摘要
口腔粘膜病是常见的口腔疾病,其发病率虽不及龋齿和牙周病高,但病变种类繁多,涉及问题复杂,且与全身性疾病密切相关。祖国医学早就认识此类病虽局限于口腔粘膜,但与全身经络、脏腑功能失调,特别和脾胃、肝、肾、心等脏腑密切相关。发病因素又与外邪风、火、燥、湿等有关。为此,我们于1989年2～9月进行口腔粘膜病中医分型论治时,探讨其虚证与微循环的关系。
Among 73 caes of oral mucosal diseases (OMD), 70 cases of deficiency syndrome (26 cases of spleen-gideficiency, 17 cases of both gi and yin, 7 cases of kidney-yin and both liver and Kidney-yin deficiency) including 44 cases of recurrent Aphthous ulcer (RAU), 10 cases of lichen planus, 5 cases of glossitis, 11 other cases plus 20 cases of control were observed respectively on their naiLfold microcirculation.Results: Deficiency sydromes (DS) and its different Kinds of DS types and RALL of every DS type were compared respectly with control. The statistic differences were signifiant (P>0.01); but no defference between DS types was defected (P>0.05). Disturbance of microcirculation in gi—deficrency syndrome was manifested by blood stasis (inciuding indistinct outline of microvessel, bad blood flow, aggregation of blood cell, stasis and hemorrhage): blood stasis was also seen in yindeficiency syndrome (including increased apices of atypical vessel, weaker vascular tonus, dark blood, slower blood flow). To sum up, DSpatients tend to suffer from OMD. Bath gi-deficiency and yin-deficiency can lead to blood stasis, and disturbance of microcirculation is one of the aspects of the pathogenesis of OMD. The therapeutic principle of activating blood circulation and removing stasis shloud be applied in treatment.
