Guest guest Posted November 4, 2001 Report Share Posted November 4, 2001 I have got a very interesting mouth ulcer case to present. >>>Try tian qi hua jing Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2001 Report Share Posted November 4, 2001 Greetings all, I have got a very interesting mouth ulcer case to present. My patient is a 32 y/o male. His pulse is moderate with the liver position being the strongest, tongue is dusky-pale with red spots at the tip and a thick yellow white dry greasy coat at the back. At first I was treating him mostly for digestive issues. This week he brought another issue to my attention. He presented with a history of mouth ulcers which were chronic from 95-99. The mouth ulcers stopped almost completely when he stopped licking his envelopes. Four months ago he got another outbreak which lasted two months. He described it as having two or more sores in his mouth constantly, the sores were painful and sensitive. This recent outbreak subsided two months ago and almost directly after he had a new kind of mouth ulcer appear which was on the inside of the lower mouth, under the lips on the inside. Technically, it fit the description of a papule. The mucous membrane is paler then the surrounding tissue, flat, there are alot of visible blood vessels and dark red-purple veins. There is no pain at all, he reported that the papule increases in size, fills with pus and then goes down again. The papule was about a quarter size. His M.D. thought it was viral and put him on Veltrex which is a shingles medication, used also for genital herpes, which I recommended to not continue. The patient will go and have the sore biopsied to rule out any possibility of malignancy. I diagnosed him with a liver and spleen disharmony. I found some heat signs on his tongue however this current mouth ulcer does not look like anything I have seen before and is not sensitive at all. When I examined him there was no pus. He has had it for over two months. I put him on minor bupleurum with a small dose of Huang Lian. I was going to try Dao Chi San but wanted to get some input from the group. Thank you, Eti Domb. Get your FREE download of MSN Explorer at http://explorer.msn.com Quote Link to comment Share on other sites More sharing options...
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