What are the prescriptions for treating oral ulcers?

Oral ulcer, also known as aphtha, is a kind of oral ulcer, that is, the edge is red and the center is yellow-green ulceration point, with severe pain and drooling, often accompanied by symptoms such as bad breath, dry mouth, yellow urine and dry stool. Mild aphtha festers only in one or two places, while severe aphtha can spread to the whole mouth and even cause fever and general malaise.

The etiology of oral ulcer is not clear, which may be related to mental factors, virus infection, lack of vitamins, fatigue and so on. Therefore, treatment should be comprehensive. In addition, oral ulcers are also considered to be related to genetic, hormonal and other factors.

Traditional Chinese medicine believes that the occurrence of this disease is closely related to deficiency of liver and kidney, deficiency of both qi and yin, and exogenous damp heat. Over time, damp-heat contended with qi and blood, and dampness, toxin and blood stasis adhered to each other, which led to the recurrence of the disease and made it difficult to recover. At the same time, food accumulation, meat accumulation, stagnant water, gas accumulation and other disorders caused by endocrine and visceral dysfunction, gastrointestinal dysfunction, decreased immunity, bacteria and viruses destroy oral secretory glands, and destroy oral mucosa, which is also the main cause of this disease.

Fang sanbao

Source "A surname jade case" Volume III

It consists of 9 grams of pearl, 3 grams of borax and indigo naturalis, 0.5 gram of 65438+ borneol, 6 grams of coptis root and 6 grams of human white.

Function of clearing away heat and swelling, eliminating rot and healing sore.

It is mainly used to treat oral sores and pains that affect diet.

Pearl in the prescription can be used externally to remove dampness and heal sores, borax, indigo naturalis and borneol can clear away heat, detoxify and relieve pain, while Coptidis Rhizoma and Renzhongbai can clear away heat and dampness and reduce swelling, which are mainly used together to clear away heat and detoxify, relieve swelling and relieve pain, and remove rot and heal sores.

Pharmacology Modern pharmacological studies have found that local application of borneol has a slight stimulating effect on sensory nerves, and has certain analgesic and mild antiseptic effects. Borax has astringent and protective effects on skin mucosa and inhibits the growth of some bacteria. Indigo Naturalis has antibacterial effects on Staphylococcus aureus, Bacillus anthracis, Shigella dysenteriae and Vibrio cholerae.

In usage, this medicine is fine powder. Take 0.2g each time and mix it with the affected part twice a day.

Fanger Liuhua Powder

Source: Authentic Surgery, Volume 4

Comprises 30g of cypress powder, 9g of indigo naturalis, 3g of cinnamon and 0.6g of borneol.

Function of clearing heat and reducing fire.

It is mainly used to treat aphtha caused by deficiency fire, with pale color, white spots and fine spots.

In the prescription, Cortex Phellodendri has the functions of clearing heat and promoting diuresis, purging fire and detoxicating, indigo naturalis is added to strengthen the effect of clearing heat and detoxicating, and a small amount of cinnamon is added to relieve pain, so borneol is used to clear heat and relieve pain, and the whole prescription has the functions of clearing heat and reducing fire, detoxicating and relieving pain.

Pharmacology Modern pharmacological studies have found that Phellodendron amurense contains a variety of alkaloids, which can inhibit a variety of pathogenic bacteria such as Shigella dysenteriae, typhoid Bacillus, mycobacterium tuberculosis, Staphylococcus aureus, hemolytic streptococcus and so on. External use can promote the absorption of subcutaneous oozing blood; Indigo Naturalis has antibacterial effects on Staphylococcus aureus, Bacillus anthracis, Shigella dysenteriae and Vibrio cholerae. Local application of Borneolum Syntheticum has slight stimulation to sensory nerves, and has certain analgesic and mild antiseptic effects. Cinnamon contains cinnamon oil, which can inhibit gram-positive bacteria and negative bacteria as well as some pathogenic fungi.

Usage: Fine powder, * * re-grinded, porcelain bottle baked. Blow every bit.

Fangsan Zhusha Ding Tong Powder

Source "successful operation"

It consists of (calcined) gypsum 30g, picrorhiza picrorhiza 0.6g, cinnabar/kloc-0.5g and borneol 0.6g.

Function: clearing away heat and toxic materials, relieving swelling and pain.

Indications: aphtha, body heat, thirst, dry stool, and Huang Chi in urine.

Gypsum, Borneolum Syntheticum and Cinnabar in the prescription have the functions of clearing away heat and purging fire, detoxifying and relieving pain, astringing and promoting granulation. They can be used together with Rhizoma picrorhizae to clear away heat and relieve pain.

Pharmacological and pharmacological studies show that cinnabar can inhibit or kill skin bacteria and parasites for external use, and has detoxification and antiseptic effects; Gypsum can enhance the phagocytosis of rabbit alveolar macrophages to Staphylococcus albus and colloidal gold, and promote the maturation of phagocytes. Local application of borneol has certain analgesic and mild antiseptic effects; The root extract of picrorhiza picrorhiza has antibacterial effect.

In usage, this medicine is fine powder. Take 0.2g each time and apply it to the aphtha. Three times a day.

Fangsi Jiawei Gegen Chengqi Decoction

Source: Shaanxi Traditional Chinese Medicine

It consists of pueraria lobata10-30g, rhubarb 5-15g, mirabilite 5-10g and roasted licorice 3-10g.

Function of clearing heat and purging fire.

It is mainly used to treat children's aphtha, thirst, constipation, red tongue and slippery pulse.

Pueraria lobata in the prescription is sweet and cool, which can promote the rise of stomach qi in clearing heat, and has the effect of promoting fluid production and quenching thirst; Using rhubarb and mirabilite can reduce bitter cold, vent the fire of inflammation, and have the functions of clearing away heat and purging fire and clearing up gastrointestinal stagnation; Radix Glycyrrhizae Preparata can clear away heat and toxic materials and regulate medicinal properties. The whole prescription * * * plays the role of clearing away heat, purging fire and detoxifying.

Pharmacology Modern pharmacological research shows that Pueraria lobata has obvious antipyretic effect, rhubarb has anti-infection effect, and it has inhibitory effect on a variety of Gram-positive bacteria and negative bacteria, among which Staphylococcus and Streptococcus are the most sensitive, followed by diphtheria, typhoid and paratyphoid bacteria, pneumococcus, Shigella and so on. It also has inhibitory effect on influenza virus; Glycyrrhiza uralensis Fisch has anti-inflammatory and antiallergic effects, and can protect the mucosa of inflamed throat and trachea.

Decoct with water. Every day 1 dose.

Wu Fang-Zhu Ye mixture

Source: Zhejiang Journal of Chinese Medicine

Comprises 9 grams of lophatherum gracile, 9 grams of gardenia, 9 grams of isatis leaf, 9 grams of honeysuckle, 30 grams of gypsum, 4.5 grams of coptis root, 4.5 grams of licorice root and 4.5 grams of mint.

Function of clearing heat, purging fire and relieving pain.

Indications for treating aphtha in children.

In the prescription, bamboo leaves and gardenia are used together to expel pathogenic heat and relieve depression and annoyance; Gypsum is sweet and cold in nature, which can clear away heat and purge fire, relieve annoyance and quench thirst. It is an important medicine for clearing excess heat in lung and stomach meridian. Lonicera japonica Thunb. and Folium Isatidis have the functions of clearing away heat and toxic materials, dispersing carbuncle and reducing swelling. Coptis chinensis Thunb. has the functions of clearing away heat and dampness, while mint floats lightly, which is fragrant and enlightening. It is good at dispersing wind-heat in upper energizer and clearing throat. Glycyrrhiza uralensis Fisch clears away heat and harmonizes various medicines.

Pharmacology recently reported that gypsum has obvious antipyretic effect on endotoxin-induced fever and can alleviate its thirst state; Topical peppermint oil can stimulate the cold receptors of nerve endings and produce cold sensation, thus playing an anti-inflammatory, analgesic and antipruritic role; Bamboo leaves have antipyretic effect; Gardenia jasminoides Ellis has inhibitory effects on hemolytic streptococcus and dermatophytes, and has antipyretic, analgesic, sedative and hemostatic effects. Coptis chinensis has a wide range of antibacterial activities, all of which have significant inhibitory effects; Honeysuckle has broad-spectrum antibacterial effect and obvious anti-inflammatory and antipyretic effects; Folium Isatidis has antibacterial, antiviral, antipyretic and anti-inflammatory effects.

Decoct with water. Daily 1 dose, 5 doses 1 course of treatment.

According to the text, this recipe adds and subtracts: constipation increases jaundice by 4.5g, red tongue and swollen gums increase Dendrobium and Scrophularia by 9g each.

Liu Fang Huanglian hemp powder

Source "A thousand daughters want a prescription"

Comprise 45g of Cimicifuga rhizome and 23g of rhizoma Coptidis.

The function of clearing away heat and toxic materials.

Indications for aphtha with hot and smelly mouth and tongue.

Cimicifuga in the recipe is sweet and cold, clearing away heat and detoxifying, and is especially good at clearing away Yangming's heat toxin; Huanglian purges fire and detoxifies, which is especially good for clearing away heart fire and curing sore poison.

Modern pharmacological studies have found that Coptis chinensis has a wide range of antibacterial activities, and has a significant inhibitory effect on Shigella dysenteriae, Escherichia coli, Mycobacterium tuberculosis, staphylococcus, hemolytic streptococcus, pneumococcus and so on. It also has inhibitory effects on leptospira, amoeba, trichomonas, influenza virus and various pathogenic skin fungi. Cimicifuga has moderate antibacterial effect on Mycobacterium tuberculosis, Staphylococcus aureus, Staphylococcus albicans and Staphylococcus catarrhalis, and its extract has antipyretic, anti-inflammatory, analgesic and anticonvulsant effects.

In usage, drugs are the last one. Take 3 ~ 4g oral liquid or boiled water three times a day.

Fangqi Xiedao Decoction

Source "Aozhi Toda"

It consists of 3g gypsum, 6g poria cocos, 6g talc, 4.5g Alisma orientale,1.5g licorice, 3g cortex phellodendri and 3g Fritillaria.

Function of clearing heat and promoting diuresis, reducing swelling and healing sore.

It is mainly used for treating damp-heat accumulation, aphtha pain, ulcer surface erosion or foul smell.

In the prescription, gypsum and phellodendron bark clear away heat, dry dampness and purge fire, and talc, Alisma orientalis and Poria cocos are added to dry dampness and promote granulation. Accompanied by Fritillaria, it tastes bitter and cold, and can clear away heat and toxic materials, relieve depression and disperse stagnation, make licorice reconcile various drugs and strengthen detoxification.

Pharmacology Modern pharmacology shows that Fritillaria has central inhibitory effect and sedative and analgesic effects. Alisma orientalis has obvious diuretic effect, and has inhibitory effect on Staphylococcus aureus, Pneumococcus and Mycobacterium tuberculosis. Talcum powder can protect wounds, absorb secretions and promote scabbing; Cortex Phellodendri has extensive antibacterial spectrum and antibacterial effect.

Decoct with water. Halve the child. Every day 1 dose.

Fangba Cimicifuga Bupleurum Decoction

Source "three causes"

Consists of Bupleurum, Cimicifuga, Radix Paeoniae Alba, Gardenia and Akebia, 22.5g of Scutellariae Radix, Folium Isatidis, almond and 60g of gypsum.

Function of clearing heat and purging fire, promoting blood circulation and relieving pain.

It is mainly used for treating deficiency of both heart and spleen, fever and glossalgia.

Cimicifuga rhizome and Bupleurum root in the prescription enter the spleen and stomach meridian, which is beneficial to induce the rise of Yang-clearing qi and clear Yangming heat toxin; Gardenia jasminoides Ellis and Scutellaria baicalensis Georgi clear away heat and purge fire; Paeonia lactiflora can clear away heat, cool blood and relieve pain; The bitter taste of almonds can be reduced, which is also good for opening. The whole prescription is used to raise the spleen and stomach, clear yang, reduce heart, spleen and heat, clear heat and purge fire, and relieve pain.

Pharmacological and pharmacological studies show that Bupleurum chinense and its effective component saikosaponin have anti-inflammatory, anti-Mycobacterium tuberculosis, anti-cold virus and immune enhancement effects. Cimicifuga extract has antipyretic, anti-inflammatory and analgesic effects; Paeonia lactiflora contains paeoniflorin, which has sedative, anti-inflammatory, analgesic and antipyretic effects, and has different degrees of inhibition on various pathogenic microorganisms; Gardenia jasminoides Ellis has inhibitory effect on hemolytic streptococcus and skin fungi; Scutellaria baicalensis Georgi has broad-spectrum antibacterial effect.

When in use, it is made into powder, each dose is12g, water150ml, and 5 slices of ginger are decocted to100ml, and taken after eating. Twice a day.

Fang JIU's second heart is healthy

Source "Jing Yue Quan Shu"

It consists of 9 grams of Asari and 30 grams of gypsum.

Function of clearing heat, purging fire and relieving pain.

It is mainly used to treat aphtha caused by stomach fire and burning mouth, accompanied by symptoms such as thirst, sweating, red tongue and yellow fur.

In the prescription, gypsum clears away heat and purges fire, and Asari dispels wind, dispel evil and dredge orifices.

Pharmacology Modern pharmacological studies have found that Asarum contains volatile oil, and its water extract and alcohol extract have antipyretic, anti-inflammatory, sedative, anticonvulsant and local anesthetic effects respectively, and have antibacterial effects. Gypsum has obvious antipyretic effect on endotoxin-induced fever and can relieve its thirst.

Usage: two flavors, 500 ml of water, fried to 250 ml, washed frequently while it is hot.

Fang Shi yin LAN Tang

Source: Shanghai Medical Journal

It consists of 9 grams of honeysuckle, 0/2 grams of isatis root/kloc-,9 grams of dried rehmannia root, 9 grams of forsythia suspensa, 3 grams of mint and 4.5 grams of sweet yellow.

Function: clearing away heat and toxic materials, relieving pain and promoting granulation.

It is mainly used to treat children's aphtha, which sometimes recurs.

Honeysuckle, forsythia suspensa and mint in the prescription can clear away heat and relieve muscle, dispel wind and clear heat, and cooperate with Radix Isatidis to enhance the efficacy of clearing away heat and toxic materials. Rehmannia glutinosa is cold and moist, and bitter cold can clear away heat, enter the camp and divide blood. It is an important medicine for nourishing yin and promoting fluid production, clearing heat and cooling blood.

Pharmacological research shows that honeysuckle has broad-spectrum antibacterial effect, obvious anti-inflammatory and antipyretic effects; Forsythia suspensa has broad-spectrum antibacterial effect, strong inhibitory effect on Staphylococcus aureus and Shigella flexneri, certain inhibitory effect on other pathogenic bacteria, influenza virus and fungi, and anti-inflammatory effect; Banlangen can enhance immune function; Peppermint contains peppermint oil, which can promote the secretion of respiratory glands, treat respiratory inflammation, and have anti-inflammatory, analgesic and antipruritic effects. Radix Rehmanniae can inhibit the growth of many fungi.

Decoct with water. Every day 1 dose.

Fangshi-Guizhi Jiangling Decoction

Source "drug extract"

It consists of12g of white peony root, 6g of cassia twig, 6g of dried ginger, 9g of poria cocos, 6g of licorice root and 9g of figwort.

Function: Warming channels to dispel cold, eliminating dampness and healing sores.

Indications: spleen and stomach deficiency and cold, dampness and turbidity. Gastric ulcer attack, see 1 ~ 2 oral ulcer, mucous membrane is not congested, tongue is reddish, and coating is thin and greasy.

In the prescription, dried ginger and cassia twig warm the middle warmer to dispel cold, strengthen the spleen and strengthen yang, and poria cocos is sweet and light-filled, with mild nature and not partial to cold and heat. It can strengthen the spleen, tonify the middle energizer, induce diuresis and ooze dampness, while Radix Scrophulariae tastes bitter, sweet, salty and moist, and has the functions of clearing heat and cooling blood, nourishing yin and moistening dryness, purging fire and detoxifying. The combination of Radix Paeoniae Alba and Radix Glycyrrhizae can relieve pain urgently.

Pharmacology It is found that dried ginger has the functions of stopping vomiting, calming, relieving pain, expelling wind, invigorating stomach and relieving cough. Ramulus Cinnamomi has the effect of cooling and relieving fever; Paeonia lactiflora contains paeoniflorin, which has sedative, anti-inflammatory, analgesic and antipyretic effects, and has different degrees of inhibition on various pathogenic microorganisms; Scrophularia can dilate blood vessels, promote local blood circulation and eliminate inflammation, and has inhibitory effects on various skin fungi and Pseudomonas aeruginosa.

Usage: decoction, daily 1 dose.

Fang Shi er ma sheng San

Source "Chishui Zhu Xuan"

Consists of Cimicifuga rhizome 4.5g, Radix Paeoniae Rubra, Radix Ginseng, Radix Platycodi, Radix Puerariae, Herba Menthae, Radix Saposhnikoviae 3g each, Radix Glycyrrhizae 1 .5g, and Rhizoma Zingiberis Recens1tablet.

Function of invigorating qi and activating blood circulation, expelling wind and healing sores.

Indications: Qi deficiency and recurrent aphtha caused by exogenous pathogenic wind.

The ginseng in the prescription greatly tonifies the vitality, strengthens the spleen and benefits the lungs. Cimicifuga is sweet and cold in taste, and has the function of expelling wind. Cold can also clear away heat and toxic materials, and is compatible with Radix Puerariae, Radix Saposhnikoviae and Herba Menthae to strengthen the function of relieving exterior syndrome. Platycodon grandiflorum relieves bitterness, spreads lung qi, and is assisted by Radix Paeoniae Rubra for clearing heat and cooling blood and Radix Glycyrrhizae.

Pharmacological and pharmacological studies have found that ginseng can promote the biosynthesis and antiallergic effects of protein; Platycodon grandiflorum contains platycodin, which has anti-inflammatory, spasmolytic, analgesic and sedative effects. Cimicifuga rhizome and Radix Paeoniae Rubra extracts have antipyretic, anti-inflammatory, analgesic and anticonvulsant effects; Pueraria lobata has obvious antipyretic effect; Mint has anti-inflammatory, analgesic and antipruritic effects; Saposhnikovia divaricata has antipyretic, anti-inflammatory, analgesic and anticonvulsant effects.

Decoct with water. Every day 1 dose.