Ang oral ulcer ay isang karaniwang at madalas na sakit. Dahil sa iba't ibang anyo (acute o chronic), iba't ibang estado (deficiency o excess), iba't ibang sanhi, at iba't ibang accompanying symptoms, ang treatment ay iba-iba. Ang mga pangunahing method ay ang sumusunod:
Isa, Clearing and Draining the Spleen and Stomach Heat: Ginagamit para sa oral ulcers dulot ng accumulated heat sa Spleen at Stomach. Ang heat ay madalas dulot ng improper diet, excessive spicy and dry foods, o fatty, sweet, alcoholic drinks. Ang sintomas ay maraming ulcers sa bibig, red and swollen around the sores, kasama ang intense thirst, cold drinking, dark urine, hard stool, red tongue with yellow coating, and deep or strong pulse. Ang paggamot ay clear and drain the heat from Spleen and Stomach. Gamit ang Xie Huang San (9g each of huoxiang, fangfeng, 30g raw gypsum, 15g gardenia, 6g licorice) plus 9g coptis. Kung walang bowel movement, dagdag 9g rhubarb until defecation occurs, then discontinue. Pagkatapos, gamitin ang Bamboo Leaf Gypsum Decoction (9g each of bamboo leaf, processed pinellia, 24g raw gypsum, 15g each of ginseng, rice, 18g ophiopogon, 6g licorice) para sa maintenance — hindi na mauulit.
Dalawa, Clearing Heart Fire and Guiding Redness: Ginagamit para sa oral ulcers dulot ng heart fire na nai-redirect sa small intestine. Ayon sa TCM, ang heart at small intestine ay interrelated; when heart has fire, it spreads to small intestine. Ang sintomas ay oral ulcers, kasama ang restlessness, irritability, insomnia, thirst, burning urination, painful urination, hematuria, red tongue, and rapid pulse. Ang paggamot ay clear heart fire and guide redness. Ang gamot na ginagamit ko: Dao Chi San (15g raw rehmannia, 9g each of bamboo leaf, woodtongue, 3g licorice) plus 9g coptis, 15g forsythia, 30g white rush root.
Tatlo, Tonifying Qi and Strengthening the Spleen: Ginagamit para sa oral ulcers dulot ng spleen qi deficiency. Ang spleen qi deficiency ay dulot ng improper diet, fatigue, vomiting, o after serious illness. Ang sintomas ay oral ulcers na hindi nanginginig, mild pain, long-lasting, kasama ang low energy, weak limbs, poor appetite, loose stool, pale tongue with thin coating, and weak pulse. Ang paggamot ay tonify qi and strengthen spleen, gamit ang Shen Ling Bai Zhu Wan o Xiang Sha Yang Wei Wan — effective.
Apat, Tonifying Qi and Generating Fluids: Ginagamit para sa oral ulcers dulot ng spleen fluid and qi deficiency. Ang deficiency ay dulot ng warm pathogen na nakakasira sa spleen fluids and qi. Ang sintomas ay oral ulcers kasama ang restlessness, dry mouth, fatigue, no appetite, little thirst, shortness of breath, sweaty, red tongue with little coating, and fine, weak pulse. Ang paggamot ay tonify spleen fluids and qi. Gamit ang Ma Men Dong Tang ni Zhang Zhongjing (18g ma men dong, 9g each of ginseng, pinellia, 12g jujube, 30g rice, 6g licorice) plus 15g dendrobium, 15g sour plum.
Lima, Nourishing Yin and Clearing Fire: Ginagamit para sa oral ulcers dulot ng yin deficiency with fire excess. Ang yin deficiency with fire excess ay dulot ng excessive thinking, emotional stress, o after febrile illness. Ang sintomas ay oral ulcers na umuulit, recurring, long-lasting, kasama ang anxiety, insomnia, dreaminess, red tip of tongue, little or no coating, and fine rapid pulse. Ang paggamot ay nourish yin and clear fire, gamit ang Huang Lian E Jiao Ji Zi Huang Tang (6g coptis, 9g each of scutellaria, gelatin, 15g white peony, 1 egg yolk) with modifications — highly effective. Kung may additional symptoms tulad ng dry throat at worse at night, lower back pain, leg weakness, or premature ejaculation, ito ay kidney deficiency with fire excess. Ang paggamot ay nourish yin and reduce fire, gamit ang Zhi Bai Di Huang Wan.
Anim, Warming and Tonifying Yang Qi: Ginagamit para sa oral ulcers dulot ng yang deficiency. Ang type na ito ay kakaunti sa klinika. Ang sanhi ay mula sa innate yang deficiency, excessive sweating, purging, o after long-term illness. Ako, na may 40+ years experience, ay may 12 cases na natreatment, 6 cured, 4 may significant improvement, 2 ineffective. Ang aking experiential approach: for spleen yang deficiency with cold abdomen, bloating, intermittent pain, loose stool, poor appetite, white coating, and deep weak pulse, gamitin ang Li Zhong Tang (9g ginseng, 12g dried ginger, 12g white atractylodes, 6g fried licorice) plus 9g costus root, 9g sandalwood, 30g malt, 15g hawthorn. For kidney yang deficiency with cold aversion, lower back pain, impotence, spermatorrhea, gamitin ang Jin Kui Shen Qi Wan. For combined spleen-kidney yang deficiency, gamitin ang Si Shen Wan (15g psoralea, 9g each of evodia, myristica, 6g schisandra) plus 6g aconite.
|
