Canker+Sores

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

Dynamed: 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 heredity 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)

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Phytotherapeutic Recommendations
-Vinca Minor (Periwinkle)