赵凤林辨治复发性口腔溃疡经验

Zhao Fenglin's Experiences in the Treatment of Recurrent Oral Ulceration

复发性口腔溃疡是临床上常见的口腔黏膜疾病,其患病率居口腔黏膜疾病之首,发作时疼痛剧烈,严重影响患者的生活质量,反复发作甚至造成恶变。导师赵凤林老师在辨治复发性口腔溃疡方面积累了丰富的临床经验,临证时注重辨证论治,主张以"虚实"为纲,以"脏腑"为目,总结出"安君抚相""滋水培元""和调气血"治疗复发性口腔溃疡的三大治法。君火偏亢、心经热盛者,当清心利水,兼以养阴,多用导赤散加减;相火妄动、肝郁化火者,当疏肝理气,清热泻火,多用丹栀逍遥散加减;无根虚火、肾阴不足者,当滋水培元,多用知柏地黄汤加减;虚实错杂、气血不和者,当和调气血,多用甘草泻心汤加减。文章对此进行归纳总结,以资临床借鉴。

Recurrent oral ulceration is the clinical common disorder of oral mucosa and occupies the top prevalence,manifested as drastic pain during attack,which seriously impacts the living quality of patient.Recurrent attacks may even induce malignant transformation. Prof. Zhao Fenglin has accumulated rich clinical experiences in the treatment of recurrent oral ulceration. Prof. Zhao emphasizes that the differentiation of deficiency and excess is the guiding principle,and that of zangfu organs is the catalogue.'Easing the monarch and minister','nourishing the water and cultivating the primary'and 'harmonizing qi and blood'are the major principles in the treatment of recurrent oral ulceration. For excessive monarch fire and heat hyperactivity in heart meridian,the modified daochi san is used on the basis of clearing heart,benefiting water and nourishing yin. For hyperactivity of minister fire,liver stagnation transforming into fire,the modified danzhixiaoyao san is used on the basis of smoothing liver qi,clearing heat and reducing fire. For fire of deficiency type and insufficiency of kidney yin,the modified zhibaidihuang tang is used on the basis of nourishing water and cultivating the primary. For the mixture of deficiency and excess and disharmony of qi and blood,the modified gancaoxiexin tang is used on the basis of harmonization of qi and blood. The above therapeutic methods were summarized in the paper for clinical references.