首页|基于"诸痛痒疮,皆属于心"探讨从心论治复发性口腔溃疡

基于"诸痛痒疮,皆属于心"探讨从心论治复发性口腔溃疡

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舌为心之外窍,心通过经脉循行与口舌相连,故心的病变往往能影响口舌,复发性口腔溃疡与心之气血阴阳的关系密不可分,心气充沛、心血充足是口舌功能正常的基本要素之一,心的亏损会导致口腔溃疡的反复发作甚或经久不愈.临证从心论治口腔溃疡应根据痰、湿、瘀、热等病因不同分别使用清心除烦、化瘀解毒法,益气养心、定惊敛疮法,滋阴降火、宁心定痛法,补血宁心、益气敛疮法,助阳敛疮,温通心脉法.同时在治疗口腔溃疡时不能将病因一味归于火热,应详细审查病因,针对病因病机进行治疗,方能取得较好的疗效.
Treatment of Recurrent Oral Ulcers from Perspective of Heart Based on"All Itchy-Pain Sores Belong to Heart"
Tongue is the orifice outside of the Heart,which is connected to the mouth and tongue through the circulation of meridians and veins,so the pathology of the Heart often affects the mouth and tongue.There is a close relationship between the Heart's Qi,blood,Yin and Yang and the recurrent oral ulcers.The heart's Qi and blood sufficient is one of the basic elements for the normal function of the mouth and tongue,and the heart's deficiency can lead to recurrent oral ulcers and even long-lasting healing.The treatment of oral ulcers from the Heart should be based on Phlegm,Dampness,blood stasis,Heat and other etiological factors,respectively,using methods of clearing the Heart Fire to relieve restlessness,removing stasis and detoxification,benefiting Qi and nourishing the Heart to relieve a-larm and retrain sores,tonifying the blood and calming the Heart to benefit Qi and restrain sores,nourishing Yin and reducing the Fire to calm the Heart and to relieve the pain,to help Yang to astringent sores as well as warming and dredging the Heart meridian.Mean-while,in treatment of oral ulcers,the cause of the disease should not be attributed to Fire-Heat solely,careful examination and treat-ment according to the etiology of the disease should be carried out,to achieve better therapeutic effect.

recurrent oral ulcertreating from perspective of Heart"All Itchy-Pain Sores Belong to Heart"

范融阳、许二平、张楠

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河南中医药大学豫药全产业链研发协同创新中心,河南郑州 450046

河南中医药大学中医药科学院,河南郑州 450046

河南中医药大学中医学院(仲景学院),河南郑州 450046

复发性口腔溃疡 从心论治 "诸痛痒疮,皆属于心"

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)