Mouth ulcers generally belong to the category of “mouth sores” in Chinese medicine, Zhi Bai Di Huang Wan is suitable for mouth sores caused by yin deficiency and exuberance of fire, but not for mouth sores caused by accumulation of heat in the heart and spleen, or yang deficiency of the spleen and kidney.
1. Yin deficiency and fire exuberance: the main manifestation is the small number of mouth ulcers, peripheral redness, swelling, pain is mild, but this is more and more, prolonged; accompanied by heat in the hands and feet, insomnia and dreaminess, dryness of the mouth and tongue, and so on. Zhi Bai Di Huang Wan is commonly used, which has the efficacy of nourishing yin and reducing fire. Its adverse reactions and contraindications are not clear, pregnant women should be cautious.
2. Accumulated heat in the heart and spleen: mainly manifested as ulcers of the oral muscular membrane, peripheral redness, swelling, burning pain, especially when eating or talking; accompanied by thirst, insomnia and heartburn, constipation, short yellow urine. Guilin Watermelon Cream Capsules are commonly used. This product has the efficacy of clearing away heat and removing toxins (removing heat and poisonous evils), subduing swelling and relieving pain. Its adverse effects are not clear, and it is prohibited for pregnant and lactating women.
3. Spleen and kidney yang deficiency: mainly manifested as mild pain in the mouth sores, white or dark color, light red or not red around, difficult to heal for a long time; accompanied by tiredness and fatigue, pale face, cold pain in the waist and knees or below the abdomen, long and clear urination, poor diet, and loose stools.
It is often used in the form of Radix Rehmanniae Pill, which is effective in warming the middle and strengthening the spleen (warming the middle jiao, strengthening the spleen and stomach). Its adverse effects are not clear, and pregnant women are advised to use it with caution.
Chinese medicine needs to be carefully identified, patients should go to the hospital in time to receive treatment, under the guidance of a professional physician to use drugs, do not blindly take medication, so as not to delay the condition.