197例复发性口疮患者临床资料分析

An Analysis on Clinical Data of 197Cases with Recurrent Aphtha

对197例复发性口疮进行流行病学调查分析 ,发现该病好发于青壮年和“内热亢盛”体质者 ;复发因素可分外感、内伤 ,外感以燥、火两邪为主 ,内伤与疲劳、情志、饮食不节密切相关 ;证型以心脾积热、阴虚火炎为主 ;热壅血滞、瘀热互结是其重要病理环节 ;消化道功能紊乱在其发病中占有重要地位 ;治疗以清胃泻火养阴为主 。

The authors found that the recurrent aphtha was common in young and prime of life through epidemiological diagnoses on 197 cases of recurrent aphtha; the recurrent factors include external infection and internal injury, and the former relied mainly on pathogenic dryness、pathogenic fire as the leading factors, and the latter was close tied with fatigue 、emotion、dietary in a irregular life; The symptom relied mainly on flaming of the heart and spleen-hotness、fire due to yin deficiency ; it was a key pathologic link that accumulation of heat-pathogen due to stagnation of blood、blood stasis and heat pathogen retained each other; the dysfunction of digestive tract occupied an important place in the invasion of recurrent aphtha; so, it should be regard clearing away the stomach、purging intense heat、nourishing yin as the main therapy, and we should actively prevent and cure the diseases of gastrointestinal tract.