Treatment of Recurrent Aphthous Ulcers from the Perspective of "Heart"
10.13288/j.11-2166/r.2025.11.014
- VernacularTitle:从心论治复发性阿弗他溃疡
- Author:
Mengfan REN
1
;
Nailin ZHANG
2
;
Ruohan WANG
1
;
Mengqian SUN
1
;
Pingping CHEN
1
;
Hua CAO
1
;
Qiquan LIU
2
Author Information
1. Hebei University of Chinese Medicine，Shijiazhuang，050200
2. First Affiliated Hospital of Hebei University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
recurrent aphthous ulcers;
oral ulcers;
hyperactive heart fire;
heart yin deficiency;
malnourished heart spirit;
Qingxin Yuchuang Formulation （清心愈疮方）
- From:
Journal of Traditional Chinese Medicine
2025;66(11):1174-1177
- CountryChina
- Language:Chinese
-
Abstract:
Based on the traditional Chinese medicine theory that "all pain， itching， and sores are related to the heart"， this paper proposes treating recurrent aphthous ulcers from the perspective of the heart. It suggests that excessive heart fire and tissue erosion due to flaming fire in the heart meridian constitute the core pathogenesis of this condition. Hyperactive heart fire is identified as the key pathogenic factor， while heart yin deficiency， obstruction of the heart collaterals， and malnourishment of the heart spirit are considered significant contributing factors. Clinically， the treatment follows the principle of clearing heart fire as the main strategy， supplemented by nourishing yin， activating collaterals， and calming the spirit. The self-formulated Qingxin Yuchuang Formulation （清心愈疮方） serves as the base prescription， with flexible modifications incorporating the Yuyin Formulation （育阴方）， Huoxue Formulation （活血方）， and Yu'an Formulation （郁安方） to address specific syndromes involving heart yin deficiency， collateral blockage， and emotional disturbance.
