Hara Yaeko, Shiratuchi Hiroshi, Kaneko Tadayoshi, Sakagami Hiroshi
Second Division of Oral and Maxillofacial Surgery, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan.
Department of Oral Maxillofacial Surgery, Nihon University School of Dentistry; 1-8-13 Kanda Surugadai, Chiyoda-ku, Tokyo 101-8310, Japan.
Medicines (Basel). 2019 Jan 29;6(1):19. doi: 10.3390/medicines6010019.
Stomatitis is an inflammatory disease of the oral mucosa, often accompanied by pain. Usually it is represented by aphthous stomatitis, for which treatment steroid ointment is commonly used. However, in the cases of refractory or recurrent stomatitis, traditional herbal medicines have been used with favorable therapeutic effects. Chemotherapy, especially in the head and neck region, induces stomatitis at higher frequency, which directly affects the patient's quality of life and treatment schedule. However, effective treatment for stomatitis has yet to be established. This article presents the clinical report of Kampo medicines on the stomatitis patients in the Nihon university, and then reviews the literature of traditional medicines for the treatment of stomatitis. Among eighteen Kampo medicines, Hangeshashinto has been the most popular for the treatment of stomatitis, due to its prominent anti-inflammatory activity. It was unexpected that clinical data of Hangeshashinto on stomatitis from Chinese hospital are not available. Kampo medicines have been most exclusively administered to elder person, as compared to pediatric population. Supplementation of alkaline plant extracts rich in lignin-carbohydrate complex may further extend the applicability of Kampo medicines to viral diseases.
口腔炎是口腔黏膜的一种炎症性疾病,常伴有疼痛。通常表现为复发性阿弗他口炎,治疗常用类固醇软膏。然而,对于难治性或复发性口腔炎病例,传统草药已被用于治疗且疗效良好。化疗,尤其是头颈部化疗,更易引发口腔炎,这直接影响患者的生活质量和治疗计划。然而,尚未确立有效的口腔炎治疗方法。本文介绍了日本大学针对口腔炎患者使用汉方药物的临床报告,随后回顾了治疗口腔炎的传统药物文献。在18种汉方药物中,半夏泻心汤因其显著的抗炎活性,在治疗口腔炎方面最为常用。令人意外的是,中国医院尚无半夏泻心汤治疗口腔炎的临床数据。与儿科人群相比,汉方药物大多仅用于老年人。补充富含木质素 - 碳水化合物复合物的碱性植物提取物可能会进一步扩大汉方药物在病毒性疾病中的适用性。