What are the treatments for oral ulcers?

There are many diseases that cause oral ulcers. In summary, they are closely related to poor diet. If you want to treat them thoroughly, you can start with traditional Chinese medicine, which has a good effect. Oral ulcers are divided into exogenous toxic type oral ulcers, spleen and stomach heat accumulation type, spleen and kidney yang deficiency type, spleen and stomach weakness type, heart and kidney yin deficiency type, etc. Patients can receive symptomatic treatment according to their symptoms.

1. Oral ulcers caused by exogenous toxins

It usually occurs 1 to 2 days after an external infection, 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. Treatment should be aimed at clearing away heat, detoxifying, strengthening the spleen and eliminating dampness. Prescription: 18 grams of honeysuckle, 15 grams of forsythia, 12 grams of patchouli, 10 grams of costusroot, 10 grams of perilla, 12 grams of poria, 12 grams of Shenqu, 10 grams of Citrus aurantium, 15 grams of Pueraria, 10 grams of Atractylodes, 20 grams of magnetite, 10 grams of Inula japonica (wrapped and decocted), decocted in water, 1 dose per day.

2. Spleen and stomach heat accumulation type

Symptoms include erosions and sores in multiple parts of the mouth and tongue, redness and swelling of the sores, burning pain, and even bad breath and swollen and painful gums, accompanied by thirst, frequent drinking, yellow urine and constipation, red tongue with yellow coating, and slippery and rapid pulse. The treatment is to clear away heat and purge fire, and cleanse stomach heat. Prescription: 12 grams of Gardenia, 12 grams of Scutellaria, 12 grams of Forsythia, 10 grams of Rhubarb, 3 grams of Glauber's Salt, 8 grams of Menthus, 10 grams of Coptis, 10 grams of Bamboo Leaf, 8 grams of Licorice. Decoction in water, 1 dose per day.

3. Spleen and Kidney Yang Deficiency Type

Symptoms include ulcers in the mouth and tongue. The ulcers are white in color, not red around the area, small 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 greasy white coating, and a deep and weak pulse. The treatment should be to warm and nourish the spleen and kidneys and guide the fire back to its source. Prescription: 15 grams of prepared aconite root (pre-boil for 30 minutes), 3 grams of cinnamon, 20 grams of cooked rehmannia, 12 grams of cornus, 30 grams of yam, 10 grams of moutan bark, 12 grams of poria, 10 grams of oriental atractylodes, 10 grams of atractylodes, decocted in water and taken, 1 dose per day.

4. Weak spleen and stomach type

Symptoms include recurrent sores in the mouth and tongue, with the sores being pale and sunken, accompanied by fatigue, shortness of breath, loss of appetite, cold limbs, loose stools, pale tongue with white coating, and a thready and weak pulse. Treatment should be aimed at tonifying the middle and replenishing Qi, strengthening the spleen and eliminating dampness. Prescription: 15-30 grams of Astragalus, 15 grams of Codonopsis, 10 grams of Angelica, 10 grams of Tangerine Peel, 6 grams of Bupleurum, 6 grams of Cimicifuga, 15 grams of Patchouli, 10 grams of Poria, 15 grams of Atractylodes, and 6 grams of Licorice. Decoction in water, 1 dose per day.

5. Heart and Kidney Yin Deficiency Type

Symptoms include bright red ulcers, large numbers, different shapes and sizes, pain that is less during the day and more severe at night, accompanied by palpitations, irritability, insomnia, forgetfulness, dizziness, tinnitus, pain in the waist and knees, dry throat and mouth, short and yellow urine, red tongue with thin coating, and a thin and rapid pulse. Treatment should be aimed at nourishing yin, clearing heat, nourishing the heart and calming the mind. Prescription: 30g of raw rehmannia, 15g of rehmannia root bark, 5g of yam, 10g of oriental water plantain, 10g of cornus officinalis, 15g of wild chrysanthemum, 12g of forsythia, 6g of cimicifuga, 3g of amomum, 30g of mistletoe. Decoction in water, 1 dose per day.