Diagnosis and treatment of chronic labyrinthitis

Labyrinthitis

It is a general term for inflammatory diseases that occur on the lips. It can be divided into acute labyrinthitis and chronic labyrinthitis. Chronic labyrinthitis is more common in clinical practice and usually refers specifically to chronic nonspecific labyrinthitis, in which no clear etiology or pathological features can be found.

Clinical manifestations

Repeated swelling, erosion, exudation, crusting, dryness, cracking and flaking of the lips. Self-perceived heat, pain, and itching.

Chinese medicine

It is also known as “lip wind” and in the literature as “dry and cracked lips”, “shen lips”, “tight lips”, “donkey mouth wind”, “swollen lips” and “gizzard”.

It was first described in Sui’s “Treatise on the Origin of Diseases” as “tight lips”: “Cold or hot, poor at first and then occurring, accumulating months and years, is called tight lips”.

Qing “The Complete Book of Surgical Evidence”: “Mostly in the lower lip, itchy red swelling at first, rupture and flow of water over time, pain like fire, like the shape of the sky skin …… such as wind dryness is moved from time to time”.

Differential diagnosis

Attention should be paid to differentiate it from contact labyrinthitis, lip flat moss, photochemical labyrinthitis, dry syndrome, diabetic labyrinthitis, etc.

Treatment

1. Topical application of moisturizing lip ointment and anti-inflammatory ointment with simple ingredients. In case of severe erosion and exudation, add wet compresses such as saline, anti-inflammatory medicine water or Chinese medicine water.

2, when the symptoms affect daily life, systemic drugs such as antihistamine, inhibit inflammation, antibacterial treatment, etc., pay attention to hormones, tretinoin, etc. can not be used for a long time.

3, Chinese medicine: the chronic phase is mostly related to Yin deficiency and blood dryness, lip and mouth loss of nourishment, systemic or local application of cool blood, nourish Yin and moisten dryness of Chinese medicine.

Prevention

1, avoid all the bad factors that stimulate the lips, such as: licking lips, biting lips, rubbing mouth, tearing lip dander, applying poor quality lipstick, using lipstick with complex ingredients, contact with fluoride toothpaste, beauty salon “lip beauty”, sun exposure or cold wind and other stimuli.

2, lip moisturizing and nourishing is very important! The topical use of skin barrier repair skin care products can help the recovery of lip infection.

3, diet light and easy to digest, eat more fresh vegetables and fruits, eat less too acid, numb, spicy and fried food, quit smoking and alcohol. Maintain oral hygiene.

4, regular life and living, appropriate to strengthen exercise.

5, lip infection is a chronic disease, there will be repeated process, to have a correct understanding, keep the mood cheerful and optimistic, avoid tension and anxiety.