Ang recurrent aphthous ulcers, kilala rin bilang aphthous stomatitis, ay isang kondisyon kung saan ang oral mucosa ay may maliit na mapait na ulser, na nag-uulit. Ang sakit na ito ay madalas nauugnay sa mental stress, hormonal imbalance, nutritional deficiency, infection, genetics, abnormal immune function, at digestive system diseases. Ayon sa Tsinino, ang pangunahing sanhi ay ang heat toxin mula sa labas; ang loob ay dahil sa emotional injury, improper diet, at overwork. Ang sakit na ito ay madalas nararanasan ng adult women, ang mga ulser ay madalas nakapag-isa sa mga lugar na madalas gumagalaw, at napakalala ang sakit na nagpapahihirap sa pagkain at tulog. Sa aming klinika, madalas namin itinuturing ang mga kasong ito sa anim na uri.
Ang aphthous ulcer na dulot ng external toxic invasion ay karaniwan sa 1–2 araw pagkatapos ng external infection, kasama ang mga sintomas ng external infection. Una, ang lokal na pagbubuntis ng oral mucosa, redness, swelling, slight pain, may small red dots or vesicles sa tip ng dila o inner lip, lumalabas sa loob ng 12 hours, ang vesicle ay nabubura, bumubuo ng shallow ulcer, malinaw na boundary. Ang paggamot ay dapat "clear heat and detoxify, strengthen spleen and resolve dampness." Reseta: silver flower 18g, honeysuckle 15g, patchouli 12g, costus root 10g, fragrant orchid 10g, poria 12g, spirit grain 12g, citrange peel 10g, kudzu root 15g, white atractylodes 10g, hematite 20g, inula flower (wrapped) 10g, inumin nang mainom, daily 1 dose.
Ang gastrointestinal heat retention type ay may sintomas ng multiple erosion and ulcers sa mouth, red and swollen surface, burning and painful, minsan ay halimaw, gumagawa ng bad breath, swollen gums, accompanied by dry mouth, frequent drinking, yellow urine, constipation, red tongue with yellow coating, slippery and rapid pulse. Ang paggamot ay dapat "clear heat and purge fire, cleanse stomach heat." Reseta: gardenia 12g, scutellaria 12g, honeysuckle 12g, rhubarb 10g, mirabilite 3g, mint 8g, coptis 10g, bamboo leaf 10g, licorice 8g, inumin nang mainom, daily 1 dose.
Ang spleen-kidney yang deficiency type ay may sintomas ng mouth ulcers, pale color, no redness around, few in number, stubbornly recurring, kasama ang cold limbs, dry mouth but prefers warm drinks, back and waist pain, frequent urination with clear urine, loose stool, pale tongue with white greasy coating, deep and weak pulse. Ang paggamot ay dapat "warm and supplement spleen-kidney, guide fire back to source." Reseta: prepared aconite slice 15g (boiled first for 30 minutes), cinnamon 3g, rehmannia 20g, cornus 12g, yam 30g, peony 10g, poria 12g, alisma 10g, atractylodes 10g, inumin nang mainom, daily 1 dose.
Ang spleen-stomach weakness type ay may sintomas ng recurring mouth ulcers, pale and sunken appearance, kasama ang fatigue, shortness of breath, lack of appetite, cold limbs, loose stool, pale tongue with white coating, weak and fine pulse. Ang paggamot ay dapat "tonify central qi, strengthen spleen and resolve dampness." Reseta: astragalus 15–30g, dangshen 15g, angelica 10g, tangerine peel 10g, bupleurum 6g, astragalus 6g, patchouli 15g, poria 10g, white atractylodes 15g, licorice 6g, inumin nang mainom, daily 1 dose.
Ang heart-kidney yin deficiency type ay may sintomas ng bright red ulcers, many in number, varying shapes and sizes, pain more intense at night, kasama ang palpitations, restlessness, insomnia, forgetfulness, dizziness, tinnitus, soreness in waist and knees, dry throat and mouth, short and yellow urine, red tongue with thin coating, fine and rapid pulse. Ang paggamot ay dapat "nourish yin and clear fire, nourish heart and calm spirit." Reseta: rehmannia 30g, root of dogwood 15g, yam 5g, alisma 10g, cornus 10g, wild chrysanthemum 15g, honeysuckle 12g, astragalus 6g, sandalwood 3g, mulberry twig 30g, inumin nang mainom, daily 1 dose.
Ang blood deficiency and yin deficiency type ay may sintomas ng mouth ulcers na karaniwan sa panahon ng menstrual period, kasama ang early menstruation with heavy flow, five palms hot, dry mouth but prefers drink, pale tongue with thin white coating, fine and rapid pulse. Ang paggamot ay dapat "nourish blood and yin, subdue virtual fire." Reseta: angelica 20g, white peony 20g, rehmannia 15g, light bamboo leaf 10g, poria 12g, peony 10g, gardenia 10g, bupleurum 10g, mai dong 10g, wuweizi 10g, scrophularia 10g, inumin nang mainom, daily 1 dose.
Ang iba pa, ang mga pasyente na may recurrent aphthous ulcers ay dapat iwasan ang mental stress, ang pagkain ay dapat maging simple, kumain ng maraming vegetables, iwasan ang malamig, spicy, alcohol, at rich foods; maaari rin magdagdag ng Sin Lai San o Zhu Huang San, Yang Yin Sheng Ji San, na ilalagay sa affected area, na maaaring bawasan ang sakit, mapabilis ang sintomas, at mapabilis ang pagbangon ng mouth ulcers.
|
