复发性口腔溃疡的中医药治疗进展

Recurrent oral ulcer of traditional Chinese medicine to progress

复发性口腔溃疡属于中医的"口疮"范畴。目前临床西医对该病的治疗尚无特效药物。中医认为该病可辨为心脾两经积热,脾虚清阳不升,阴虚火旺等证。中药在治疗复发性口腔溃疡方面有独特优势,有人偏重于清热解毒、滋阴降火,有人偏重于强调活血化瘀、益气养阴、补肾健脾等,只要辨证精准都可以取得肯定疗效。针灸、针药结合、穴位贴附、埋线疗法等中医特色治疗也是可行的选择。本文从复发性口腔溃疡的病因病机、中医药的内服外治法等方面进行浅析。

The recurrent oral ulcer could be classified as aphthae in TCM, for which the clinical medicine has not found out the special-effect treatment scheme. It is generally assumed to be caused by the brimming of heart and spleen, deficiency of Yin and hyperactivity of internal heat and etc. in TCM. The Chinese medicine has competitive edges in terms of the treatment of the recurrent oral ulcer： favoring the heat clearing and toxicity removal, nourishing Yin for lowering the internal heat; or emphasizing the circulation promotion and stasis removal; Yin and Qi nourishment; healthcare of kidney and spleen. The positive treatment results could be achieved based upon the scientific and accurate diagnosis. Such characteristic TCM treatment schemes as acupuncture-moxibustion therapy, acupuncture and Chinese medicine, acupoint sticking therapy as well as the catgut embedding therapy could also be flexible selections. This paper analyzes the etiological factors of recurrent oral ulcer and puts forward several TCM oral and external treatment schemes therein.