The effect of local medication alone is not good, and it is necessary to combine internal and external use. According to the principles of Chinese medicine, patients can combine their own conditions to select medicine. A. Spleen and stomach heat type [Symptoms]: The number of mouth sores is more than the number of sores, size varies, can be fused into small pieces, covered with yellow pseudomembrane, surrounding mucosa slightly swollen and raised, bright red, burning pain. They are mostly found on the lips, cheeks, gums and palate. There may be fever, red face, dry mouth, bad breath, constipated stool, yellow urine, red tongue, thick yellow fur, smooth pulse. Treatment: Clearing away heat and fire, cooling the blood and relieving pain. Example formula: Liang Di Di San or Qing Gastric Tang plus reduction Prescription: Scutellaria baicalensis 15g, Huang Lian 10g, Lian Qiao 15g, Gardenia jasminoides 15g, Bamboo leaf 15g, Sheng Di Huang 15g, Sheng Shi Fa 20g, Da Huang 10g, Gan Cao 6g, Sheng Ma 6g. Take with water decoction. Wu Ming, Department of Stomatology, Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine [Recommended Chinese medicines] Huang Lian Shang Qing Wan, Niuhuang Detoxification Pill (Tablet), San Huang Tablet, Liang Di San, etc. 2, Chinese patent medicine (1) Huang Lian Shang Qing Wan, taken orally, 1 pill each time, 1-2 times a day. (2) Niuhuang detoxification pills (tablets), taken orally, 1-2 pills per time for large honey pills, 2-3 tablets per time for tablets, 2-3 times daily. Second, the heart fire on the inflammatory type [symptoms]: mouth sore area is small, can occur more than one, mostly on the tip of the tongue, the front of the tongue or tongue side F, red, burning pain. It may be accompanied by thirst, dry mouth, heartburn, short, red and painful urine, insomnia, red tongue tip, thin yellow fur, pulse count. Treatment: Clearing the heart and lowering fire, cooling the blood and inducing diuresis. Prescription: Radix et Rhizoma Plus, Radix et Rhizoma 15g, Radix et Rhizoma Temporalis 15g, Radix et Rhizoma Mouton 12g, Radix et Rhizoma Glycyrrhiza Uralensis 10g, Radix et Rhizoma Lamiaceae 6z, Radix et Rhizoma Scutellariae 12g, Radix Gardeniae 12g, Radix et Rhizoma Bupleurum 15g, Radix et Rhizoma Lianxiao 15g. Take with water decoction. [Recommended Traditional Chinese Medicines] Bazheng Hefei, Guiding Qi San, San Huang Pian, Liuyi San, etc. Liver stagnation and heat type [Symptoms]:Mostly seen in female patients, mouth sores often flare up or worsen with emotional changes or menstrual cycle. Yellowish-white mouth sores, the size of a grain of rice, with a wide red halo around the edge, are mostly found on the lateral edge of the tongue or lips. It is accompanied by irritability, chest distension, dry mouth, insomnia, premenstrual swelling and pain in the breasts, and menstrual disorders. The tongue is red or dark red with petechiae, with thin yellow fur and string pulse. Treatment: Clearing the liver and dipping fire, regulating Qi and cooling blood. Example formula: Chai Hu Shu Liver San or Gentian Diarrhea Liver Soup with Addition and Reduction Prescription: Chai Hu 10g, Gardenia 15g, Che Qian Zi 12g, Mouton 10g, Xiang Shen 10g, Angelica 10g, Red Peony 12g, Gentian 15g, Glycyrrhiza 6g, decoction with water. [Recommended Traditional Chinese Medicine] Chai Hu Dredging Liver Pill, Dan Gardenia Free and Easy Pill, Shu Liver Tablet, Gentian Liver Pill, Plus Flavor Free and Easy Pill, etc. Symptoms] Recurrent mouth sores of varying sizes, mostly within 5 mm, 1 or 3 round or oval-shaped, with a shallow saucer-shaped base, grayish yellow, a little exudate, neat edges, surrounded by a narrow red halo, and mild burning pain, accompanied by dry throat, dry mouth, thirst, dizziness, tinnitus, palpitations and forgetfulness, little sleep, heat in the hands and feet, and weakness in the waist and knees. [Treatment]: Nourishing Yin and lowering fire. Example formula: Liu Wei Di Huang Tang with reduction. Prescription: Shu Di Huang 15g, Shan Yu Fei 12g, Huai Shan Yao 15g, Mudan Pi 12g, Ze Di 12g, Fu Ling 15g, Wu Wei Zi 6g, Mai Dong 15g, Zhi Mu 12g. Take with water decoction. If the heart is deficient in blood, and the heart is troubled and cannot lie down, the tongue is light-colored now turtle y, can use Huang Lian A Gum Chicken Zi Huang Tang with Chinese wolfberry. If the repeated attacks, day after day and lead to deficiency of Qi and blood, the evidence is seen in the face (white light) white, lips and tongue pale white, less breath and lazy speech, the pulse is weak, can use the eight Zhen Tang. [Recommended Chinese medicines: Liu Wei Di Huang Wan (for those with Yin deficiency), Zhi Bai Di Huang Wan (for those with fire deficiency), Tian Wang Tonic Heart Pill. V. Spleen deficiency and dampness [Symptoms]: The number of mouth sores is small, the area is large, the surrounding edema is high, the sores are dark red or pale grayish, and healing is slow. It is often accompanied by a heavy head and tiredness, a light and tasteless mouth, a lack of appetite, loose stools and diarrhea, and weakness. The tongue is light, fat and tender with tooth marks, the coating is white and slippery, and the pulse is sluggish. [Treatment] Benefit Qi, strengthen the spleen, clear heat and dispel dampness. Example formula: Radix et Rhizoma Ginseng and Atractylodes Macrocephalae plus reduction Prescription: Radix et Rhizoma Ginseng 15g, Atractylodes Macrocephalae 12g, Poria 12g, Pericarpium Citri Reticulatae 9g, Radix et Rhizoma Huaiyam 12g, Semen Coix 15g, Semen Lotus 15g, Radix et Rhizoma Sand 6g (later), Radix et Rhizoma Patchouli 10g, Radix Pericarpium 10g. Take with water decoction. [Recommended Traditional Chinese Medicine] Ginseng and Atractylodes Pill, Ping Gastric San. VI. Spleen and kidney Yang deficiency type [Symptoms]: ulcerated mouth sores, pale white, not red, not swollen and painful or painful when eating, accompanied by a white face (white light), cold form and limbs, downward flow of clear grain, and cold pain in the lower abdomen. The tongue is pale, the coating is white and smooth or greasy, and the pulse is sunken and weak. [Treatment]: Warming the middle and dispersing cold, tonifying Qi and strengthening the spleen. Example formula: Radix et Rhizoma Polygoni with added flavor Prescription: Radix et Rhizoma 15g, Radix ginger 10g, Radix Codonopsis pilosulae 15g, Rhizoma Atractylodis Macrocephalae 12g, Radix glycyrrhizae 6g, Radix et Rhizoma Huaiyang 15g, Radix lentil 10g. Take with water decoction. If the ulcerated surface of the sore does not heal for a long time and there is white rot, add Atractylodes Macrocephala and Fructus Fivefold, to strengthen the spleen and dry dampness to astringent. If the kidney yang deficiency, the evidence is seen in the waist and knee cold pain, urine clear and long, the pulse is weak, can be used with the annexed Gui eight flavor pill, and contains the cinnamon, or with angelica, cooked fenugreek each 15 grams, add sugar appropriate amount and contain the throat, to help lower the fire. [Recommended Chinese medicines] Tonic Zhong Yi Qi Pill, Annex Gui Li Zhong Pill, Jin Kui Kidney Qi Pill, Xiang Sha Yang Gastric Pill (punch), etc. Simple monotherapy for mouth sores]: 1. Liu Wei Di Huang Wan: Take Liu Wei Di Huang Wan orally 2 to 3 times a day, 6 to 8 grams each time. 2. Six Gods Pill: Take one Six Gods Pill (30 capsules) and crush it into powder, add 2 ml of cool boiling water and soak it into a thin paste. Clean the mouth first, then use a clean cotton swab dipped in Rokusenwan liquid applied to the surface of the ulcer, to meal 10-15 minutes before the medication is better, 3 times a day, before going to bed with an additional time. Generally, the medication can be applied for 5 minutes to achieve pain relief, no pain at meals, and increase appetite. Small ulcers can be healed in 1~2 days; multiple ulcers can be healed in 3 days with the medicine. 3. Yunnan Baiyao: use the appropriate amount of the drug plus vegetable oil to make a paste after meals, 1 time each before bedtime coated with the affected area, 2 hours after the drug does not rinse the mouth, the treatment of mouth ulcers 624 cases, the results showed 508 cases (81.4%), effective 96 cases (5.4%), invalid 20 cases (3.2%). It can significantly shorten the duration of the disease and promote the healing of ulcers. 4. Dandelion decoction: take 100 grams of fresh dandelion (or 50 grams of dried product), wash and decoct, drink the liquid and gargle several times a day until healing. 5. Salvia miltiorrhiza: Decoction of 5 grams of salvia miltiorrhiza (or salvia tablets are also available) can heal quickly and rarely recur. 6. Wu Bei Zi powder: Wu Bei Zi powder is applied to the affected area after grinding, treating 50 cases of the disease, with an efficiency of 94.6%. It is believed that it can accelerate the healing of ulcers and significantly shorten the duration of the disease. 7. 6 grams of fine spice powder, mixed into a paste and applied to the umbilicus for 3 days. 8. light bamboo leaves: take 15 grams of bamboo leaves, fresh (dried products can also be) boiling water, add appropriate amount of sugar, drink as tea, this is a one-day dose, 2-3 days of continuous medication can be cured. 9. 50 grams of fresh or 25 grams of dried Panax quinquefolium decoction, and take 3 doses to see the effect. 10. Wild chrysanthemum in appropriate amount, soak in boiling water and gargle from time to time; or decoct 50 grams to obtain 50 ml of the concentrated solution, use the solution to apply to the affected area, 2 to 3 times a day. 11. Dip raw gypsum into cold boiling water and grind it into a paste, apply it to the affected area several times a day. 12. 15 grams of cloves are broken and put into a small bottle, soak the surface of the medicine with cold boiling water, and after about 4 hours it becomes brown liquid, take the liquid and apply it to the affected area 4 to 6 times a day. 13. Artemisia inchi tea: 30 grams of Artemisia inchi, brewed with 250 ml of boiling water, cover, warm soak for 15 minutes, drink as tea. Suitable for simple oral mucosal ulcers. In mild cases, gargle several times a day, in heavy cases, take 3-4 times orally. It has the effect of clearing heat and dampness, so the treatment of recurrent oral ulcers is satisfactory. 14. ground urchin grass: take 30 grams of fresh ground urchin grass, wash and chop, add water to the appropriate amount of decoction, 1 dose per day, divided into 3 times to serve, for 2-3 days, you can see the effect. 15. Wu Juju external compress: take 12 grams of Wu Juju, Wu Juju research into powder, vinegar into a paste, night before going to bed on the two feet Yongquan point, fixed with gauze, adhesive tape, the next morning to take off, continuous compress 3 days, you can get satisfactory results. General dressing after 5-7 days can be healed. It can also be replaced with 10 grams of powdered saposhnikov. 16. Rose, decoction of thick juice, containing, 5-7 times a day.