How to treat oral lichen planus with folk prescription? Oral lichen planus is an inflammatory skin disease of unknown cause. It is characterized by flat, polygonal papules and waxy luster. The course of disease is chronic, mostly in adults, both men and women. It belongs to the category of purpura in traditional Chinese medicine.
So what is the folk prescription of oral lichen planus treatment?
1： Huoxue Zhishi recipe
Indications: promoting blood circulation and removing blood stasis, removing swelling and decaying. Indications: oral lichen planus, Oral Discoid lupus erythematosus and other oral lesions.
Prescription composition: Salvia miltiorrhiza, Ligusticum chuanxiong, Caulis Spatholobi, Curcuma Curcuma, radix paeoniae rubra, peach kernel, made into tablets. Four tablets three times a day. Take it orally after meals. Two months is a course of treatment.
This prescription is suitable for oral lichen planus caused by qi stagnation and blood stasis. In the prescription, Salvia miltiorrhiza, radix paeoniae rubra and Caulis Spatholobi are used to nourish blood and activate blood circulation; Taoren is used to break blood stasis; Yujin is used to regulate qi and blood; Chuanxiong is used to regulate qi and blood. The combination of various drugs can improve the blood circulation. According to modern medical research, after using this prescription, the blood flow in the microvessels of the patients is accelerated, the flow pattern tends to be normal, and there are histological changes such as the decrease of inflammatory cell exudation and the regeneration of basic cells, which indicates that this prescription has certain effect on eliminating inflammation, promoting erosion healing and the disappearance of white stripes.
2： Jiuwei Xiaoshi drink
Indications: Invigorating Spleen and removing dampness, nourishing yin and clearing heat, tonifying kidney. Indications: erosive oral lichen planus.
Prescription composition: Radix Codonopsis, Dendrobium, Fructus Corni, Radix Scrophulariae, coix lacryi, Poria cocos, Radix Sophorae Flavescentis, Radix Scutellariae. In the case of heavy dampness, Cheqianzi and Anemarrhena asphodeloides were added; in the case of high heat, Phellodendron amurense was added.
Chronic disease will be deficient, often hurt the spleen, stomach and kidney qi. Due to the deficiency of spleen and dampness, and the deficiency of kidney and Qi are unfavorable, the dampness stops in the interior and spreads on the muscle surface. Now it is white lines. If the dampness is severe, it will cause ulceration and erosion. It will occur repeatedly but not easy to close the mouth. In this prescription, raw Coix jobI is used to tonify the spleen and stomach qi, Cornus officinalis is used to tonify the kidney qi, and Codonopsis pilosula is used to tonify the Qi of xiantiantian. In addition, Poria cocos is used to invigorate the spleen and dampness, Sophora flavescens and Scutellaria baicalensis are used to clear away heat and dampness, which has a strong effect of eliminating dampness. In order to prevent excessive dryness, Shengdi and Xuanshen are used to nourish yin, so that the Qi can be replenished, dampness can be removed, and Yin and yang can be reconciled. According to modern pharmacological research, the drugs in this prescription can regulate immunity, enhance digestion and broad-spectrum bacteriostasis, so it has a significant effect on promoting the cure of ulcer erosion. When using this prescription, if it can be combined with local medication at the same time, the effect will be better.
3： ShuangDi lichen drink
Indications: Nourishing Yin and blood, dispersing wind and moistening dryness. Indications: simple oral lichen planus.
Prescription composition: Radix rehmanniae, radix rehmanniae, Radix Angelicae sinensis, Radix Paeoniae Alba, Fructus Ligustri Lucidi, Fructus Lycii, Radix Ophiopogonis, cortex moss, Radix Scutellariae, Rhizoma Cyperi, Radix Achyranthes Bidentatae, Herba Ecliptae.
The prescription takes Shengdi and Shudi as the monarch, Angelica sinensis, Paeonia lactiflora, Ligustrum lucidum, Lycium barbarum and Ophiopogon japonicus as the ministers, focuses on Nourishing Yin and blood, dispels wind dryness and invigorates blood deficiency; moss skin, Cyperus rhizoma and Herba Ecliptae as the adjuvant, invigorates kidney yin, strengthens muscles and bones, and promotes Qi and blood; and uses Achyranthes bidentata as the envoy, to induce fire and return to yuan, induce blood to descend, and introduce medicine into the meridians. It can not only improve the local symptoms of oral lichen planus, but also regulate Yin and Yang, enhance the function of viscera and improve the general condition of patients.
4： Wushe Qufeng Decoction
Indications: dispelling wind, clearing heat, promoting blood circulation and removing blood stasis. Indications atrophic oral lichen planus.
Prescription composition: Wushe, Jingjie, Fangfeng, Chanyi, Huanglian, Huangqin, Yinhua, Lianqiao, Chishao, Danshen, Danpi, Rubia, licorice, decoction. Peach kernel, safflower and Angelica sinensis tail were added to those with obvious blood stasis symptoms.
Blood deficiency and wind or exogenous wind evil can lead to disharmony of blood vessels, blocked Qi, unfavorable skin texture, and desquamation and atrophy of mucous membrane and skin. The black snake used in this prescription has the function of dispelling rheumatism and unblocking tendons and collaterals; in addition, Schizonepeta tenuifolia, Fangfeng and cicada clothing can dispel wind and remove pathogenic factors, consolidate Ying Wei, and effectively resist external pathogenic factors; Radix Paeoniae Rubra and Salvia miltiorrhiza can nourish blood and activate blood circulation; Cortex Moutan and Rubia cordifolia can cool blood, clear blood and separate heat; Rhizoma Coptidis, Radix Scutellariae, Flos Lonicerae and Forsythiae can clear blood poison, activate blood circulation and remove blood stasis. It can clear away the waste and strengthen the support, so that the metabolic activity of the diseased parts can return to normal, so that the symptoms of atrophy, hyperemia and white lines can be eliminated. This prescription is mostly cold and cool, so it should be used with caution in patients with body deficiency.
5： Qinbai Xiaoshi drink
Indications: clearing away heat and reducing fire, detoxifying and dampness. Indications: erosive oral lichen planus.
Prescription composition: Radix Scutellariae, Cortex Phellodendri, Fructus Forsythiae, Smilax glabra, coix lacryma jobI, cortex moss, cortex Chiling, viola viola, radix rehmanniae, bamboo leaves, decocted in water. If the erosion is serious, Yangyin Shengji powder or Flumetasone and prednisolone are injected into the base of the diseased root.
This prescription is suitable for erosive oral lichen planus caused by steaming on stomach fire or inflammation on deficiency fire. The prescription uses Scutellaria baicalensis and huangbaiqing Sanjiao solid fire; Shengdi and Zhuye Qingxin Xiehuo; lichen peel and Viola yedoensis Qingre Jiedu; tulia cocos and Chiling peel Tonglin Lishi to help clear Sanjiao fire. It can prevent the mouth and tongue from being fumigated by the accumulation of heat in the viscera, so it can promote the early recovery of erosion. It is not suitable for patients with weak spleen and stomach.
In short, oral lichen planus is a chronic disease, generally good after the recovery. Since the first report of oral lichen planus canceration in the early 20th century, some new cases have been added, and the precancerous nature of oral lichen planus has been paid more attention. Oral lichen planus should at least be regarded as having the possibility of canceration like leukoplakia. The reported canceration rate is 1% - 10%, but most of them are less than 1%. It can be seen from the above that although the canceration rate of oral lichen planus is not high, it has the possibility of canceration. After canceration, it basically belongs to well differentiated squamous cell carcinoma. Therefore, strengthening the clinical follow-up is of great significance for the timely detection or prevention of oral lichen planus.