1, the disease mostly occurs in the lower lip, but also in the upper lip. The disease has a long course and a history of recurrent attacks, especially in winter and spring, and severe cases can occur in four seasons.
2. Lip mucosa is swollen, dark red in color, dry, with extensive gray-white furry scales, or chapped, itchy and dry locally, burning pain and discomfort. In severe cases, there may be erosive and purulent secretions, which will affect the function of lips (they cannot be opened after adhesion).
Diagnosis can be made by combining the above medical history and clinical manifestations.
Clinical comprehensive treatment of chronic cheilitis
At present, the treatment of this disease in western medicine mainly adopts local treatment, but the effect is not good for patients with chronic cheilitis who have been delayed for a long time. According to the principle of seeking the root of the disease in traditional Chinese medicine, we can achieve good results by combining traditional Chinese and western medicine, treating the symptoms with traditional Chinese medicine and treating the root cause with traditional Chinese medicine.
[Simplified method]: Take Fangfeng Tongsheng Pill orally. 1. Apply lotus petals to lips for external use, mainly for patients with chapped lips and bleeding. 2. Mash the olive into a swimsuit and grind its nucleolus and apply it. Indications are chapped lips or dry lips, pain and kissing.
Prevention and care:
Self-care and prevention of this disease are very important. First of all, we should correct bad habits, and don't lick, bite or expose lip dander; Secondly, we should reduce the stimulation of alcohol and tobacco, eat less spicy and greasy products and avoid exposure to the hot sun. Usually moisten your lips with oil or lip balm, and often take products that strengthen the spleen and promote diuresis, such as Coix seed, Euryale seed, water chestnut, red bean and so on.
Chronic cheilitis, also known as exfoliative cheilitis, mostly occurs in the lower lip, especially in winter and autumn. At first, the lips are red, swollen and itchy, then dry and burning. It is characterized by cracking, scabbing and desquamation over time. The disease has a long course and is easy to recur. Usually avoid the stimulation of alcohol and tobacco, and eat less spicy and thick-flavored products.
This disease is equivalent to the category of "lip wind" in traditional Chinese medicine. Most of its diseases are due to Yangming's stomach heat, spleen meridian blood dryness, or heavy cold and wind-heat pulse. Common clinical syndromes are:
1. Stomach-fire steaming type: redness, itching, thirst, halitosis, red urine and constipation, red tongue, yellow and thick fur and rapid pulse.
2. Yin deficiency and internal heat; Symptoms include prolonged skin lesions, swollen lips and cleft lip, scabbing and desquamation, red and astringent urine, dry stool, dry tongue with little body fluid and firm pulse.
First, optional western medicine.
1. Local treatment:
(1) 5% titanium dioxide cream: Apply to the affected area three times a day.
(2) Quinine cream: Apply it to the affected area three times a day.
(3) Cortisone Acetate Ointment: Apply it to the affected area three times a day.
2. Systemic treatment:
Chloroquine, each time 125mg, twice a day, after meals.
Second, optional Chinese patent medicine.
1. Stomach fire steaming type:
Huanglian Wei Qing Pills: each time 10g, twice a day, taken with warm water.
2. Internal heat due to yin deficiency:
Kouyanqing granules: each time 1 bag, 2-3 times a day, taken with boiling water.
Chronic cheilitis has many manifestations, which may be related to allergy, sunlight, mechanical stimulation, nutritional deficiency, genetic factors, emotional or mental factors, but it is difficult to determine the exact cause. There is no effective treatment for cheilitis. But there are some treatments for your reference.
1. You can try topical corticosteroid ointment;
2. Chinese medicine believes that it is mostly related to spleen and stomach dysfunction. If the swelling and erosion of lips are judged as excess heat of the spleen and stomach, the spleen and stomach can be cleared; If the lips are hard and the pain is judged as excessive heat toxicity, it can clear away heat and detoxify; If the course of disease is prolonged, the lips are thick and dry, and it is judged as spleen deficiency and phlegm turbidity, you can strengthen the spleen and resolve phlegm, and you can also use acupuncture.
3. Pay attention to some drugs containing photosensitive substances, such as norchlortetracycline, sulfonamides, griseofulvin, etc. Other drugs that induce photosensitivity are chlorothiazide, D-860, chlorpromazine, promethazine, phenazine, trifluoperazine, sulfathiazole, hexachlorobenzene, diphenhydramine and so on. Some vegetables such as gray vegetables and amaranth can also cause sunlight sensitivity. Some diseases, such as porphyrin metabolism disorder, vitamin and nicotinic acid deficiency, autoimmune diseases (such as lupus erythematosus), congenital diseases such as xeroderma pigmentosum, solar vaccinia rash, freckles and so on. , may be accompanied by luminescence reaction. It is easy to get sick when the nervous state is unstable. The thickness of stratum corneum, the amount of skin pigment, diet, endocrine abnormalities, age and gender will all affect the individual's susceptibility to diseases. Pay special attention to sun protection in summer. A diet high in protein and vitamins can enhance light resistance. It is also helpful to take mung bean soup and silver scented tea. , and apply 5% ~ 10% PABA ointment or 5% titanium dioxide ointment and other anti-light agents.
Professor Xu Zhihong from Oral Mucosal Department talks about the good method of treating cheilitis.
Rivanol potion, this potion is used for external use on lips. A bottle of liquid medicine is less than two yuan in Chinese mainland, and it is more convenient to use. Wet the cotton pad with medicine and apply it directly to your lips. When applying wet compress, if you feel some chapped lips, you can apply the liquid medicine to the cotton piece again. This process takes about twenty minutes, and the chapped lips will feel some relief immediately.
Panniculitis, also known as lip wind, is mostly caused by wind-heat invading the stomach and exhausting blood dryness, such as Fangfeng Tongsheng Pill or Kouyanqing Granule. It has a good therapeutic effect on chronic cheilitis.
The traditional Chinese medicine prescription contains not only Herba Artemisiae Scopariae 15g, jaundice 10g, Radix Sophorae Flavescentis 10g, Rhizoma Atractylodis 15g, and Cortex Dictamni Radicis 12g. Putting these medicines together to smoke lips will have a good effect. Taking this prescription will not only cure cheilitis, but also change lips. The course of treatment of traditional Chinese medicine is usually one to two weeks, which can relieve the disease.
"Dry with thick ointment, quite thick. In fact, it is not conducive to the discharge of secretions from infected tissues, and it is difficult to make normal tissues grow from the bottom, which is not easy to recover. " After hearing what Professor Xu said, we really need to sit in the right place and see if the lipstick is too thick at ordinary times. In fact, it can't protect your lips very well. If your lips are usually dry, you might as well steam your lips with hot water, and then apply a thin layer of lipstick on your lips appropriately, which can completely alleviate the discomfort of mouth cream.
The principle of food health preservation is to reduce acidity, benefit sweetness and nourish temper. Because the liver qi is strong in spring, it is easy to cause stomach problems, and acidic food is the original taste of the liver. At this time, we should reduce sour food, stop contributing to liver qi and protect our temper from damage. For example, tangerine peel for soothing the liver and regulating qi, Hangzhou chrysanthemum for calming the liver and calming the wind, and grain buds for soothing the liver and strengthening the spleen are all timely foods.
In spring, nature provides many wild vegetables for human beings, such as Malantou, alfalfa and chrysanthemum, which have a good effect of clearing liver and improving eyesight.
It is precisely because the spleen and stomach are easily damaged at this time that we should pay attention to eating less indigestible food, especially the elderly. If alcohol should not be excessive, cold food, zongzi and sticky, cold and greasy things should be strictly controlled so as not to affect the normal function of viscera.
In spring, you must avoid eating "hair", such as shrimp, crab, pickles and other foods, otherwise the old disease will easily recur.
Eat more liver-nourishing food in spring. Because with the growth of people's age, the weight of the liver is gradually reduced, the number of hepatocytes is gradually reduced, the storage, regeneration and detoxification ability of the liver is reduced, and the liver is easily damaged due to overwork or mental stress.
How to supplement the liver from diet? The preferred food is cereals, such as glutinous rice, black rice, sorghum and millet; Followed by red dates, longan, walnuts and chestnuts; There are also meat fish, such as beef, pork belly and crucian carp, which also have health care effects on the liver.
Although the weather is warm in spring, there is still cold in winter. You should eat more foods that warm and tonify the yang, such as leeks, garlic, onions, mustard greens, parsley, ginger and onions. These vegetables can not only drive away the cold, but also inhibit and kill germs.