反复口腔溃疡可用中药秘方从瘀论治
曾遇到1例反复发作口腔溃疡多年的病例,以前曾以脾胃积热、心火炽盛、肾阴亏虚、脾虚湿蕴等治疗不奏效,以瘀论治后奏效。
![](https://image.healthjd.com/pop/jfs/t1/156076/19/28323/254683/61bb7020Eb2702a96/1edab77eaf775bf0.jpg)
患者35岁,女。2005年3月12日因“口腔溃疡复发2天”初诊。自述2004年夏天因不慎摔倒,咬伤口腔黏膜,后致溃疡,当时经抗感染、补充维生素等治疗痊愈。2月后,不明原因的口腔溃疡复发,再次按上述方法治疗不奏效。转请多位医生以脾胃积热、心火炽盛、肾阴亏虚、脾虚湿蕴等治疗,时愈时作,每于气候骤变、情绪不佳时复发。诊见形体偏瘦,口腔内多处溃疡,凹陷性,溃疡周边瘀紫,伴有青筋状,疼痛难忍,夜间疼痛加剧,舌淡紫苔厚黄,脉细涩。西医诊断:口腔溃疡。中医诊断:口疮,辨证为瘀阻脉络。处方:郁金15克,鸡血藤12克,浙贝母15克,半枝莲10克,红花10克,地榆炭10克,甘草5克。水煎服,每日1剂,饭后温服。
3剂后,口腔溃疡愈合,愈合处现青紫,伴有气短,乏力,纳差,考虑久瘀伤脾,变方为:郁金12克,鸡血藤10克,黄芪10克,党参10克,浙贝母10克,红花6克,柴胡10克,大枣10克。水煎服,每日1剂,饭后温服。
服用上方5剂后,诸症悉除,溃疡愈合处淡色青紫,因外伤伤及微小脉络,血溢肌肤而致,用小剂量化瘀通络之品治疗。处方:郁金10克,鸡血藤10克,丝瓜络5克,红花3克,山楂10克,丹参5克,大枣5克。水煎服,每日1剂。
随症加减治疗2周后,青紫瘀斑完全消退,临床痊愈。停药,瞩其半年内调畅情志,避免吃烫、硬等易伤口腔黏膜食品。随访2年,未见复发。
本例口腔溃疡患者因外伤而致,前医用口腔溃疡的常见治疗方法治疗后,没有真正的治其“根”,造成反复发作,经久不愈。“瘀血不去,新血不生”,口腔黏膜中的瘀血没有得到真正的“化散”,每遇气候、情志等外因,瘀血腐烂而发生溃疡。笔者根据此病机,以郁金、鸡血藤为君药,《新修本草》载“郁金主血积,破恶血,金疮”,鸡血藤具有行血补血,通血活络功效,二者共奏活血止痛,散瘀通络,补血祛瘀的功效。再根据患者病情变化情况,分别以清热散结、补脾益气、补血通络等品加减治疗,终获满意疗效。
【延伸阅读】
口腔溃疡的症状表现及病因
中药辩证治疗口腔溃疡
治疗口腔溃疡那些可圈可点的药物
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