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Coughing

	Other Names
	Cough, Coughs, Dry Cough, Cough and Cold, Common Cold. View products
	A cough is a sudden indrawing of air with the glottis wide open. This is followed by a blowing out of air against a closed glottis. The glottis then suddenly opens and the air in the lungs is expelled under high pressure - up to 300 millimetres of mercury and at a speed of 960 kilometres (600 miles) an hour. Its purpose is to rid the air passages and windpipe of what are colloquially known as foreign bodies, including the excessive mucus and other secretions produced in infections of the lungs and upper air passages, such as bronchitis and sore throats. As such secretions contain many micro-organisms, it is clear what an important part coughing plays in spreading the common cold and other infections of the nose, throat and lungs. It is a reflex action produced by stimulation of nerve endings in the air passages and may therefore be induced by irritation of these nerve endings by inflammation without any secretion. This results in the dry irritable cough which can be such a troublesome feature of the early and late stages of acute bronchitis, tracheitis and laryngitis. Conversely the inability to cough in inflammatory conditions of the lungs, such as bronchitis and broncho-pneumonia, especially in old folk, is an ominous sign, and every effort must be made to stimulate coughing so far as this is possible. Cough is a symptom of many diseases. Most coughs come from simple viral infections, such as the common cold. Sometimes, but not always, mucus is produced with the cough. If the color is green or yellow, it may be a hint of a bacterial infection, although this is not always a reliable indicator. If the color is red, there may be bleeding in the lungs. Any cough that produces blood or blood-stained mucus, as well as any cough that lasts more than two weeks, requires a visit to a medical professional for diagnosis. Conventional treatment options: Conventional treatment for cough is primarily directed at the underlying cause. Symptoms may be treated with cough suppressants (e.g., codeine and dextromethorphan), demulcent syrups or lozenges (e.g., acacia, licorice, and glycerin) to soothe the throat and airway, expectorants (e.g., iodide solutions and guaifenesin) to help expel mucus, and mucolytics (e.g., acetylcysteine) to help thin mucus secretions. Herbs that may be helpful: A number of herbs have a rich history of use for treating coughs due to colds, bronchitis, or other mild conditions. Only a few studies have examined the effectiveness of these herbs. However, their effectiveness is well-known by practitioners of herbal medicine the world over. Among those herbs that have been shown to have some degree of cough-relieving activity are marshmallow,1 sundew,2 and coltsfoot.3 Use of coltsfoot should be limited to preparations of the leaves and flowers only, as the root is high in pyrrolizidine alkaloids, constituents that may be toxic to the liver. Thyme has a long history of use in Europe for the treatment of dry, spasmodic coughs as well as for bronchitis.4 Many constituents in thyme team up to provide its antitussive (preventing and treating a cough), antispasmodic, and expectorant actions. The primary constituents are the volatile oils, which include the phenols thymol and carvacol.5 These are complemented by the actions of flavonoids along with saponins. Thyme, either alone or in combination with herbs such as sundew, continues to be one of the most commonly recommended herbs in Europe for the treatment of dry, spasmodic coughs as well as for whooping cough.6 Because of its apparent safety, it has become a favorite for treating coughs in small children. The active constituents in anise (Pimpinella anisum), particularly the terpenoid anethole, give this plant a delightful flavor. As an antispasmodic, it helps in gently relieving spasmodic coughs.7 The mucilage of slippery elm gives it a soothing effect for coughs. Usnea also contains mucilage, which may be helpful in easing irritating coughs. There is a long tradition of using wild cherry syrups to treat coughs. Other traditional remedies to relieve coughs include bloodroot, catnip, comfrey (the above-ground parts, not the root), horehound, elecampane, mullein, lobelia, ephedra, hyssop, licorice, mallow (Malvia sylvestris),red clover, ivy leaf, pennyroyal (Hedeoma pulegioides, Mentha pulegium), onion (Allium cepa), and plantain (Plantago lanceolata, P. major). None of these has been investigated in human trials, so their true efficacy for relieving coughs is unknown. The early 19th-century Eclectic physicians in the United States (who used herbs as their main medicine) not only employed eucalyptus oil to sterilize instruments and wounds but also recommended a steam inhalation of the oil's vapor to help treat asthma, bronchitis, whooping cough, and emphysema.8 Are there any side effects or interactions? Refer to the individual herb for information about any side effects or interactions. Other integrative approaches that may be helpful: Traditional Chinese Medicine (TCM) may be helpful in the treatment of a cough. Cupping (the use of a glass cup to create suction over a skin surface) is a traditional Chinese therapy, often used for patients to help relieve a cough. An uncontrolled study using cupping to relieve coughs reported a curative response in 35 of 41 patients.9 Other TCM therapies, including acupuncture and herbal medicine, may be helpful in cough-producing ailments such as asthma and bronchitis. References: 1. Nosal'ova G, Strapkova A, Kardosova A, et al. Antitussive action of extracts and polysaccharides of marshmallow (Althea officinalis L, var robusta). Pharmazie 1992;47:224-6 [in German]. 2. Schilcher H. Phytotherapy in Paediatrics. Stuttgart: Medpharm Scientific Publishers, 1997, 38. 3. Wichtl M, Bisset N (eds). Herbal Drugs and Phytopharmaceuticals. Stuttgart: Medpharm Scientific Publishers and Boca Raton, FL: CRC Press, 1994. 4. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs, and Cosmetics. New York: John Wiley and Sons, 1996, 492-5. 5. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. Montvale, NJ: Medical Economics, 1998, 1184-5. 6. Weiss RF. Herbal Medicine. Gothenburg, Sweden: Ab Arcanum and Beaconsfield, UK: Beaconsfield Publishers Ltd, 1988, 208-9. 7. Weiss RF. Herbal Medicine. Gothenberg, Sweden: Ab Arcanum and Beaconsfield,UK: Beaconsfield Publishers Ltd, 1985:203-4. 8. Castleman M. The Healing Herbs. Emmaus, PA: Rodale Press, 1991, 162-3. 9. Liu X. Treatment of cough in children by cupping on back. J Tradit Chin Med 1996;16:125. Source: NOW Foods View products