In life, if you say that someone has never been tortured by oral ulcers, then he is very lucky. The probability of a person suffering from oral ulcers in his life is almost 100%, and once you have oral ulcers, eating and drinking are unbearable. If the location of the ulcer is too special, even opening the mouth will hurt. Many people think that oral ulcers are caused by getting angry or lacking vitamins, but this is not necessarily the case. Some oral ulcers may be caused by a variety of oral mucosal diseases, such as recurrent oral ulcers, Behcet's disease, etc. If not treated actively, they are prone to recurrence and prolonged illness, and may even be life-threatening. Now that summer is turning into autumn and the weather is hot, it is the season when various oral mucosal diseases are most prevalent. In the face of these annoying oral problems, what good methods can be used to treat and relieve them? Today we have invited Associate Chief Physician Chen Youqiong, a famous dental expert who has been focusing on oral disease research for more than 40 years. Her original "Yin and Yang Dual Adjustment, Balanced Immunity" therapy cleverly combines traditional Chinese medicine and modern medical technology, flexibly applies ancient prescriptions and methods, accurately diagnoses and differentiates diseases, and treats the symptoms and root causes, helping many patients with oral diseases recover their health. 【Expert information】 ▼ He has been practicing medicine for more than 40 years and has been engaged in the clinical treatment research of oral mucosal diseases and difficult and complicated diseases. He adopts the "Trinity Five-Dimensional Balance Therapy" to combine the essence of traditional Chinese medicine with modern medical technology. It is unique, with remarkable curative effect, and is widely welcomed and accepted by patients. 【Good at treatment】 ▼ He specializes in treating oral ulcers, lichen planus, Behcet's disease, cheilitis, Sjögren's syndrome, oral leukoplakia, burning mouth syndrome, angular cheilitis, glossitis, pharyngitis, tonsillitis, stomatitis, oral mucositis, gingivitis, dry mouth, halitosis, bad breath, and various diseases caused by spleen and stomach disorders. 1 Recurrent oral ulcers Don't take it lightly Oral ulcers are more frightening than the unbearable pain, but they recur and develop into recurrent oral ulcers, which can be quite harmful. 1Recurrent oral ulcers are very harmful Recurrent oral ulcers can cause neurological dysfunction and produce tingling and burning sensations; they may also cause symptoms such as headaches, stomach discomfort (bloating, abdominal pain, nausea, acid reflux), and dry stools. Recurrent oral ulcers may also be an early manifestation of Behcet's disease, which can damage multiple organs in the body when it occurs, such as the eyes, cardiovascular system, digestive system, nervous system, urinary system, kidneys, epididymis, etc. Severe cases may lead to blindness, arterial embolism, aneurysm, varicose veins, venous thrombosis, etc., and even endanger life. 2Ulcers in different locations have different causes The location of recurrent oral ulcers is not fixed, it may be in the periodontium, it may also be around the tongue, etc. According to traditional Chinese medicine, oral ulcers in different locations are manifestations of fire in different internal organs, such as: ◎ Stomach fire: Oral ulcers may occur on the cheeks, lips, and periodontal tissues, and are usually single, with no more than 5 ulcers at most; ◎ Kidney fire: Oral ulcers often occur all over the mouth, such as at the back of the tongue and in the back seam. They are small and numerous. ◎Heart and lung fire: Oral ulcers often occur around the tongue and on the tip of the tongue, and are small and deep; ◎ Liver fire: Oral ulcers often occur on the sides of the tongue, are usually single, and smaller than ulcers caused by stomach fire. 3. Strengthen the body and eliminate evil to treat recurrent oral ulcers The central idea of experts in treating recurrent oral ulcers is to "strengthen the body's resistance and eliminate evil", and they often use "Qingkui Decoction", which includes herbs such as Astragalus, Licorice, Codonopsis, Atractylodes, Angelica, Cimicifuga, Atractylodes, and Bletilla. However, due to different syndrome types, we still need to differentiate and prescribe medicine based on this, for example: for stomach fire, use Coptis chinensis, for lung fire, use Scutellaria baicalensis… Real Case 1 The patient started to suffer from oral ulcers frequently in 2010. At first, he did not take it seriously, thinking that it was caused by internal heat and that it would get better with some medicine. This lasted for about four or five years, and then it became more and more serious, and even the whole mouth was covered with ulcers. I started seeing a doctor at the local dentistry department in 2018 and was diagnosed with recurrent oral ulcers. I took medicine for a long time but it didn't work. In 2019, I went to the hospital for examination and treatment. I used a lot of Chinese and Western medicines and persisted for a year, but there was not much effect. I only started to see Dr. Chen this year. I have been taking medicine for 2 and a half months now. I still had sporadic ulcers after taking medicine for 1 month, but they healed quickly. Then they gradually stopped coming back, and now I am completely fine. 2. Burning mouth syndrome Different syndromes require different treatments Burning mouth syndrome is also a common oral disease. Patients often feel burning, numbness, or heat on their tongues. Some patients even want to stick their tongues out to enjoy the cool breeze. However, from the perspective of traditional Chinese medicine, it is mainly related to the disharmony between the heart and kidneys and the stagnation of liver qi, and requires treatment based on syndrome differentiation. 1. Heart-kidney disharmony type: clearing the heart and tonifying the kidney, guiding fire downward Patients often feel irritable, sweat, and have a burning sensation on the tongue as if scalded by boiling water. They also have symptoms such as clear and long urine, loose stools, and cold hands and feet. For the heart-kidney disharmony type, the main treatment method is "clearing the heart and tonifying the kidney, and guiding the fire downward". Shuxin Yishen Decoction can be used for conditioning. The main medicinal materials are lily, cassia flower, rose, white peony, bamboo leaf, lotus seed core, coptis root, and alpinia oxyphylla. 2 Liver Qi Stagnation Type: Soothe the liver and relieve depression, clear the heart and relieve restlessness Patients often have symptoms of tongue numbness, blandness, abnormal taste or sensation, and are accompanied by depression, frequent complaints, sighing, sadness and crying. For liver qi stagnation, experts often adopt the treatment method of "soothing the liver and relieving depression, soothing the mind and eliminating restlessness". You can take Tiaoxin Jieyu Decoction, the main herbs used are bupleurum, gardenia, white peony, tangerine peel, lily, and julibrissin. What are the specific effects of each medicinal material and how should it be used? Please pay attention to the micro-live broadcast at 19:00 tonight, where experts will explain in detail with case studies. 3 Lichen planus may become cancerous These people should be careful Many people are unfamiliar with lichen planus, an oral mucosal disease caused by fungal infection. It is not self-limiting and will become more and more serious if not treated in time. 1 The course of lichen planus The characteristic of lichen planus is actually its disease process. In the early stage, it is painless and itchy, and it is difficult to attract attention; in the middle stage, redness, swelling, and astringency begin to appear; in the late stage, ulceration and erosion will occur, and finally it will form a cauliflower-like appearance, and there is a possibility of cancer. How to distinguish between lichen planus and oral leukoplakia? ◎Lichen planus: It is generally white and appears in the form of a net, ring or strip. ◎ Oral leukoplakia: It appears as gray or milky white patches, slightly higher than the oral mucosa. Generally, there are no subjective symptoms. In severe cases, there may be symptoms such as roughness, loss of taste, and local hardening. When ulcerated, spontaneous pain and irritation pain may occur. 2Who is susceptible to lichen planus? From the perspective of the population, some people who are fat, have heavy moisture in their bodies, have poor metabolic function, and suffer from the three highs are prone to lichen planus. Geographically speaking, the climate in the south is humid, and friends living in the south are slightly more likely to suffer from lichen planus. 3. Clarify the syndrome and treat lichen planus symptomatically Lichen planus is mainly divided into 2 syndromes: phlegm-dampness obstruction and liver-spleen damp-heat. ◎ Phlegm-dampness blockage: This type of patients are often obese or have heavy moisture in their bodies, with thick and greasy tongue coating. Treatment requires removing dampness and resolving phlegm, which can be solved with the Dehumidifying and Moisture-Removing Decoction, which includes herbs such as Dictamni, White Peony Root, Gynostemma Pentaphyllum, Ox Horn Silk, Poria, and White Lentil. ◎ Damp-heat in the liver and spleen: This type of patients often have a yellow, thick, rough tongue coating and a red tongue. Treatment requires removing dampness and heat, which can be solved with Qingre Huazhen Decoction, which includes honeysuckle, forsythia, red peony root, coptis root, dandelion, and tribulus. 4 What to do if you have cheilitis or glossitis? Experts have tips In addition, cheilitis and glossitis also make many people suffer. Their lips are dry and flaky, and their tongues are congested, swollen, and painful. It is a luxury to have a good meal. Experts also have ways to deal with these two oral problems. 1. Cheilitis: Qufeng Runbing Decoction is mainly used to treat cheilitis, including herbs such as Saposhnikovia divaricata, Forsythia suspensa, Taraxacum mongolicum, Tribulus terrestris, Isatis indigotica, and Periostracum cicada. 2 Glossitis: Syndrome differentiation and medication. Glossitis can be divided into deficiency syndrome and excess syndrome. Deficiency syndrome includes geographic tongue and fissured tongue; excess syndrome includes strawberry tongue and bayberry tongue. ① Deficiency syndrome Among deficiency syndromes, fissured tongue is very common, and it also has different syndrome types, which require syndrome differentiation and treatment. ◎ Liver and kidney yin deficiency: patients often have no tongue coating, red tongue, and regular cracks (in the shape of herringbone, stripes or grooves). You can use Yin nourishing and liver clearing soup, which includes Cornus officinalis, Schisandra chinensis, Ligustrum lucidum, Bupleurum chinense, Cistanche deserticola and other medicinal materials. ◎ Spleen and Kidney Yang Deficiency: The patient's tongue coating is white, the tongue is pink and tender, and the cracks are irregular (like knife cuts). You can use Jianpi Buyang Decoction, which includes herbs such as ginseng, Atractylodes macrocephala, Astragalus, Bletilla striata, and Schisandra chinensis. ②Evidence: Wuwei Drink For evidence of glossitis, it needs to be solved by nourishing yin and reducing fire. Wuwei Drink is often used, including five medicinal materials: honeysuckle, forsythia, pollen, black plum, and Viola yedoensis, and then added or subtracted according to the patient's specific situation. Real Case 2 The patient began to experience numbness and hotness in the tongue three years ago. The symptoms were not very obvious, and were mainly more obvious at night. He went to several tertiary hospitals and was diagnosed with burning mouth syndrome. The treatment was to supplement some vitamins and painkillers, as well as several courses of traditional Chinese medicine, but it did not achieve the expected effect. In July this year, I started seeing Dr. Chen through the recommendation of a friend. After taking Chinese medicine for a month, my symptoms were significantly alleviated. Now is the second month of consolidation treatment, and the symptoms have completely disappeared. Source: I am a great doctor official account |
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