鹅口疮
Alias口腔白念珠菌感染
Traditional Chinese Medicine Definition
Oral Candidiasis, also known as Thrush, falls under the category of "Kouchuan" (oral ulcers) in traditional Chinese medicine. According to the "Internal Medicine of Traditional Chinese Medicine," Thrush is caused by the accumulation of heat in the spleen and stomach, or by the upward floating of虚 fire, leading to the appearance of white, flaky lesions resembling the mouth of a goose on the oral mucosa, accompanied by symptoms such as pain and difficulty in swallowing.
In clinical practice of traditional Chinese medicine, the core pathogenesis of Thrush is the accumulation of heat in the spleen and stomach or the upward floating of虚 fire. Common triggers include irregular diet, insufficient endowment, and long-term illness with weakened body. During the differentiation of symptoms, attention should be paid to distinguishing between cold and heat, as well as deficiency and excess. For instance, the pattern of heat accumulation in the heart and spleen is characterized by a full coating of white flakes on the oral tongue, red face, and lips, along with restlessness. Conversely, the pattern of upward floating of虚 fire presents with scattered white flakes on the mouth and tongue, weak physique, pale complexion, and blushing cheeks. The overall direction of treatment suggests clearing the heart and purging the spleen to treat the pattern of heat accumulation in the heart and spleen, and nourishing yin and reducing fire, guiding the fire back to its origin to treat the pattern of upward floating of虚 fire. In clinical practice of traditional Chinese medicine, the treatment of Thrush focuses on adjusting the balance of yin and yang in the body, restoring the function of the spleen and stomach, and achieving the goal of eliminating pathogenic factors.
Common Syndrome Types and Key Points of Differentiation
心脾积热证
Main Manifestations：口腔舌面满布白屑，面赤唇红，烦躁不宁
Management Approach：清心泻脾，解毒消肿
虚火上浮证
Main Manifestations：口舌白屑散在，形体怯弱，面白颧红
Management Approach：滋阴降火，引火归元
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In treating patients with Thrush, it is essential to pay attention to nourishing yin, reducing fire, and clearing damp-heat.
— 陈燕 中医执业医师
Guidance for Nearby Treatment
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)