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一般认为复发性口疮的病因病理多由阴虚内热或脾胃郁火所致,治疗多以养阴清热泻火为主。笔者所见复发性口疮属肝经郁热或肝火炽盛者,亦屡见不鲜。根据《内经》“急则治其标,缓则治其本”的治疗原则,以清肝泄热,泻火解毒以治其标,再以养肝、滋肾以固其本,亦能收到满意的效果。现择两例典型病案报导如下。
It is generally believed that the etiology and pathology of recurrent aphthous ulcers are mostly caused by yin deficiency heat or spleen and stomach phlegm fire. The treatment is mostly based on nourishing yin, clearing away heat and purging fire. The authors see that recurrent aphthous ulcers are often caused by liver heat or anger. According to the treatment principle of the “Internal Classic”, “Emergency treatment of its standard, and slow treatment of its own”, it uses the liver to remove heat, purging fire and detoxifying it to cure its symptoms, and then to raise liver and nourish the kidney to solidify its roots. Satisfactory results. Two typical cases are reported below.