What Is Ecthyma?

Sore mouth with sores or ulcers and local pain. Some patients often have recurrent attacks, and even the ulcer does not heal for a long time. Mostly caused by accumulated heart and spleen, exogenous heat and evil, or hot and humid spleen and stomach, yin deficiency and yang hyperactivity. In ancient literature, this disease is also known as broken mouth, diarrhea, and mouth ulcers, which occur on the tongue. Can be found in oral ulcers in modern medicine. Sores are all fires, but there are differences between real fires and virtual fires. For example, due to incontinence of tobacco and alcohol, or eating fat and thick flavors, leaving stagnant heat, or exogenous wind heat, damp heat, and turning into fire, Emotional depression, long-lasting fire, mostly real fire; yin body deficiency, fever injury, or lack of sleep, long-term fatigue and fatigue.

Basic Information

nickname: Mulch, diarrhea, mouth ulcer
Visiting department: Chinese Medicine
Multiple groups: Middle and young women
Common locations: Oral cavity

Common causes: Heat of heart and spleen, exogenous heat, or dampness and heat in the spleen and stomach, hyperactivity of yin deficiency and yang
Common symptoms: Oral mucosa with small round or oval ulcers, single or multiple, severe spontaneous pain

Causes of sore tongue

Mostly caused by accumulated heart and spleen, exogenous heat and evil, or hot and humid spleen and stomach, yin deficiency and yang hyperactivity.

Clinical manifestations of sore tongue

The main symptoms of this disease are repeated round or oval small ulcers in the oral mucosa, which can be single or multiple in any part of the oral mucosa, with severe spontaneous pain, and usually heal itself in about 10 days. Local symptoms are more pronounced, and systemic symptoms are less obvious. It was found that the disease was mostly in the ulcer stage. The diameter of the ulcer was 2 to 3 mm, the bottom was shallow, the edges were neat, the periphery was reddish, the surface of the ulcer was covered with yellow and white cellulose exudate, and there was severe burning-like pain. Stimuli such as salt and salt all make the pain worse, and the language and diet are difficult. It lasts for 4 to 5 days and then enters the healing period. Healing does not leave any scars, but it can occur repeatedly.

Occurs in young adults, more women than men. The onset of lip, palate, tongue edge, gums and other isolated circles form ovals to form small superficial ulcers, some of which occur at the same time. The pain was intense like burning. It can recur with weather, mood, fatigue and other factors. The disease can persist for several years, and will not heal for decades. Traditional Chinese medicine divides the disease into two types: real fire and virtual fire. The former manifests: chills, fever, headache, constipation, yellowish yellow tongue, thick yellow dry tongue, and sometimes with pain in submandibular lymph nodes. The latter may have no obvious systemic symptoms or low fever. . Some people have dry mouth, dry throat, hot palms, insomnia, dreaminess, peeling of tongue coating, etc.

Differential diagnosis of sore tongue

Although oral mucosa ulcers and erosions are common symptoms of oral mucosal diseases, the clinical manifestations of erosions are different from superficial ulcers.

Oral ulcer

Caused by systemic or local factors, although all kinds of ulcers are intraepithelial or subepithelial, superficial or deep, acute or chronic, benign and malignant, but they are all concave; regular appearance, round or oval; clear boundaries , With the surrounding normal mucosa "clear longitude and latitude."

2. Oral erosion

The clinical manifestations are congestion and erosion that are flush with the surface of the normal mucosa, without depressions, overlying exudative pseudomembrane, various shapes, irregularities, and unclear boundaries with the surrounding normal mucosa. Second, the course and prognosis of the two are different. Ulcers generally have a short course of disease. Once they are healed, they are simply and neatly. Superficial and benign ulcers are healed without scarring, with the exception of deep muscle ulcers and malignant oral ulcers. Erosion generally has a long course of disease, repeated delays, and the healing process is "scarring", but erosion generally does not leave scars. The last two behave differently under the microscope. Ulcers appear as interruptions in epithelial continuity, and erosions are superficial without interruptions in epithelial continuity. When ulcers and erosions are less typical, identification can be difficult, but as long as they are carefully observed, they can generally be distinguished. These two lesions can be transformed into each other or both.

Differentiation and treatment of sore tongue

Poisonous type

(1) Syndromes often occur 1 to 2 days after exogenous symptoms with exogenous symptoms. From the beginning, the oral mucosa is locally congested, red and swollen, and has a slight pain. There are small red chestnut-like spots or herpes on the tip of the tongue or lips. Herpes ulcerates within 12 hours, showing superficial ulcers and clear boundaries.

(2) The rule is to clear heat and detoxify, and to strengthen the spleen and dampness.

(3) Recipe silver flower, forsythia, forsythia, woody incense, pelan, Poria, Divine Comedy, Coriander Shell, Pueraria, Atractylodes, Substitute Vermiculite, Rotary Flowers (including fried). Decoction, 1 day.

2. Spleen and stomach fever

(1) Syndromes There are multiple erosions and sores on the tongue and mouth, sores on the face, redness and swelling, burning pain, and even bad breath and gums swelling and pain, frequent drinking with thirst, yellow urine and constipation, red tongue and yellow fur, and slippery pulses.

(2) The rule is to clear the heat and purify the fire, and eliminate the stomach heat.

(3) Recipes Mandrillaria, Scutellaria baicalensis, Forsythia, Rhubarb, Glauber's salt, Thin, Coptis chinensis, Bamboo leaves, Licorice. Decoction, 1 day.

3. Spleen and Kidney Yang Deficiency

(1) Symptoms: Sores and ulcers on the tongue, white ulcers, not red around, small quantity, long-term cure, accompanied by warm limbs, dry mouth and hot drinks, back pain, frequent urination, long stools, pale tongue, white greasy tongue, pulse Weak.

(2) The rule is to replenish the spleen and kidney, and ignite the fire.

(3) Fangyao attached tablets, (fried for 30 minutes first), cinnamon, cooked land, dogwood, yam, yam bark, Poria cocos, Zexie, Cangzhu. Decoction, 1 day.

4. Weak spleen and stomach

(1) Symptoms of repeated sore tongue and tongue, pale sore face, accompanied by fatigue, shortness of breath, lack of diet, warm limbs, thin stools, pale white fur, and weak veins.

(2) The rule is to replenish the qi and strengthen the spleen and dampness.

(3) Astragalus, Codonopsis, Angelica, Chenpi, Bupleurum, Cimicifuga, Huoxiang, Poria, Atractylodes, Licorice. Decoction, 1 day.

5. Heart and Kidney Yin Deficiency

(1) Symptoms of ulcers are bright red, large in number, different in shape, and different in size. The pain is mild in day and night, accompanied by palpitations and upset, insomnia, dreams, forgetfulness, dizziness, tinnitus, sore waist and knees, dry throat, short urine Yellow, red tongue, thin fur, thin veins.

(2) Governance nourishes yin and clears fire, nourishes and calms the mind.

(3) Recipes, raw ground, cortex, yam, Alisma orientalis, dogwood, wild chrysanthemum, forsythia, cohosh, amomum, mulberry parasitic. Decoction, 1 day.

6. Blood deficiency and yin deficiency

(1) Symptoms of tongue and tongue ulcers occur frequently before and after menstruation, accompanied by a large amount of early menstruation, five upsets and hot, dry mouth and happy drinking, pale tongue and thin fur, and weak pulses.

(2) Governance is to nourish blood and yin, and to subdue virtual fire.

(3) Recipe Angelica sinensis, Angelica sinensis, Habitat, Pale bamboo leaves, Poria, Salvia, Mandrill, Bupleurum, Ophiopogon, Schisandra, Xuanshen. Decoction, 1 day.

7. Inflamed Fire

(1) Symptoms: There are ulcers in the mucous membranes of the lips, tongue, and cheeks. The swelling and pain are difficult to eat, the speech is difficult, the tongue is red, and the pulse strings are slippery.

(2) The rule is to remove rot and detoxify.

(3) Recipe Biloba. Usage: Apply alum to the ulcer surface, do not grind into powder to prevent overdose.

Other treatments for sore tongue

Commonly used medicine

(1) Vitamin C tablets.

(2) Qi Ju Di Huang Wan used for chronic ulcer authors;

(3) The author of Zhibai Dihuang Pill for repeated ulcers;

(4) Vitamin E and so on.

2. prescription

(1) Herbal tea, honeysuckle and raw licorice boiled water for tea.

(2) Cassia lucidum tea and cassia fragrant tea , boiling water to brew tea.

(3) Rosy licorice tea briar root, raw licorice decoction for tea, 1 dose per day.

(4) Mixing raw wheat, tea , winter wheat , raw land, dendrobium, and water decoction, take 3 doses, 1 dose daily, and even 4 doses.

(5) Alum rinse 5 grams of alum, add water to 100 ml, gargle for 1 to 2 minutes.

(6) Strong tea gargle insists on rinsing with strong tea, which can promote healing of oral ulcers.

3. Diet Therapy

(1) Lotus seed radish soup lotus seeds and white radish are cooked together, drink soup lotus twice a day.

(2) An appropriate amount of lotus seed tea lotus seed core, boiling water for tea, 1 dose per day.

(3) Mung beans drink green beans raw, boiled raw water, go to raw ground, eat bean soup, 1 dose per day.

(4) An appropriate amount of Shamai Denghua porridge A. ginseng, Ophiopogon japonicum, rush flower, japonica rice and rock sugar. Applicable to repeated sore tongue, body weight loss, dry mouth and throat, upset and insomnia. Note: It is not advisable for people with bowel movements.

(5) Bitter Gourd Sugar Juice Fresh Bitter Gourd is washed to remove seeds, pounded, wrapped in clean gauze, take 50 ml of juice, and fed with an appropriate amount of rock sugar frequently, regardless of time.

(6) Mung bean drink raw mung bean, cabbage heart 2-3, wash the raw mung bean in a small pot and cook until the cabbage heart is cooked, cook for another 20 minutes, then take the juice and take it once a day, early onset Good edible effect.

4. External governance

(1) Qingdai powder, tin powder, pearl yellow powder, ice boron powder, and any of the four medicines are applied to the affected area 4 to 5 times a day.

(2) Cannon ginger, mules, and dogwood. Grind the medicine into fine powder, mix thoroughly with water, paste on the umbilicus, and cover it with paper.

(3) Dried ginger (sautéed in black) and Coptis chinensis grind finely and spit on the affected area, and the saliva will heal.