What are the medications for oral lichen planus?The medical treatment for oral lichen planus is as follows:
1. [Mouthwash: ethacridinium lactate solution or chorhexdine solution, which can have anti-inflammatory effects.]
2. Corticosteroid: Topical cream such as triamcinolonil cream, or you can choose to inject a small dose of Prednisone at the base of the erosion, or take a small dose of Prednisone by mouth (for a short period of treatment).
3. Immune suppressors: can be used to improve serious diseases and reduce pain, such as tacrolimusor pimecromox, or external use of adrenospinal hormone to eliminate local inflammation.
4. Retinoids: 0.1% Retinoids Ointment is used for non-wear and high-degree keratotic injuries.
5. In addition, he could also use herbs such as Leiteng and Kunming Mountain Begonia. In terms of traditional Chinese medicine, there were different treatment methods according to different types of symptoms. For example, the type of liver qi stagnation was treated with Jiawei Xiaoyao powder; the type of liver and gallbladder damp-heat was treated with Longdan Xiegan soup; and the type of spleen and stomach damp-heat was treated with Jianpi Qushi Qingre soup. For the situation of spleen deficiency and excessive yin fire, the method of replenishing earth and suppressing fire can be used, and Buzhong Yiqi Tang and Sancai Marrow Sealing Pill can be used (the specific prescription is not marked in detail due to the review rules).
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What are the symptoms of oral lichen planus?The symptoms of oral lichen planus included oral manifestations and general manifestations.
Mouth performance:
- [Special feelings: There is a rough feeling, a feeling of insects crawling and itching; there will be spontaneous pain, or when eating spicy food, you will feel pain and burning of the mucus membrane.]
- Appearance changes: There are white reticular stripes on the back of the tongue, gums, or cheeks, and there are congested red spots, which form an erosive surface.
Overall performance:
- Skin manifestations: Polyangular papules, slightly higher than the surface, with clear boundaries.
- Nail performance: The nails were symmetrical, the nail body became thinner, and there was a depression when pressed.
In addition, some patients may not have obvious symptoms in the early stages of the disease, and may only have a rough feeling. As the disease develops, there will be burning and stinging, redness of the mucus membrane, papules (white fine stripes), redness, festering, blisters, and other symptoms. Some patients will be sensitive to burning pain when eating spicy, sour, hot, and salty food. They will also feel dry mouth and occasionally feel itchy. There may also be "lines" inside the mouth (such as the shape of a net or a branch), a light blue smooth area on the back of the tongue, and erosion in some areas of the oral cavity. There were also patients who had white markings on the oral mucus membrane, which could be accompanied by burning, numbness, or even abnormal taste buds. Some patients had white markings on the oral mucus membrane, which could be accompanied by redness, swelling, or even erosion. Some patients had symptoms such as burning sensation, self-sensation or stimulating pain, dry mouth and bitter mouth, as well as white reticular or patchy markings on the oral mucus membrane. In serious cases, they might even have erosion, self-sensation or stimulating pain, dry mouth and thirst, hunger quickly after meals, abdominal distension, dry stool, and so on. Yellow and red urine.
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What are the special drugs for lichen planus of the lipsUsually, there is no special medicine for the treatment of lichen planus of the lips. You can use tacromoss ointment for conditioning treatment according to the doctor's advice. You can also take oral retinoid drugs such as acitretin tablets, viamin, tazarotine, or use adrenocortical hormones (such as dex, drocortisone, budesonate, triamcinonate, etc.). For patients with immune deficiency, you can also use immune suppressors (such as cyclosporine, tacrocosmos, azathioprine, methylethrin, etc.) for treatment. In addition, traditional Chinese medicine classified erosive oral lichen planus according to syndrome identification and treated it with corresponding Chinese patent medicines, such as Fangfeng Tongsheng Pill for damp-heat accumulation type; Liuwei Dihuang Pill for yin deficiency and internal heat (internal dryness) type; Dahuang Zhechong Pill for qi stagnation and blood stasis type; Shiquan Dabu Pill (or Bazhen Pill) for qi and blood deficiency type; Tianma Gouteng Pill for liver-yang hyperactivity type. Lichen planus of the lips can also refer to these medication methods. The patient was advised to take the medicine strictly according to the doctor's advice, actively cooperate with the doctor's treatment, develop good hygiene habits in life, keep the oral hygiene, relax the mood, and maintain a happy mood. The patient should mainly eat light food and avoid eating hard, spicy and stimulating food.
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What are some examples of lichen planus success stories?A patient who started phototherapy had a great success story. The controlled exposure to light helped reduce the inflammation associated with lichen planus. After a series of sessions, the redness and swelling of the affected areas decreased, and the patient felt much better.
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2024-11-22 14:31
What medicine does oral lichen planus take?The reason for repeated episodes of oral lichen planus may be related to many factors. In terms of immunity, the disorder of the immune system and low immunity will increase the probability of repeated attacks; In terms of mental factors, mental stress, depression, or anxiety will not only increase the probability of illness, but may also lead to repeated attacks of the disease. However, psychotherapy can alleviate some symptoms; In terms of infectious factors, viral infection, bacilliform, spiral-like or fungi infection may cause repeated occurrences of lichen planus. In addition, Western medicine believed that the cause of the disease was unknown. From clinical and basic research, it might be related to hereditary, chronic liver disease, gastric ulcers and other system diseases, as well as immune hyperactivity.
There were many kinds of drugs to treat oral lichen planus. In terms of mouthwash, ethacridinium lactate solution or chorhexdine solution could play an anti-inflammatory role. In terms of steroids, triamcinuron cream could be used externally, or the injection of prodione could be used on the eroded base, or a small dose of prodione could be used for a short course of treatment. Immune suppressors such as tacrolimox or pimecrox could be used to improve serious diseases and reduce pain. External adrenosteroid could eliminate local inflammation. 0.1% retinoic acid ointment can be used for non-wear and high-degree keratotic damage; Thunder wilfordiurn and begonia hypoglaucum have strong anti-inflammatory effects, can suppress humoral immunity, and have a two-way regulation effect on cellular immunity, but attention should be paid to adverse reactions. However, patients with oral lichen planus should receive regular treatment under the guidance of a doctor to avoid blind self-medication to avoid adverse effects.
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Can you share some lichen planus success stories?I know of a person who had lichen planus. They joined a support group which not only provided emotional support but also shared practical tips. They started using a natural remedy recommended by someone in the group - aloe vera gel. Along with the conventional treatment from the doctor, the aloe vera seemed to soothe the irritated skin. With time, new lesions stopped appearing, and the existing ones healed. This shows that a combination of medical advice, community support, and natural remedies can lead to success in treating lichen planus.
How does oral lichen planus repeatedly break out to return a responsibilityThere were many reasons why oral lichen planus kept acting up. First of all, mental factors were very important. If one was always stressed, nervous, anxious, or depressed, then it would be easy to relapse. For example, if one was busy with work all day and was under great pressure, the immune system of the body would be affected, and lichen planus might appear again.
Secondly, the hormonal disorder was also related. For example, during a woman's menstrual period or pregnancy, her hormone levels would change greatly. At this time, lichen planus might take the opportunity to attack or relapse.
Also, abnormal immune function would also cause this. The body's immune system was like a small guardian. If it was abnormal and could not resist foreign enemies well, the lichen planus would repeatedly cause trouble.
In addition, he had to pay attention to local stimulation. If there were bad prosthetics in the oral cavity, or if they kept biting the cheek and stimulating the oral mucus, it was easy for the lichen planus to relapse.
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What's wrong with repeated relapse of oral lichen planus? What medicine do you take?The repeated episodes of oral lichen planus may be related to many factors.
** 1. Western medicine **
1. ** Immunity factor **
- Immune system disorder, low immunity, etc. will increase the probability of repeated episodes of lichen planus. The histological changes of oral lichen planus included hyperkeratosis or unchanged, accompanied by thickened granulosa, basement cell necrosis, dehydration, degeneration, and a large number of infiltrating splenites under the basement membrane. This abnormality of immune response may cause the disease to be difficult to cure completely, resulting in repeated attacks.
2. ** Infected factors **
- Virus infection, bacilliform, helicoid, or fungus infection may cause the appearance of lichen planus and it is easy to relapse. For example, if the source of infection was not completely eliminated, it might cause the disease to flare up again.
3. ** System disease factor **
- Most patients with lichen planus were accompanied by a variety of different general diseases or symptoms. The onset and progression of many patients were related to certain system diseases, such as diabetes, leukemia, high blood pressure, digestive tract disorder, etc. If these systematic diseases were not effectively controlled, they would affect the overall state of the body, which would lead to repeated episodes of oral lichen planus.
4. ** Mental and nervous factors **
- Due to various reasons such as the environment, family, work, and personal life, the patient's mental trauma, nervousness, anxiety, and depression caused a series of psychological and pathological changes in the body, resulting in imbalance and disorder. Moreover, mental factors could aggravate the existing condition. If the mental state such as emotions did not improve, the disease would easily relapse.
5. ** Endcrinological factors **
- There were many female patients with this disease, and their ages were generally between 30 and 60 years old. The incidence rate ranged from 0.5% to 3%. The patient's oral lichen planus fluctuation was related to pregnancy, menopause, and some drugs that affected hormonal function. Unstable or fluctuating hormones may cause repeated episodes of oral lichen planus.
6. ** Genetic factors **
- Although it was still controversial whether oral lichen planus was related to genetics, many studies had shown that the genetic variants of the genes of tumor factor alpha (TN-alpha) and hormone receptor alpha (IFN-y) were associated with the risk of oral lichen planus. Genetic factors may predispose the patient to the disease, thus increasing the possibility of repeated attacks.
** 2. Traditional Chinese Medicine **
1. ** Yang depression turns into fire **
- Modern people's work and life stress, emotional tension or depression (especially women), or always working overtime and staying up late to consume blood and damage yin, can lead to liver and kidney yin deficiency, lack of water and fire, abnormal ascending and descending, heart and kidney disharmony, yang depression and fire. Due to various reasons, Yang Qi could not be released from the skin, upper orifices, and limbs, so it would be trapped in the body. Stagnation of yang qi would lead to the loss of qi flow and obstruction of qi and blood circulation, which would lead to repeated episodes of oral lichen planus. In addition, if yang qi is not released, it will cause phlegm and blood stasis to be produced. If it is depressed for a long time, it will turn into heat and fire. It can also be caused by yang deficiency and yin deficiency. For example, the promotion of yang deficiency and insufficient warming power will cause cold in the body. If yang qi is not released, yang depression will turn into fire. This kind of cold fire can be manifested by repeated attacks of oral lichen planus, erosion, redness, swelling, pain and other moss.
2. ** Yin fire causes illness **
- If the diet is not moderate, or overwork, long-term worry, sleep less at night, etc., these factors can damage the spleen and stomach, the middle jiao is deficient and the transportation and transformation are not good, the clear yang does not rise, the turbid yin does not descend, the clear and turbid flow flows into the lower jiao, causing the lower jiao phase fire to leave its position and become yin fire. The yin fire ascends and ascends to the upper, steaming the muscle membrane of the mouth and tongue, leading to repeated episodes of oral lichen planus.
** 3. About the Treatment Medicine **
1. ** Western medicine **
- There was currently no special treatment. Usually, after finding out the cause of the disease, the doctor would treat the cause, and then carry out local treatment to relieve the related symptoms. For example, if it was due to infection factors, corresponding anti-infectious drugs might be used; if it was related to immune factors, drugs that regulated immunity might be used, but the specific medication needed to be determined by the doctor according to the patient's individual condition and the severity of the disease.
2. ** Traditional Chinese Medicine **
- For oral lichen planus caused by yang depression and fire transformation, Sini powder could be used as the base prescription, and the treatment could be based on yang deficiency, yang depression, spleen deficiency, qi deficiency, etc. For oral lichen planus caused by yin fire, the famous prescription of Buwei Xieyinhuo Shengyang Tang created by Li Dongyuan in "On the Spleen and Stomach" could be used to nourish vitality, purge yin fire and raise yang qi to regulate it. However, the use of traditional Chinese medicine also needed to be carried out under the guidance of a professional traditional Chinese medicine practitioner. The treatment should be based on the patient's specific symptoms, signs, tongue, pulse, and so on.
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