest, and a cough with choking and gagging that brings up thick yellow mucus, may respond to this remedy. The cough tends to be dry and tight at night, and loose in the morning. The fever may be worse in the evening and at night. Feeling too warm or being in a stuffy room tends to make the person worse, and open air brings improvement. Thirst is usually low. A person who needs this remedy will often be moody and emotional, wanting much attention and sympathy. (This remedy is often helpful to children who are tearful when not feeling well and want to be held and comforted.)
  • Silicea
    A person who needs this remedy can have bronchitis for weeks at a stretch, or even all winter long. The cough takes effort and may bring up yellow or greenish mucus, or little granules that have an offensive smell. Stitching pains may be felt in the back when the person is coughing. Chills are felt more than heat during fever, and the person is likely to sweat at night. A person who needs this remedy is usually sensitive and nervous, with low stamina, swollen lymph nodes, and poor resistance to infection.
  • Sulphur
    This remedy can be indicated when a person has had many bouts of bronchitis. (Sometimes the resistance has been weakened by taking antibiotics too often for minor complaints.) The cough feels irritating, burning, and painful; yellow or greenish mucus may be produced. Problems can be worse if the person gets too warm in bed, and breathing problems at night may wake the person up. Redness of the eyes and mucous membranes, and foul-smelling breath and perspiration are often seen when a person needs this remedy.

What else you can do

  • Quit smoking-and avoid situations where others smoke.
  • Drink plenty of fluids, such as diluted fruit juices and herbal teas. Dehydration can cause mucus to become thick and difficult to cough up.
  • Eliminate the use of aerosol products (hair sprays, deodorants, and insecticides), which can irritate airway passages.
  • Stay indoors when the air quality is poor if you have chronic bronchitis.

How much to take

Vitamin C / Flavonoids
1,000 mg vitamin C and 500 mg flavonoids 3 times a day.
Reduce vitamin C dose if diarrhea develops.
Vitamin A
25,000 IU a day for 1 month.
Women who are pregnant or considering pregnancy should not exceed 5,000 IU a day.
Horehound
As a tea, 3 or 4 cups a day.
Use 1 or 2 tsp per cup of hot water; add honey to taste.
NAC
500 mg (acute) or 250 mg (chronic) 3 times a day.
Take between meals. For long-term use, add 30 mg zinc and 2 mg copper daily.
Echinacea
200 mg 4 times daily (acute) or twice a day (chronic).
Standardized to contain 3.5% echinacosides.
Astragalus
200 mg 4 times daily (acute) or twice a day (chronic).
Supplying 0.5% glucosides and 70% polysaccharides.

For kids

    See age-appropriate dosages of herbal remedies

  • Make a cough syrup containing slippery elm, licorice, marshmallow root, and osha root. Simmer equal parts of each (40 drops of tincture or 1 tablespoon of whole herb) in 1 quart of water for twenty minutes. If your child is over one year old, you can sweeten the mixture with honey. Give your child 1 teaspoon every hour or two the first day, for a total of 8 teaspoons. Then continue giving your child 1 teaspoon, four to six times a day, until the cough subsides. Each of the herbs in this mixture is soothing to the throat and respiratory tract. If possible, have your child breathe in the vapor while the mixture is cooking.
    Note: Licorice should not be given to a child with high blood pressure.
  • Thyme has a mild antimicrobial action and helps to reduce the spasmodic nature of a cough. Try giving your child one dose, three times a day. This herb has a strong taste, however. If your child finds it impossible to drink, try giving him a bath made with thyme, chamomile, or rosemary.
  • Itsiao Keh Chuan is a Chinese herbal cough medicine. It may be too strong tasting for some children, but it is very effective in resolving a cough. Follow dosage directions on the product label.
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