CCTV1 — -2026-228
20260821 003500 UTC
147 transcript segments
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[00:01:25] What are the symptoms of rhinitis and how can they be detected in time?
[00:01:30] What factors in life may cause rhinitis? Once
[00:01:33] rhinitis is diagnosed, how should we respond scientifically ? In today's program
[00:01:37] , Liu Zheng , Party Committee Secretary of Zhongnan Hospital of Wuhan University and Chief Physician of Otorhinolaryngology and Head and Neck Surgery
[00:01:41] , will provide comprehensive health care for you
[00:01:45] . Please pay attention to this issue of Life Circle
[00:01:48] .
[00:01:52] A Chinese memory .
[00:01:55] Preferred member
[00:01:59] .
[00:04:16] day . Hello, audience friends
[00:04:20] . Welcome to today's Life Circle . Classic Chinese
[00:04:24] Thirteen Spices, this program is exclusively sponsored by China's time-honored brand, Wangshouyi Thirteen Spices .
[00:04:28] Every time it changes seasons
[00:05:13] . Party Secretary Er Biyan Hou Tou Jing Department of Surgery Chief Physician Liu Zheng. Let's talk about the topic of nasal health
[00:05:17] together . Hello, Dr. Liu
[00:05:21] .
[00:05:24] Welcome to the Life Circle
[00:05:25] .
[00:05:29] It seems that some friends around me have this problem. Of course,
[00:05:33] everyone is most concerned about. Please tell us about this disease. What is its current
[00:05:37] incidence in our country ? Are there really a lot of people getting sick? Yes
[00:05:41] . Many people feel that there are always friends around them
[00:05:45] with stuffy noses . According to the current
[00:05:49] epidemiological survey in our country , there are over 100 million chronic rhinitis
[00:05:52] patients in our country. So you feel that there are always some colleagues
[00:05:56] and friends around us with stuffy noses . That's really
[00:06:00] true.
[00:06:05] But not everyone goes to the hospital to see a doctor and diagnose
[00:06:09] themselves with this problem . Yes, although
[00:06:13] we have such a large population, most people
[00:06:17] regard rhinitis as a minor illness . They think it's just a stuffy nose
[00:06:20] , runny nose, sneezing, and it will pass . So few patients
[00:06:24] seek help from doctors in the early stage of the disease
[00:06:28] . This leads to many patients developing chronic rhinitis
[00:06:32] , or even nasal polyps growing in the nasal cavity, which seriously affects the quality of life, and then they will seek help from doctors
[00:06:35] . So it seems that rhinitis is indeed a disease that everyone should pay attention to
[00:06:39] . So where exactly are these sinuses located on our
[00:06:43] face, and how do they develop? Today, we see Dr. Liu
[00:06:47] also brought a prop . Can you explain it to us in combination with this
[00:06:50] half-face prop? You can see that this is a
[00:06:54] prop of a facial bone. This is our external
[00:06:58] nose, and this is our eyes. If we look at it from the side
[00:07:01] , this is our nasal cavity. The sinuses
[00:07:05] are some hollow cavities around the bone of the nasal cavity
[00:07:09] . From this model, we can clearly see
[00:08:50] . So we talked about the number of sinuses, the location of sinuses, and the unique functions of sinuses. So how does rhinitis come about? Regarding rhinitis , everyone, look, our nasal
[00:08:54] cavity, as everyone knows, our nasal discharge usually comes out of the nasal cavity, so generally
[00:08:58] nasal discharge flows out of the nasal cavity . So why does rhinitis occur
[00:09:02] ? Everyone sees this is the frontal sinus
[00:09:04] .
[00:09:10] The secretions of the frontal sinus
[00:09:42] lead to the ineffective clearance of these secretions
[00:09:46] , followed by severe accumulation , and then the occurrence of disease. Understood
[00:09:50] . So we say that flowing water does not stagnate. If its passage is
[00:09:54] unobstructed, right? Normal sound and air can enter, and secretions can also
[00:09:57] come out, then there will be no problem. But once it is blocked, it becomes stagnant water
[00:10:01] .
[00:10:08] Understood. So, as you just said, all four of them may produce this kind of problem
[00:10:26] . The most important symptoms are stuffiness, and then various types of thick nasal discharge, and then difficulty breathing, etc.
[00:10:30] So everyone often treats it as a cold , with similar symptoms
[00:10:34] , a small problem that can be overcome by enduring it . But it's really not like that
[00:10:38] . Because if rhinitis continues to develop, a series of more serious conditions may occur
[00:10:42] , affecting other organs or systems of our head and face. Let's look at the big screen
[00:10:45] . What parts of us will be affected ? We invite Dr. Lin to give us a detailed analysis
[00:10:49] . Because our nasal sinus, as we just talked about its anatomy
[00:10:53] .
[00:11:55] So, the more serious impact.
[00:11:59] In the process of treating patients, I once encountered a middle-aged woman who experienced a decline in her vision and had been seeing an ophthalmologist for a long time. However, it was later discovered that she had a specific infection of the nose that had spread to her eye socket and nerves. So, after we
[00:14:25] The air will go from the nasal cavity to the middle ear. The outer
[00:14:28] door of the middle ear is our eardrum .
[00:14:32] That is our ear canal
[00:14:33] .
[00:14:37] So from the middle ear, air also comes through the Eustachian tube , which maintains the pressure balance
[00:14:41] of our eardrum . Yes
[00:15:29] . Classic Chinese spice, authentic Thirteen Spices. This column is sponsored by the time-honored brand
[00:15:32] , Wang Shouyi Thirteen Spices . As we just said
[00:15:36] .
[00:25:50] It can still help us distinguish these three types of diseases and choose
[00:25:54] the correct treatment method. Understood
[00:25:55] .
[00:26:01] Classic Chinese Spice. Authentic Thirteen Spices. This program is sponsored by the time-honored brand
[00:26:05] , Wangshouyi 13 Spices , exclusively
[00:26:09] . Now let's talk about it again. Many rhinitis patients will have such a question. Why do I
[00:26:12] get rhinitis, especially those with acute rhinitis
[00:26:15] . Similarly, let's look at the big screen again, and let's analyze
[00:26:19] what are the causes . Hmm, infection, allergy
[00:26:23] , structural abnormalities, and environmental factors. Dr. Liu, please explain
[00:26:27] them to us one by one
[00:26:27] .
[00:29:02] But there are some other anatomical structural abnormalities of the sinuses
[00:29:06] , which can also lead to, for example, after a cold , our nasal mucosa will swell
[00:29:10] . Due to your structural abnormalities, the swelling of your nasal mucosa is not easy to subside
[00:29:14] , so you are more prone to prolonged conditions than others. In addition
[00:29:18] , another thing is our overall body. Our basic
[00:29:21] immunity is very important . Yes
[00:29:25] , so we say that if your work pressure is too high, you are over-fatigued, lacking physical
[00:29:29] exercise, and your diet is not very balanced
[00:30:36] . This is very normal logic. Because we just talked about acute rhinitis
[00:30:40] . In the early stages, for example, a cold can cause acute
[00:30:44] rhinitis, which is actually a viral infection. At this time, it is obviously not
[00:30:47] suitable to use antibiotics. Because we know that most viral infections are self-limiting
[00:30:51] . By increasing our resistance, it can improve
[00:30:55] . There is no need to use antibiotics, because at this time bacteria have not yet arrived. So
[00:30:59] after chronic rhinitis , in many cases
[00:31:52] , blindly using antibiotics is definitely not scientific. Let's talk about blowing your nose hard
[00:31:56] . Because you just said that the most important symptom is nasal discharge
[00:32:00] , and it's thick nasal discharge. You can't let it flow down by itself, right
[00:32:03] ?
[00:32:09] You can't blow it clean
[00:32:10] .
[00:33:45] The method of sniffing backwards .
[00:33:49] That's also fine . Try to avoid
[00:33:52] pressing both nostrils together. So the correct method and technique are what everyone should master
[00:33:56] . You just mentioned that the secretions in our other sinuses can also be brought
[00:34:00] down by blowing our nose ? Or can we only wait for them to slowly
[00:34:04] flow into our nasal cavity, and then through blowing our nose, discharge them
[00:34:08] ? So the secretions inside the sinuses usually, as we said, this nasal spray
[00:34:11] , or using saline to rinse helps us. To assist. Because for the secretions in the sinuses
[00:34:15] to flow out, first, the swelling of its sinus opening
[00:34:19] must subside . So at this time
[00:34:23] , in many cases, if it's natural, its passage must be blocked. Maybe we need
[00:34:27] to use a nasal spray to make the swelling
[00:34:31] , whether it's the contraction of the nasal mucosa or the subsidence of inflammation caused by hormones,
[00:34:34] rebuild this drainage . Then after the sinus secretions flow
[00:34:38] out, then its color can subside. What we
[00:34:42] talked about, like saline nasal irrigation, is actually this effect. For example, what you just mentioned
[00:36:15] . Yes, so in clinical practice , we will encounter one thing, which is the use of this simple
[00:36:19] decongestant. Most people should explain it clearly, that is to say
[00:36:23] , the general use time should not exceed 5 to 7 days, but many
[00:36:27] of our, about the same. So a bottle like this can hold up to 500 milliliters. So 25 to 500 is fine. Generally, we recommend that patients lower their heads slightly, and then insert the nozzle into our nose. But this head is relatively large, so you won't insert it too deeply. Generally, it's enough to put it at the front of the nose. Don't insert it too deeply, or we will feel uncomfortable. Usually, we just pinch it and wash it. Because we just talked about the nose, its entire position in our nasal cavity is not a uniform position, so
[00:40:28] So the body's absorption is relatively high . So in this case
[00:40:31] , we certainly cannot use technology blindly. It must be under the guidance of a doctor
[00:40:35] . Usually, it is short-term use. Long-term
[00:40:39] use will bring some side effects. But we
[00:40:43] don't need to worry about the technology of treating rhinitis
[00:40:47] . Because we use nasal spray . After the nasal spray is sprayed into the nasal cavity
[00:40:50] , it mainly acts locally on our nasal mucosa
[00:40:54] . The concentration that is actually absorbed into our blood is
[00:40:59] very, very low. In fact, there are studies that report that if you have a patient who has been spraying for a long time
[00:41:03] with hormones, and then you draw some blood to check if there are
[00:41:06] any hormone components, basically it is undetectable . So we
[00:41:10] don't need to worry about this . Generally, under the guidance of a doctor,
[00:41:14] it is not a problem. From the perspective of our doctors , we have many
[00:41:18] such, for example, we have treatment guidelines for rhinitis
[00:41:22] . Whether in our country or
[00:41:25] abroad, it is