Pediatric oral ulcer, also known as “mouth sore”, is a disease that refers to superficial ulceration of the mouth and tongue, and can be seen in children of any age, with more infants and children. The disease occurs in autumn, autumn is susceptible to dryness and fire, dryness is dry, easy to hurt the fluids, fire is Yang, its nature is inflammatory, the fluids hurt fire burn, resulting in pediatric oral ulcers. Pediatric oral ulcer is a kind of limited ulcer damage of oral mucosa characterized by periodic recurrence, which can be self-healing and can occur in any part of the oral mucosa, with the lips, cheeks and tongue being the most common, and in severe cases, it can spread to the pharyngeal mucosa. In many children, the ulcers increase in size, number, pain, healing period and interval period as the disease progresses, affecting food and speech. Chinese medicine believes that this disease is mainly due to the accumulation of heat in the spleen and stomach, false fire on the inflammation, fumigation of the mouth and tongue, thus appearing erosion of the mouth and tongue.
Causes
1, traumatic caused by: mainly due to abrasions, stab wounds, bacterial infection and other reasons, this ulcer is a one-time, relatively easy to cure. General dressing with some drugs, about 3-4 days can be self-healing, and will not recur.
2.Lack of vitamin B: lack of vitamin B can easily lead to pediatric mouth ulcers, and may also cause various oral inflammatory diseases: such as stomatitis, lipitis, tongue inflammation, etc.
3, caused by more cold and heat in the body: high-calorie food or dry weather can easily cause the heart and spleen overheating, heat rushing out of the body, smoked to the mouth and tongue and cause pediatric oral ulcers. And poorer constitution and deficiency cold are also prone to ulcers.
Symptoms
The common symptoms are small yellowish or white ulcers on the lips, tongue, cheek mucosa, gums, hard crotch, etc. in the mouth, single or multiple, with neat and red edges, localized pain on the surface, slight bad breath, increased and sticky saliva, often accompanied by irritability, reluctance to eat, body wasting, fever and other symptoms.
Identification and typing
1, the spleen and stomach heat type: symptoms see the lips and tongue or cheek gums or soft palate and other places have yellow-white, varying size of ulcerated spots, a few or several, round or oval, slightly convex edge, red color, the child pain can not eat, irritable thirst, dark urine, dry stool, red tongue. You can use a remedy that clears heat and detoxifies the body, laxatives and fires. Such as tomato juice: tomatoes washed and peeled, squeeze the juice, let the child contain in the mouth for a longer period of time, several times a day, can clear heat detoxification, thirst quenching.
2, heart fire on the inflammation type: symptoms see the tongue erosion ulcer, tongue tip red, painful eating difficulties, and even crying, dry mouth like to drink, urine volume is small dark color. Can be used to clear the heart to drain the heat of medicinal food. Such as lotus leaf winter melon soup: fresh lotus leaf 1, fresh winter melon 500 grams, a little salt, add water to boil into soup, drink soup to eat winter melon, can produce thirst, clear heat and diuretic.
3, deficiency fire upward type: symptoms see oral ulceration, less spots, yellowish white surface, light red color around, recurrent attacks, fatigue, red cheekbones, dry mouth, red tongue with less moss. Can use nourishing Yin to lower the fire of the medicinal food. Such as ice sugar silver fungus soup: 10-12 grams of silver fungus, cold water soaked for 1 hour, washed and steamed with cold boiling water and ice sugar, once a day, can be eaten in portions. This medicinal dish in which silver fungus can nourish Yin and moisten the lungs, nourish the stomach and produce fluids, and ice sugar can harmonize the stomach and moisten the lungs, is effective in treating deficiency heat type of oral ulcers.
Treatment
After the occurrence of mouth ulcers in children, in addition to good oral cleaning care, drug treatment is indispensable.
Take 2 medicinal vitamin C1 tablets, put them together and grind them into fine powder, then use sterile cotton to dip a small amount of loose powder and put it on the ulcer surface every 2 hours, and the wound will heal in 1 to 2 days. There is pain when the powder is first applied to the wound, but it will soon disappear. Vitamin C can promote wound healing; and corneal ulcers occur when the body lacks riboflavin. Applying these two drugs directly to the wound can make the powder work faster and shorten the treatment time.
Food therapy
1.Honey water: after rinsing the mouth with warm water, use sterilized cotton swabs to repeatedly apply the original honey to the mouth ulcer place, after applying honey do not let the baby eat again, the next day will find the ulcer significantly improved, because honey has anti-inflammatory and pain relief, can promote cell growth.
2, maidenhair tea: choose honeysuckle, chrysanthemum, wolfberry, maidenhair washed with boiling water and steeped, drink in lieu of tea.
3, watermelon juice: choose half a watermelon, dig the flesh and squeeze the juice, let the baby will contain the watermelon juice in the mouth for about 2 to 3 minutes before swallowing, and then continue to contain new watermelon juice, several times in a row. You can also use tomato juice instead of watermelon juice, the use of the same. 2 to 3 times a day, there are certain curative effects, can be faster recovery.
4, whole milk powder: add a tablespoon of whole milk powder with a little sugar and take it with boiling water, and drink it before bedtime for better results. 2 to 3 times a day, about 2 days of time, the symptoms of mouth ulcers will disappear.
5, apple or pear: take an apple (or pear can also be) peeled into slices put into a container, add cold water (not over the apple or pear to be cooked) heated to a boil, wait until it cools a little with the wine in the mouth for a few moments and then eat, and can be cured with a few days.
6, mung bean and egg flower soup: beat the eggs into a bowl, stir into a paste spare. Wash the mung beans and put them in a clay pot with cold water for 15 minutes and then fire and cook for about 2 minutes, while the mung beans are still cooked, pour out the water from the cooking mung beans into egg flower soup, once in the morning and once in the evening.
Pediatric massage
The room temperature should be appropriate, not too hot or too cold. Before operation, parents should wash their hands, trim their nails, keep their hands warm, and Jiao take an appropriate amount of talcum powder to apply on the baby’s operating parts. After the massage should pay attention to the wind, timely cover the clothes to avoid getting cold. If there is a rash or broken skin on the operation site, the treatment should not be carried out.
Commonly used techniques and operations
1.Tonic kidney water: Parents hold and spread the palm of the child’s hand with one hand, put the thumb of the other hand on the fatty belly of the child’s pinky finger, and push it straight from the root to the tip of the finger 500 times.
2, clear Tianhe water: parents hold the back of the child’s hand with one hand, so that the child’s forearm forward, the other hand with the thumb or forefinger, the two finger belly, along the child’s forearm palm side of the middle, from the transverse wrist to the elbow transverse line straight push 300 times.
3, rub the total tendon: parents hold the back of the child’s hand with one hand, the other hand with the end of the thumb to rub the midpoint of the transverse wrist line after the palm 300 times.
4, rub the small heart of heaven: parents spread the child’s palm, one hand holding the child’s four fingers together, the other hand, the end of the middle finger on the large and small fissure intersection in the depression 500 times rub.
5, rub the small transverse stripe: pediatric palm side of the index, middle, ring, small finger metacarpophalangeal joint transverse stripe points. Parents spread the palm of the child’s hand, the child’s four fingers together, the other hand, the two fingers of the index and middle fingers from the index finger metacarpophalangeal joint transverse line to the little finger metacarpophalangeal joint transverse line 500 times.
6, pushing the four transverse lines: the palm side of the child’s food, middle, ring, small finger near the interphalangeal joint transverse lines at short linear points. Parents spread the palm of the child’s hand, the child’s four fingers together, the other hand, the two fingers of the index and middle fingers from the transverse line of the index finger to the transverse line of the little finger 300 times.
7, clear Panmun: parents spread the child’s palm, one hand to fix the child’s palm, one hand thumb finger belly from the root of the palm to the root of the finger straight to push the palm of the big fish interval plane 300 times.
8, clear the lung meridian: parents spread out one hand, hold the child’s palm, the other thumb finger on the child’s ring finger, from the root of the finger to the fingertip direction straight push 300 times.
9, rub two people on the horse: parents hold the palm of the child’s hand, the other hand thumb finger end to rub the back of the hand between the ring finger and the little finger metacarpophalangeal joint 300 times.
Add or subtract with the disease: if accompanied by fever, small Tianxin after adding a nest of wind point 300 times (a nest of wind: in the back of the hand in the transverse wrist indentation, you can use the thumb or middle finger finger end to press), two points in advance of the operation; if accompanied by diarrhea, stop clearing the lung meridian.
(Note: pediatric tui na frequency of about 200 to 300 times per minute)
Pediatric mouth ulcers that do not heal for a long time or have other suspicious conditions should promptly seek medical attention to clarify the diagnosis and receive appropriate treatment.
Preventive measures
1, mouth sores often recur, the child is often painful, so it is important to strengthen care, do not give the child to eat too hot, too hard and irritating food, should eat fluid juice.
2. Pay attention to oral hygiene, and rinse your mouth with warm boiled water frequently.
3, massage at the same time, can be combined with the external use of Chinese medicine can receive very good results. If the mouth sore is painful, Qing Dai San can be applied to the affected area; if it is putrid, tin-like San can be applied to the affected area; if it is decaying, Zhu Huang San can be applied to the affected area.
Parents should follow medical advice and give the child medication and injections on time. For children with high fever, physical cooling should be given in a timely manner, such as alcohol baths, warm water baths or pain relievers.