Canker sores Mouth Sores
Aphthous stomatitis - week 6 – (autoimmune – allergies)
Sores which are found inside the mouth which have a red base and a white head.

Wind Heat

concomitant sores with a cold - cough, headache, fever, aversion to cold
Rx- Liang Ge San: Huang Qin, Lian qiao, Zhi Zi,
Da Huang, Mang Xiao, Zhu Ye, Bo He, Gan Cao
Li11, 4, 20

Heart Fire

canker sores mostly on tongue, irritability, thirsty, scanty dark urine
(W.M. - usually compared to viral infections)
Rx- Xie Xin Dao Chi Tang: Huang Lian,
Sheng Di Huang, Zhu Ye, Mu Tong, Gan Cao

Deficiency Fire

chronic canker sores which are mildly painful
Rx- Liu Wei Di Huang Wan + Rou Gui (bring fire back to Kidneys) + Qi Tonic
External Application: Wu Zhu Yu powder + Vinegar plaster applied on KD 1
Prevention: eat fresh fruit and veggies or if mother is breast feeding mother should eat deep green veggies and stay away from greasy, spicy, sweet foods, Allergies?
CV23, H6, St5, St36;, St7, L14

minor - 80% of patients
1-5 small ulcers (2-10 mm diameter)
resolves spontaneously in 7-10 days
heals without scarring – herbs:
major - 12% of patients
2 or more large ulcers (> 10 mm diameter)
lasts 2 weeks to several months
heals with scarring
herpetiform - 8% of patients
5-100 small ulcers (0.5-3 mm diameter) that coalesce into irregular shape
lasts 1 week to 2 months
heals without scarring

Precipitating and predisposing factors include
local oral trauma
tartar-control toothpaste
vitamin or mineral deficiency (B12, folate, zinc, iron)
psychological stress
Chemo – aloe, glycerin, licorice (DGL), propolis, cham,
~plus l- glutamine. 2-3 tsp daily or “Seacure”, popsicles
Slippery elm, white oak bark, sage, licorice – Donnie Yance
can use Allopurinol mouth rinse
smoking cessation and exposure
Eupatorium laevigatum extract in Orabase more effective than triamcinolone 0.1% (Kenalog in Orabase) in randomized double-blind trial of 60 patients, 40% vs. 27% cure rates at 5 days (NNT 8), 70% vs. 33% had pain relief (NNT 3) (Adv Ther 2000 Nov-Dec;17 (6):272)

Phytotherapeutic Recommendations

-Vinca Minor (Periwinkle)