Puhuang is the pollen of Typha longibracteata, Typha angustifolia, Typha latifolia or other plants of the same genus of the Typha family. It is sweet in nature and tastes like human pericardium and liver meridian. The function has the functions of cooling blood, promoting blood circulation, removing blood stasis and stopping bleeding, diuresis and pus removal, swelling and pain relief, dispelling decay and regenerating, astringent and muscle growth. Puhuang is listed as the top grade in the "Shen Nong's Materia Medica". "Puhuang" is recorded as "Puhuang is sweet and calming. It controls the heart, cold and heat in the bladder, facilitates urination, stops bleeding, and eliminates blood stasis. Take it for a long time to lighten the body, benefit vitality, and extend Nian Shenxian." Oral ulcers, as a common clinical oral mucosal disease, have a high morbidity. Due to painful stimulation and frequent attacks, they can even affect the patient’s diet and sleep, and then seriously affect the patient’s mental state and constitute the quality of life of the patient. Great influence. The occurrence of oral ulcers is the result of the combined effects of many factors, including local trauma infections, mental stress, anxiety, tension, spicy food, drugs, malnutrition, immune factors, gastrointestinal diseases, changes in hormone levels, and vitamins or trace elements Lack of waiting. Traditional Chinese medicine refers to oral ulcers as "mouth ulcers" or " aphthous sores". The name of oral ulcers is first seen in "Suwen·Qijue": "The bladder transfers heat to the small intestine, the intestines are inconvenient, and the upper part is chyme. "The onset of this disease is mainly related to diet and mood. Improper diet, eating fat and sweet taste, overeating spicy stimulation leads to gastrointestinal heat accumulation, gastric meridians follow the cheeks and gums, heat accumulates through the meridians, causing aphthous sores, heart resuscitation on the tongue, emotional disharmony, upset, shortness of breath, heart Insufficient yin, ascends along the heart pulse, which can also cause sores in the mouth and tongue.
Case 1: Patient Li, female, 33 years old, married. First visit on May 12, 2020. First visit: oral ulcers for 3 years, worsening for 1 week. The patient had repeated oral ulcers for 3 years, and the symptoms reappeared 1 week ago. Several ulcers were seen on the inner lips and on the surface of the tongue. The ulcers were of different sizes, and there were many exudates. The surrounding hyperemia was obvious, the pain was unbearable, and even the mouth was difficult to swallow. , Upset, shortness of breath, bad breath, dry nose and throat. Poor sleep and dry stools. Su likes spicy and stimulating diet. The tongue is dark red, the tongue is thin and yellow, and the pulse string is slippery. The diagnosis is aphthous in traditional Chinese medicine. The syndrome differentiation is that the liver and stomach accumulate heat, the qi and the fire are reversed, the treatment is to clear away heat and detoxify, and cool the blood to disperse knots. Recipe: honeysuckle, forsythia , Bupleurum, Scutellaria, burdock, raw licorice,Coptis, red peony, tree peony peel, trichosanthes, dandelion , raw rehmannia, cohosh, raw taraxa. 3 doses, decocted in water, divided into morning and evening. Another topical application of raw cattail yellow to cover the oral ulcers. The second visit on May 15, 2020: After the patient took the medicine, the pain in the oral ulcer was significantly reduced, the ulcer surface was reduced, the dry stool was also significantly improved, and he was able to defecate normally on his own. Still upset, short-tempered and irritable. Go to the top of Gualou plus floating wheat, Angelica . 3 doses. The third visit on May 18, 2020: the ulcer surface disappeared, the pain remained untouched, the tongue was pale red, and the fur was thin and white. The raw cattail yellow above was reduced to 10 g, 3 doses. Note: Modern people have a fast-paced life, heavy work pressure, a lot of entertainment, and too much food for dinner. Irregular work and rest. Overworked. Diet is not "-3. Gastrointestinal heat accumulation, emotional disharmony, liver meridian stagnation and heat are important reasons for the formation of oral ulcers." . Qi Chong is on the mouth and tongue, so it causes sores in the mouth and tongue: "This patient usually likes to eat spicy and stimulating foods, causing gastrointestinal heat: recurring mood is not good. Often upset and irritable, the heart and liver channels are hot. Reversal of qi and fire: gastrointestinal accumulation of heat, fumigation of the heart and lungs, plus emotional disharmony, wood burning, aphthous causes. The prescription uses honeysuckle, forsythia, dandelion, etc. to clear away heat and detoxify, clear the middle and disperse, and does not suppress the qi Relief; Bupleurum, Scutellaria baicalensis relieving Shaoyang depression: Rehmannia glutinosa , Moutan bark, Red peony root, Stir-fried Gardenia to clear heat and cool blood; Rehmannia glutinosa, Moutan bark , Coptis chinensis, and cohosh have the meaning of clearing the stomach, plus Gualou moisturizes dry intestines to clear the accumulated heat in the intestines. It also uses raw puhuang to reduce swelling, relieve pain, remove decay and grow new, astringent and promote muscle. So the effect is very quick.
Case 2 Li Moumou, male, 42 years old , Married. First visit on July 11, 2018. First visit: oral ulcers for more than 10 years, worsening for 1 year. The patient has repeated oral ulcers in the past 10 years, mostly in the inner cheek, upper and lower 13 lip lining, tongue, etc., one after another, repeated Attacks, not easy to heal. In the past year, due to work reasons, frequent business trips caused symptoms to aggravate, the interval between attacks became shorter and shorter, and the ulcers rarely disappeared. Chronic symptoms: multiple ulcers on the tip of the tongue, on both sides of the tongue, and on the inside of the cheek,Pain affects eating, accompanied by irritability, shortness of breath, dry throat, sticky mouth, bitter mouth, drowsiness of limbs, yellow urine, and poor bowel movements. The tongue is red, the heart is greasy, and the pulse string is slippery. Diagnosed as aphthous, the syndrome is damp-heat internal resistance accompanied by yin deficiency. Rehmannia glutinosa, Ophiopogon japonicus, Sunburned loquat leaves, Yinchen, Coptis chinensis, dried ginger, Moutan bark, Bupleurum, red peony root, Zhuru, raw puhuang 3 doses, decoction, 1 dose a day, divided into morning and evening Taking. In addition, raw cattail yellow was applied externally to cover the oral ulcer. The second visit on July 15, 2018: After taking the upper part, the patient's ulcer area was significantly reduced, the pain was greatly reduced, the pain in the mouth and the upset were also significantly reduced, and the stool was smoother than before. The top 5 pays to follow the service. Press: damp turbidity internal resistance, the tongue and mouth have been infiltrated by damp turbidity for a long time, and the air mechanism is blocked. Rijiu's body fluid cannot be upheld. Caused by the coexistence of dampness and yin deficiency. The blood vessel is unfavorable, the local mucosa is lost, and erosion is born. The illness is difficult. Rehmannia glutinosa, Ophiopogon japonicus, and roasted loquat leaves nourish yin and clear heat: Yinchen and Zhuru clear heat and remove dampness; Coptis chinensis clears heat and dampness, and when combined with a small amount of dried ginger, can accelerate the healing of ulcers; Bupleurum and Moutan bark , Span1span Red peony relieves liver and clears heat, cools blood and disperses blood stasis; through internal and external use of raw puhuang, it can cool blood and reduce swelling, dispel decay and grow new, astringent and promote muscle. Summary: The main causes of oral ulcers are heat and dampness. In the later stage, yin deficiency and dampness, spleen deficiency, qi deficiency and damp-heat or cold-dampness, blood stasis and other conditions coexist. Heat is a yang evil, its sexual inflammation, fiery inflammation, heat scorching the skin, and lips erosion. For example, Laowen·Qi Interchange: "The old age is not enough, the flames are rising,...the people's disease is aphthous." Heat evil consumes human yin fluid, consumes qi and hurts yin, human yin fluid is insufficient, and virtual fire is endogenous. Shen Jinao's "Rhinoceros Candles · Origin of Mouth and Tongue Diseases" of the Qing Dynasty said: "Insufficient qi in the middle scorch, excessive fire on the virtual fire will lead to the mouth; the cold medicine is not effective, and the fire will lead to the loss of the yin and the mouth will also be eaten; the internal heat will also lead to the mouth." Fatigue and internal injury or emotional disharmony can also cause weakness of the temper. Normally overeating spicy spicy stimulates fatness, sweetness and greasiness, so that the gastrointestinal damp-heat is congested, and the damp heat steams up and it becomes aphthous. Heat of the heart and spleen caused by diet, emotions, and fatigue is a key factor in the onset of oral ulcers. "Reserving Disease Sources and Symptoms of Tongue Sore Syndrome" Zhongyun: "The heart qi flows through the tongue, the spleen flows through the mouth, warming the heart and the spleen, and the qi rushes through the mouth and the tongue, so 's mouth and tongue are sore ","Economic Records" says: "Those with aphthous ulcers are hot from the heart and spleen, the qi rushes to the burn, and the tongue is smoked, pretending to be sores." Puhuang is sweet and smooth in nature, without the disadvantages of overcoming cold and heat. It has the power to dispel blood stasis and reduce swelling, dispel decay and regenerate, converge and regenerate muscles. On the basis of syndrome differentiation and treatment of oral ulcers, adding fresh Puhuang can often get twice the result with half the effort. effect.
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