Oral lichen planus is a chronic inflammatory disease of the skin and mucosa, which is one of the common diseases of oral mucosa. This diseas
Oral lichen planus is a chronic inflammatory disease of the skin and mucosa, which is one of the common diseases of oral mucosa. This disease is mainly manifested in the oral cavity, tongue, lips, cheeks, gums and other parts appear like pearly white stripes, extending to all directions, forming a network, dendritic, ring, plaque and other different forms, sometimes there may be congestion, blisters, erosion, atrophy of. Patient consciousness and stimulate local rough pain or spontaneous pain. Is a precancerous condition, especially long-term repeated healing of erosion or atrophy of the lesion, should arouse enough attention.
At present, the etiology and pathogenesis of oral lichen planus is unclear, immune factors and mental factors play a very important role in the pathogenesis of the disease, the clinical observation that patients often in mood swings, work or learning tension under the condition of onset or exacerbation of disease. Traditional Chinese medicine believes that this disease is related to internal causes, pathogenic damp, organs disorders, blood and other relevant factors. The location of the disease is in the oral cavity, and the pathological changes are mainly related to the heart, liver, spleen and stomach, kidney and so on. The formation of damp heat stasis, yin deficiency heat, qi stagnation and blood stasis, deficiency of Qi and blood and other pathological mechanism, resulting in heat fumigation, skin lose moisten the skin cou, the local poor blood, and cause a series of pathological changes of mucosa.
Western medicine is summarized as: 1, corticosteroids, such as prednisone tablets, Dexamethasone Tablets systemic therapy; triamcinolone suspension, betamethasone suspension, fluocinolone ester, nincontoral local treatment. 2, the main immunosuppressant, thalidomide, hydroxychloroquine sulfate and cyclosporine A gargle, gargle, or Tacrolimus Ointment 0.1%. 3, immunomodulators, medicaments can choose the levamisole, polyresistin, polyinosinic, transfer factor, BCG Polysaccharide and Nucleic Acid Injection, Thymopeptide Enteric Injection, Pi do Maude, etc.. 4, anti microbial drugs is necessary for adjuvant therapy in the treatment of OLP, according to the different condition of amoxicillin, roxithromycin, tinidazole, fluconazole, three potassium bismuth, two sodium citrate, 0.2% chlorhexidine gargle, Eric 2%-4% soda, Dequalinium chloridum buccal tablet, Acetylkitasamycin Troches etc.. 5, promote epithelial growth drug Genetime gel, Genetime spray. Western medicine in the treatment of oral lichen planus is various, use different ways for different types of clinical, can choose different treatment, good application of glucocorticoids and immunosuppressive agents in improving hyperemia, erosion and other aspects of efficacy, certain drugs have side effects but not long-term medication. But there is still a lack of effective treatment and drugs, the lesion healed more difficult, more relapse after treatment.
The application method of traditional Chinese medicine syndrome differentiation and disease differentiation combined, by nourishing kidney, replenishing qi and blood, regulating yin and Yang and other methods to improve the immune capacity to rousing, supporting the fundamental purpose of preventing relapse. Through the heat clearing and detoxicating, dispelling wind and dampness, promoting blood circulation and removing blood stasis method to improve and eliminate the local lesion. Through years of clinical practice, we summed up the treatment of Chinese medicine treatment of lichen planus.
1, qi stagnation: suitable for patients with early mild mood, or caused by the fluctuation of these. Treatment principles: Shugan Qi, promoting blood circulation and removing blood stasis. Commonly used drugs: 15g, 10g, Radix Scutellaria bupleurum, Radix Paeoniae Alba, 10g 10g 10g, paeonol, Salvia miltiorrhiza 10g, safflower 10g, Astragalus 15g, Radix Scrophulariae 10g, licorice 3G.
2, spleen deficiency and dampness heat syndrome: adapt to the condition of time, erosion, exudation. The principle of treatment: spleen dampness, detoxification. Commonly used drugs: dangshen 10g, Poria 10g, the content of 10G, 10g, 10g, dittany bark of Magnolia officinalis 10g of Salvia miltiorrhiza, Plantago 10g, 10g, 10g, dandelion Bletilla Astragalus 10g, licorice 3G.
3, the heat accumulation syndrome: suitable for disease exacerbation, erosion, hyperemia, severe symptoms of pain. Commonly used drugs: 10g, 10g, the content of baicalin of Phellodendron 10g, soil Poria 10g, 10g, 10g, dandelion paeonol, Salvia miltiorrhiza 10g, safflower 10g, astragalus, bupleurum 10g, licorice 5g 15g.
4, yin deficiency of internal dryness syndrome: to adapt to remission, simple oral mucosa. Treatment principle: Nourishing Yin, promoting blood circulation to remove plaque. Commonly used drugs: Rehmanniae 10g, cortex moutan 10g, angelica 10g, medlar 10g, Scrophularia 10g, Salvia miltiorrhiza 10g, safflower 10g, 10g, 15g, Huangqi dittany bark liquorice 3G.
In conclusion, oral lichen planus is a kind of chronic disease, patients in treatment at the same time, still need to self psychological adjustment, diet, avoid spicy, fishy volatiles, pay attention to rest, not anxious. Through the active treatment of doctor-patient cooperation, the disease can be cured after treatment.