The tongue is an important part of our taste of food. If there is something wrong with the tongue, eating will also be a problem. Bubbles and sores on the tongue are common problems. Tongue sores are usually caused by getting inflamed. If the internal heat is too strong and cannot be dissipated, it will cause the oral mucosa to bleed, small red bumps will appear, and then slowly fester. I couldn't touch the wound at all, I couldn't eat, and even moving my mouth was difficult. Treat according to syndrome differentiation 1. Exogenous toxicity (1) Symptoms often occur 1 to 2 days after an external infection and are accompanied by symptoms of an external infection. Initially, the oral mucosa is locally congested, red, swollen, and slightly painful. Small chestnut-like red spots or blisters appear on the tip of the tongue or inside the lips. The blisters burst within 12 hours, appearing as superficial ulcers with clear boundaries. (2) Treatment principles: clearing away heat, detoxifying, strengthening the spleen and eliminating dampness. (3) Prescriptions: honeysuckle, forsythia, patchouli, costusroot, perilla, poria, Shenqu, fructus aurantii, kudzu root, atractylodes, magnetite, inula flower (decoction in a package). Decoction in water, 1 dose per day. 2. Heat accumulation in the spleen and stomach (1) Symptoms: multiple erosions and sores in the mouth and tongue, redness and swelling of the sores, burning pain, or even bad breath, swollen and painful gums, accompanied by thirst, excessive drinking, yellow urine and constipation, red tongue with yellow coating, and slippery and rapid pulse. (2) Treatment principle: clear away heat and purge fire, and cleanse stomach heat. (3) Prescriptions: Gardenia, Scutellaria, Forsythia, Rhubarb, Sodium Sulfate, Barium Sorbate, Coptis Chinensis, Bamboo Leaf, Licorice. Decoction in water, 1 dose per day. 3. Spleen and Kidney Yang Deficiency (1) Symptoms: oral ulcers, which are white in color, not surrounded by redness, are few in number, and do not heal after long-term treatment. They are accompanied by cold limbs, dry mouth, preference for hot drinks, back pain, frequent and clear urination, loose stools, pale tongue with a greasy white coating, and a deep and weak pulse. (2) The treatment principle is to warm and nourish the spleen and kidneys and guide the fire back to its source. (3) Prescription: Prepared aconite root (pre-boil for 30 minutes), cinnamon bark, rehmannia root, cornus officinalis, yam, moutan bark, poria, oriental water plantain, and atractylodes. Decoction in water, 1 dose per day. 4. Weak spleen and stomach (1) Symptoms: Recurrent sores in the mouth and tongue, with pale, sunken sores, accompanied by fatigue, shortness of breath, loss of appetite, cold limbs, loose stools, pale tongue with white coating, and a thready, weak pulse. (2) The treatment principle is to tonify the middle and replenish Qi, strengthen the spleen and eliminate dampness. (3) Prescription: Astragalus, Codonopsis, Chinese Angelica, Tangerine Peel, Bupleurum, Cimicifuga, Patchouli, Poria, Atractylodes, and Licorice. Decoction in water, 1 dose per day. 5. Heart and Kidney Yin Deficiency (1) Symptoms: The ulcers are bright red in color, numerous in number, of varying shapes and sizes. The pain is mild during the day and severe at night, accompanied by palpitations, restlessness, insomnia, forgetfulness, dizziness, tinnitus, soreness in the waist and knees, dry throat and mouth, short and yellow urine, red tongue with thin coating, and a weak and rapid pulse. (2) The treatment principle is to nourish Yin, clear heat, nourish the heart and calm the mind. (3) Prescriptions: Radix Rehmanniae, Radix Dioscoreae, Rhizoma Dioscoreae, Radix Alismatis, Fructus Corni, Flos Chrysanthemi Indici, Fructus Forsythiae, Rhizoma Cimicifugae, Fructus Amomi, and Herba Viscum Alismatis. Decoction in water, 1 dose per day. 6. Blood deficiency and Yin deficiency (1) Symptoms: Oral and tongue ulcers often occur before and after menstruation, accompanied by early and heavy menstruation, fever in the five parts of the body, dry mouth and thirst, pale tongue with a thin white coating, and a weak and thready pulse. (2) The treatment principle is to nourish blood and replenish yin, and to reduce internal heat. (3) Prescription: Chinese angelica, white peony root, raw rehmannia root, bamboo leaf, poria, moutan bark, gardenia, bupleurum, ophiopogon, schisandra chinensis, and scrophularia. Decoction in water, 1 dose per day. 7. Deficiency fire rising (1) Symptoms: Ulcers on the lips, tongue, and cheek mucosa; redness, swelling, pain, difficulty eating, difficulty speaking; red tongue; and a stringy, slippery, and rapid pulse. (2) The treatment principle is to remove impurities and detoxify. (3) Prescription: gallbladder alum. Usage: Apply gallstones to the ulcer surface, do not grind it into powder to prevent overdose. Other treatments 1. Commonly used medicines (1) Vitamin C tablets. (2) Qiju Dihuang Wan is used for patients with recurrent chronic ulcers; (3) Zhibai Dihuang Wan is used for patients with recurrent chronic ulcers; (4) Vitamin E, etc. 2. Prescription (1) Herbal tea: brew honeysuckle and raw licorice with boiling water and drink as tea. (2) Cassia seed and Anemarrhena tea: Brew Cassia seed and Anemarrhena with water and drink as tea. (3) Rose and Licorice Tea: Boil wild rose roots and raw licorice in water and drink as tea, 1 dose per day. (4) Raw Ophiopogon japonicus, Radix Rehmanniae, and Dendrobium candidum are decocted in water and mixed, then taken in three doses, one dose per day for four consecutive doses. (5) Gargle with alum: Add 5 grams of alum to 100 ml of water and gargle for 1 to 2 minutes. (6) Rinse your mouth with strong tea. Rinse your mouth with strong tea regularly to promote the healing of oral ulcers. 3. Diet therapy (1) Lotus seed and radish soup: Boil lotus seeds and white radish together and take it twice a day. Drink the soup and eat the lotus root. (2) Lotus seed tea: Take an appropriate amount of lotus seed core, brew it with boiling water and drink it as tea, 1 dose per day. (3) Mung bean and raw rehmannia drink: Boil the mung beans and raw rehmannia in water, then remove the raw rehmannia. Eat the beans and drink the soup, 1 dose per day. (4) Sand wheat and rush flower porridge: Adenophora Root, Ophiopogon japonicus, rush flower, polished rice and rock sugar in appropriate amounts. It is suitable for symptoms such as recurrent mouth and tongue ulcers, weight loss, dry mouth and throat, restlessness and insomnia. Note: Not suitable for people with loose stools. (5) Bitter melon and rock sugar juice: Wash and remove the seeds of fresh bitter melon, mash it, wrap it in clean gauze, take 50 ml of juice, add appropriate amount of rock sugar and feed it frequently at any time. (6) Mung bean drink: Wash the raw mung beans and 2 to 3 cabbage hearts. Put them in a small pot and cook until they are almost cooked. Add the cabbage hearts and cook for another 20 minutes. Then take the juice and drink it all at once a day. It is more effective if taken in the early stage of the disease. 4. External treatment (1) Apply any one of the following: Qingdai Powder, Xilei Powder, Zhuhuang Powder, or Bingpeng Powder to the affected area 4 to 5 times a day. (2) Roasted ginger, colocynth, and Evodia rutaecarpa. Grind the above medicines into fine powder, mix with water, apply it on the navel and cover it with paper. (3) Grind dried ginger (fried until black) and coptis root into fine powder. Apply the powder to the affected area. The affected area will heal when saliva starts to flow. prevention 1. Pay attention to oral hygiene, avoid damage to the oral mucosa, and avoid spicy food and local irritation. 2. Keep a good mood, be optimistic and cheerful, and avoid emotional fluctuations. 3. Ensure adequate sleep time and avoid excessive fatigue. 4. Pay attention to a regular life and balanced nutrition, develop the habit of regular bowel movements, and prevent constipation. |
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