Halitosis is the foul breath coming out of the mouth, also known as bad breath, bad breath, bad breath, bad breath, bad breath, etc. Halitosis is a medical condition, and with the changing social environment, people are becoming aware of its impact in interpersonal communication and are becoming concerned about its treatment.
In simple terms, halitosis can be divided into those of oral origin, and those of non-oral origin. Oral origin can be eradicated by going to a periodontist for a deep dental cleaning. Non-oral halitosis is treated by internal medication.
Chinese medicine believes that bad breath is caused by spleen deficiency, stomach heat, food stagnation, qi stagnation, blood stasis and other factors. Such as the Ming Dynasty Li Shizhen, “Compendium of Materia Medica, Volume IV – Mouth and Tongue” contains: “bad breath is stomach fire, food depression.” Chinese medicine believes that halitosis is the result of dysfunction of the internal organs, certain oral, nasopharyngeal diseases and respiratory, digestive system and other diseases can be caused, mainly with the spleen and stomach dysfunction, emotional and mental discomfort, overwork and other factors, especially the spleen and stomach are most closely related.
The following are some treatment methods I extracted from magazines. These methods are mainly for the reference of people with medical foundation, and it is best for general patients to consult their doctors before deciding to use them.
1.Cognitive treatment
1.1 Qi stagnation and dampness obstruction, phlegm and stagnation of each other, turbidity upward.
Treatment: Aromatize dampness, regulate qi and eliminate phlegm.
Formula: Erzhang Erren Tang combined with Huoxiang Zhengqi San plus or minus.
Patchouli Stem 10g, Perilla Stem 10g, Citrus Aurantium 10g, Fructus Semen 10g, Almond 10g, Peach kernel 10g, Safflower
10g, Chen Pi 10g, Atractylodes macrocephala 10g, Poria 15g, Dahurica 10g, Salvia 20g, Pelargonium leaf 15g [[1]].
1.2 Clinical manifestations of halitosis are sour and rotten gas or rotten egg gas, or even as dry smell of urine, feeling that the oral cavity is mucousy, especially the root of the tongue is heavy, the stomach is hot or noisy, the stool is dry or constipated, and there are also wastewater pond is not smooth. The tongue is mostly light and fat, the moss is mostly thin and greasy or white, and there are also white and thick and greasy people with moist or soft pulse.
The basic formula of Bai Hu Ping Gastric San is self-formulated: raw gypsum, rhizome, atractylodes, Zhi Mu, jiao shan plant, semi Xia, fried heliotrope shell, raw licorice, light bamboo leaf, Chen Pi. Addition and subtraction: Add gua hua ren and fire hemp nut for dry stools. Constipation: add raw rhubarb and then lower, add atractylodes charcoal for rash stools. Tongue white and greasy plus Chuan Park gram, tongue thick and greasy plus Chuan Park, with skin Poria, raw rice kernel. [[2]]
1.3.1 Dampness and heat in the spleen long-term alcohol consumption, wine and food heat toxicity, contained in the middle jiao, the spleen and stomach dysfunction of transport and transformation, wet long into heat. Symptoms include bad breath, mouth sores, gum swelling and pain, thirst and dullness, loose stools or sticky stools, abdominal distension and fullness, yellow urine with greasy moss and slippery pulse. Treatment is to combine Shijiao Zhi Mu Tang with Artemisia mushroom soup with addition and reduction. To clear dampness and heat, lower the fire and produce fluid. The formula is based on 10g of Yin Chen, 10g of fried branches, 9g of rhubarb (later), 30g of gypsum, 10g of Zhi Mu, 10g of Sheng Ma, 10g of Dan Pi, and 10g of Scutellaria.
1.3.2 Phlegm-heat congestion of the lung with pulmonary distension, deficiency of the lung, spleen and kidney, phlegm and blood stasis, and external wind-heat or wind-cold. The symptoms are: bad breath, cough, thick sputum, wheezing, yellowish fur, thin and slippery pulse. This formula is based on Radix et Rhizoma Diabolicus with Radix et Rhizoma Diabolicus (10g), Radix et Rhizoma Diabolicus (10g), Radix et Rhizoma Scutellariae (10g), Radix gypsum (30g), Semen Coix (30g), Radix zhebei (10g), Radix et Rhizoma schoenanthus (2g), Radix sempervis (10g).
The formula is Xiao Qing Long Tang with flavour: Gui Zhi 10g, Sheng Ma Huang 6g, Bai Shao 6g, Licorice 3g, Hossein 3g, Han Xia 10g, Dry Ginger 6g, Qian Xiang 8g, White Mustard Seed 10g. After the condition is stabilized, strengthen the body, prevent the sense of Chang, replenish Qi, remove phlegm and eliminate stasis is the chronic root of lung distension, the disease tends to be basically cured, bad breath disappears.
1.3.3 Cold and dampness trapped spleen greed for cold and cold, resulting in cold and dampness stagnation in the middle jiao. Symptoms: light mouth and dull, body heavy and cold, chest vomiting, abdominal pain and loose drainage, light tongue with white greasy coating, moist and slow pulse. The treatment is appropriate for the flat stomach and refers to the fan of Fu Ling Pill cut, warming dampness, lowering turbidity and dispel phlegm, first with, Atractylodes macrocephala 8g, Chen Pi 6g, licorice 3g, Yuan Ming powder 10g (first fire dried, become white), with Poria 12g, Gui Zhi 10g, Atractylodes macrocephala 15g, Citrus aurantium 20g, Zhe Yao 10g, white mustard seeds 15g, together with water decoction. So that the cold dampness, phlegm solution, smell reduction. The symptoms are: fatigue, gastric discomfort, postnatal and epigastric abdominal abnormalities, and daily loss of shape, with a light red tongue, thin white fur, and slow pulse. The treatment is to nourish the stomach and soften the liver and regulate the qi, with the formula of lily of the valley and wu yao soup with flavor: lily of the valley, wu yao, Chai Hu, prunus ginseng, yellow essence, atractylodes, sand (after entering), hawthorn, half a lotus, etc. Deficiency of Qi and Blood, symptoms: atrophy, fullness of the stomach and epigastric region, vague pain, aggravated by strain, loose bowel movements, light tongue with thin coating, weak pulse. The treatment is to sweet and warm stomach, regulate qi and replenish blood, the formula uses the Rizhong with angelica to replenish blood soup; ginseng, atractylodes, dry ginger, cinnamon, roasted grass, wide wood incense, sand (after entering), angelica, moxibustion astragalus, etc.. In order to achieve a healthy qi and blood, cold dissipation of blood, bad breath is less likely to recur.
1.3.4 Spleen and kidney Yang deficiency, liver depression, old age and weakness, spleen and kidney deficiency, slowing down the transport, constipation. Symptoms: fatigue, decreased appetite, abdominal distension after eating, stool not resolved for several days, lumbar soreness, Yang atrophy, chest tightness, belching and acidity, pale and tender tongue, white smooth coating, and sunken and weak pulse. The treatment is to tonify the spleen, benefit the kidneys, dredge the liver and moisten the bowels. The formula is based on 20g of Astragalus membranaceus, 15g of Atractylodes Macrocephala, 6g of Pericarpium Citri Reticulatae, 10g of Radix et Rhizoma Polygonatum, 8g of Radix Codonopsis Pilosulae, 20g of Radix Codonopsis Pilosulae, 3g of Radix et Rhizoma Cyperus, 12g of Herba Cistanches, 10g of Citrus Aurantium, 10g of Betel nut, 15g of Radix Bacopa Monnieri, 12g of Phellodendron, and 12g of Fructus Heterophylla. Restore the function of the spleen and stomach, so that the stool is normal, and bad breath does not exist. [[3]]
1.4 Nourishing yin and clearing heat, Ganluo drink with reduction. The formula: 12g each of raw and ripe ground, 12g each of Tian and Medlar, 10g of Dendrobium, 10g of Yin Chen, 10g of loosestrife, 10g of Scutellaria, 10g of polar shell, 6g of Chen Pi, 18g of rhizome, 15g of fire flax, 15g of Yu Li Ren, 30g of gypsum, 10g of rhubarb, 10g of Huo Pei, 6g of licorice, taken twice a day with water decoction. [[4]]
1.5 The method of regulating qi and tranquilizing the mind was treated with Chai Hu Dredging Liver Drink plus reduction. Basic formula: 9g each of Chai Hu, Chen Pi, Green Peel, and Rhubarb, 12g each of Xiang Fu and Qing Mu Xiang, 18g each of Citrus aurantium, 6g each of Chuan Xiong and Paeonia lactiflora, 15g each of Fried Grain Bud, Fried Wheat Bud, and Raw Hawthorn, and 3g of Raw Glycyrrhiza glabra.[[5]]
1.6 The basic formula for the type of heat accumulation in the internal organs of the stomach: Xuan Shen 10g, Mai Dong 10g, Lu Gen 30g, Sheng Di 10g, Dan Pi 10g, Sheng Ma 10g. If the mouth is dry, add smallpox powder. [[6]]
1.7.1 Stomach and intestine heat accumulation type manifested by halitosis, gastric nourishment, constipation, yellow urine, red tongue, yellow greasy coating. Treatment: Clearing stomach fire, detoxifying and relaxing stool. Prescription: Clear the stomach. Acupuncture points: Daling, Renzhong, diarrhea method with 20 min of retention.
1.7.2 Gastrointestinal food stagnation manifesting as gastric distention and fullness, dullness, belching, foul-smelling stools, red tongue with white or yellow fur. Treatment: Eliminate food and induce stagnation. Prescription: Baohe pill. Acupuncture points: middle epigastrium, feet three li, and the middle atrium, with the diarrheal method of retaining needles for 20 min.
1.7.3 Liver and gallbladder damp-heat type manifesting as bitter mouth, dry mouth, chest and fullness, dull stomach, red tongue, thin yellow fur, and string pulse. Treatment: Clear the damp-heat in the liver and gallbladder. Formula: Xiao Chai Hu Tang. Acupuncture points: left punching foot, ling weeping, diarrhea method with 20 min retention.
1.7.4 Kidney-heat type manifesting with bad breath, thirst, soreness and weakness of the waist and legs, and a pale white tongue. Treatment: Tonify the kidneys and remove fire. Remedy: Liu Wei Di Huang Wan. Acupuncture points: Taixi, Sanyinjiao, tonic method to retain the needle for 20 min. [[7]]
1.8 Add and subtract with Huang Lian Wen Bile Tang. Drug composition: Huang Lian, Semen, Chen Pi, Poria, Citrus aurantium, Bamboo Roo, Licorice, Ginger, Jujube. If the tongue is purple and dark with stasis, add Danshen and Atractylodes; if the tongue is yellow, add Scutellaria and Dandelion; if there is poor appetite, add Hawthorn and Chicken Neijin; if there is bile reflux, add Hou Pu, Chai Hu and Bai Shao. [[8]]
1.9 Oral Gan Lu Drink: 10g of Radix Rehmanniae, 10g of Radix Rehmanniae, 10g of Madonnas, 10g of Asparagus, 10g of Scutellariae, 10g of Dendrobium, 10g of Citrus aurantium, 6g of Loquat leaf, 6g of Glycyrrhiza glabra, 10g of Inocerus, 10g of Radix Bupleurum, 10g of Rhizoma Polygonatum, 10g of Rhizoma Huai Niu Kne. 1 dose of decoction in water daily for 15 days.
10g of patchouli in decoction and gargle with water, together with oral medication, 1 dose daily. Gargle 5 times a day (once in the morning, once at bedtime and once after three meals), and let the medicine remain in the mouth for 1~2 minutes each time. [[9]]
1.10 Transporting the spleen soup with addition and subtraction. The basic formula: 12g each of Atractylodes macrocephala and Citrus aurantium, 15g each of patchouli and honeysuckle, 10g each of pelargonium, huperzia, Chenpi, mucuna pruriens, and malt; qi stagnation with sage, Buddha’s hand, yujin, and betel nut; damp stagnation with atractylodes, poria, zedoary, and coix seed; food stagnation with hen’s inner gold, jiao hawthorn, and lycopodium; blood stasis with Shengdihuang, angelica, danshen, and yanhuosuo; damp-heat with Yin Chen, talcum, psyllium, and gardenia; yin deficiency with yuzhu For constipation, change hedgehog shell to hedgehog, add cassia seeds and rhubarb; for spleen deficiency, add prunus seed, white lentil and atractylodes. The efficacy was observed after 3 courses of treatment. [[10]]
1.11 (1) Firstly, periodontal basic treatment was given: supragingival scaling and subgingival scraping, postoperative periodontal pocket rinsing with 3% hydrogen peroxide, and external application of 2% iodine. (2) Drug treatment: spiramycin 0.2g, vitamin B620mg, methotrexate 4g, 3 times/d, 1 week as a course, 3% hydrogen peroxide rinse, 3 times/d. (3) Traditional Chinese medicine “elimination of stomach and liver diarrhea soup”: gentian grass, gardenia, ascending marijuana 5g each, baicalin, Huanglian 3g each, Chaihu 6g, raw earth, danpi, licorice 1 dose/d, divided into 3 decoctions, 7d as a course of treatment. [[11]]
1.12 Treatment method: Huang Lian 3g, Da Sheng Di 10g, Sheng Ma 10g, Angelica sinensis 10g, Mudanpi 10g, Huo Xiang 12g, Pei Lan 12g, Lu Hifang 15g, and Stiffwort 10g.
Add flavor with symptoms: for dry mouth, add 15g of rhizome, 12g of bamboo leaves; for poor appetite, add 25g of raw coix seeds, 10g of chicken inner gold, 10g of poria; for yin deficiency with red tongue and less coating, add 12g of maitake, 12g of Sichuan lily; for obvious heat symptoms, add 10g of dandelion, 10g of seven-leaved flower, 10g of forsythia, 10g of honeysuckle; for heavy dampness, add 10g of fried atractylodes, 10g of fried atractylodes, 25g of raw coix seeds. 25g; for obvious celiac disease, add 10g of Siberian stalk and 6g of Houpao; for bleeding gums, add 6g of Puhuang; for insomnia, add 12g of Hedychium bark and 25g of Nightshade.[[12]]
1.13 The basic formula consists of 6-12 g of Jiao Shen Qu, 5-10 g of Jiao Shan Zha, 10-20 g of fried malt, 3-6 g of Hu Huang Lian, 6-10 g of Huo Xiang, 3-10 g of Han Xia, and 6-12 g of Chen Pi. For severe stagnation or constipation, add Citrus Aurantium 3-6g and Rhubarb 3-6g; for phlegm and dampness, add Atractylodes Macrocephala 5-10g and Stir-fried Lycopodium 6-12g; for deficiency of stomach yin, add Dendrobium Macrocephala 10-15g and Dendrobium 6-12g; for severe cases, remove Patchouli and add Smallpox Powder 10g and Rock Sugar 10-15g; for heavy stomach heat, remove Hu Huanglian and add Huang Lian 3-6g, Gypsum 10-30g and Shengma 6-10g; If the spleen and stomach are cold, add 6-12 g of ginger, 6-10 g of Radix Codonopsis pilosulae, 6-10 g of Atractylodes macrocephala, and 3-10 g of Radix et Rhizoma Atractylodis Macrocephalae; if the mouth is salivary, add 10-15 g of yam, 10-15 g of lentil; if insects are accumulating, add 5-10 g of monk’s seeds, 5-10 g of wormwood, and 10-20 g of pumpkin seeds (the dosage of the above drugs should be increased or decreased according to the age and weight of the child). [[13]]
2.Acupuncture treatment
2.1 Acupuncture points were taken from Zhongshang, Quchi, Guanyuan, Qihai, Feosanli, Sanyinjiao, Yinlingquan, Yanglingquan, and Taichong. Use 1.5-inch milli-needle to pierce directly or obliquely, and then perform twisting and diarrhea after obtaining qi, and keep the needle for 30 min. 5 times a course of treatment.
2.2 The spleen and stomach are the pivot of the qi flow, and the draining function of the liver plays an important synergistic role in the qi flow of the spleen and stomach. If the draining of liver wood is out of order, the spleen and stomach will definitely lose its normal degree of transportation and lifting, resulting in turbidity and halitosis. Qing Tang Rongchuan “blood evidence of the theory of” cloud: “the nature of the wood is mainly in the drainage, food gas into the stomach, all rely on the liver and wood to drain the Qi, and water and grain is transformed.” Work and fatigue, poor diet, inappropriate warmth and coolness, eating fatty, sweet and thick flavors, and many patients due to work and fatigue after the decline in physical fitness, feel deficient too much nourishment, aggravate the spleen and stomach damage, resulting in dampness blocking the middle jiao, depression and steam heat, dysfunctional transportation, dampness and heat contained within. Stressful work life, emotional disorders, excessive worry, damage to the liver and spleen, liver failure to regulate, resulting in bad breath. Yuan GuiYiLin “ShiMenYiXiaoFang・Mouth and Throat Branch” has a cloud: “labor depression is bad breath”, indicating that work and exhaustion, emotional and mental disorders, liver qi stagnation can not be drained will lead to bad breath. Therefore, the key to treating halitosis is to regulate the spleen, stomach, liver and gallbladder.
The two points are the key points for treating all stomach diseases, and they can clear the heat of the stomach and intestines. “The two points are important points for treating all stomach diseases. Foot Wangli and Yinlingquan can be used together to clear heat and dampness, strengthen the spleen and stomach, so that the qi is smooth, the spleen and stomach are harmonized, and the heat and dampness are removed. Guan Yuan and Qi Hai benefit the qi and tonify the middle, promoting functional recovery. Sanyinjiao strengthens the spleen, harmonizes the stomach, and directs dampness downward. The combined use of all acupuncture points thus achieves the effect of strengthening the spleen and stomach, clearing heat and dampness, and clearing up and lowering dampness, so that bad breath can heal itself. Whether it is diet or emotional disorders, often related to “depression”, worry and anger injury to the liver, wood does not regulate up to, wood grasps the spleen and earth, liver fire offends the stomach, lifting and lowering, so bad breath and bitter moss yellow, “liver heat is bile drainage mouth bitter”, to cleanse phlegm drainage of the liver method, and the foot fructus yin liver meridian and circulation The two points are used together to calm the rebellion of the liver and gallbladder, to relieve the liver and depression, and to regulate the liver qi, which can unblock the qi of the whole body, thus promoting the transport and transformation function of the spleen, so that the stomach is harmonized and the qi is calmed, and the bad breath will stop. [[14]]
3.Food therapy
In addition to taking medications, you can usually do food therapy to assist in the treatment.
3.1 First of all, do an ancient book method: grind sweet melon seeds into powder, force honey pinch into pills, rinse your mouth and contain a pill or paste on your teeth, this is the ancient usage, I usually let patients buy sweet melon seeds on Taobao in the clinic, and then eat as a snack.
3.2 Dahurica dahurica is powdered and infused into water to drink, three grams daily.
3.3 Orange peel in water, orange peel can get rid of bad breath and also laxative, more suitable for patients with constipation.
3.4 salted fish head tofu soup salted fish head taste sweet both clear heat, and tofu is cool, has the effect of clearing heat and detoxification, for oral ulcers, gum swelling and pain, bad breath and constipation are very effective.
Ingredients: 1 salted fish head, several pieces of tofu, 1 slice of ginger.
Directions: Wash all the ingredients, chop the salted fish head and fry it slightly, then put it into a pot with ginger, add an appropriate amount of water and boil it for about half an hour over high heat, then add tofu and boil it for 20 minutes.
3.5. Raw reed root congee
Specially for dry tongue or gum swelling caused by bad breath.
Ingredients: 30 grams of rutabaga, 50 grams of rice.
Directions: Wash the rutabaga and put it in a pot.
Add an appropriate amount of water and boil for 15 minutes on high heat, remove the dregs and leave the juice, add rice and cook into a porridge, 1 dose daily, should be taken every morning on an empty stomach, about 5 doses to see results.
3.6 Cucumber porridge
Specially for dry tongue and bad breath caused by liver fire or internal dampness.
Ingredients: 5O grams of cucumber, 100 grams of rice.
Directions: Peel and slice the cucumber, cook with rice and take the porridge at will.
3.7 Peanut soup
Take 200 grams of peanut kernels, add the right amount of sugar, stewed boiling water, often served with the effect of going bad breath.
4, the ancient chewing gum here as common sense to everyone, interested friends can find a doctor to dispense.
In ancient times, the chewing gum was processed into chewing gum, and it appeared in the Tang Dynasty at the latest. In the special volume of the “seven orifices disease” of the “Prepared Emergency Thousand Gold Essential Formula”, it is mentioned that the treatment of halitosis is advisable to “always take incense pills”. In the Song Dynasty, the “Taiping Shenghui Fang” and the “Shengji Zonglu”, which were large medical prescription books compiled by the imperial court by order of medical doctors and scholars, contained a considerable number of mouth fragrances and chewing gum pills. Among them, there is a kind of “containing incense round”, is the use of chicken tongue incense, patchouli, zero Ling incense, sweet pine incense, angelica, cinnamon heart, wood incense, Chuanxiong, aromatic herbs, nutmeg, betel nut, dahurica, green cinnamon, clove, musk, a total of fifteen flavor medicine research into fine powder, add honey and refined into the size of neem sugar round, use is “often contain a round, swallowing Jin”.
This “containing aromatic round” contains drugs, according to modern scientific experiments have learned that most contain volatile aromatic oil components, some drugs antibacterial insecticide, some saliva moisten dryness and relieve itching, some stop bleeding, swelling and pain. Therefore, often oral such “containing aromatic round”, will be able to produce Jin to remove greasy, fragrant mouth deodorant, anti-inflammatory fixed teeth and other multi-faceted role, so that the mouth and gums, teeth to obtain good health care effect. Thus, it seems that the ancient “fragrant round” than today’s “chewing gum”, it seems to have a better place.