Oral ulcers are a common oral disease that, although not serious, can be very uncomfortable. Scraping therapy has a therapeutic and analgesic effect on oral ulcers. So, what are the areas to scrape for oral ulcers?
Which areas should be scraped for oral ulcers?
1. Scraping areas
1. Facial: Dicang, Xiaguan, and Cheche.
2. Back: Piyu and Weiyu.
3. Upper limbs: Quchi and Hegu.
4. Lower limbs: Zusanli.
2. Scraping methods
Apply a small amount of scraping oil to the affected area, first press and knead Dicang, then scrape Xiaguan from top to bottom, and finally scrape Cheche along the direction indicated by the arrows in the figure. For the back, scrape from top to bottom along the direction indicated by the arrows in the figure, focusing on scraping Piyu and Weiyu. For the limbs, use the rounded corner of the scraping board to press or scrape Quchi, Hegu, and Zusanli.
3. Indications
Clearing heat and eliminating fire, relieving pain. Suitable for oral ulcers accompanied by constipation, dry mouth, bad breath, yellow urine, and dry stool.
Tip: Proper supplementation of vitamins can accelerate the healing of oral ulcers.
Precautions for scraping therapy for oral ulcers
1. Precautions before scraping therapy
1. Scraping therapy requires exposed skin and open sweat pores. If exposed to wind and cold, the evil qi can enter the body through the open pores, affecting the effectiveness of scraping therapy and easily causing new diseases. Therefore, choose a good treatment place before scraping therapy, with fresh and well-ventilated air, and pay attention to keeping warm. Avoid scraping therapy in places with draughts in the summer. Expose as little skin as possible.
2. Choose a comfortable position for scraping therapy to facilitate scraping and prevent dizziness.
3. Strictly disinfect scraping tools to prevent cross-infection. Before scraping, carefully check the scraping tools to avoid injuring the skin.
4. The hands of the practitioner should also be disinfected.
5. Before scraping, explain the general knowledge of scraping therapy to the patient, eliminate their fear, and gain their cooperation to avoid dizziness.
6. Do not perform scraping therapy on patients who are hungry, overly full, or excessively nervous.
2. Precautions during scraping therapy
1. The scraping technique should be evenly and forcefully applied, within the patient's tolerance, until scraping marks appear.
2. In infants, young children, and the elderly, the scraping technique should be gentle.
3. Do not blindly pursue scraping marks by using excessive force or prolonging the scraping time. The appearance of scraping marks is influenced by various factors. In general, blood stasis is more likely to result in scraping marks; excess and heat syndromes are more likely to result in scraping marks; deficiency and cold syndromes are less likely to result in scraping marks; excessive medication, especially the use of hormone drugs, makes it difficult to produce scraping marks; obese individuals and those with well-developed muscles are less likely to produce scraping marks; scraping marks are less likely to appear in the yin meridians than in the yang meridians; scraping marks are less likely to appear when the ambient temperature is low.
4. During the scraping process, frequently ask the patient for feedback. If dizziness occurs, such as fatigue, dizziness, paleness, nausea, cold sweats, palpitations, cold limbs, low blood pressure, or confusion, stop scraping therapy immediately. Comfort the patient and help them lie down, keep them warm, and give them warm water or sugar water to drink. If the symptoms do not improve, use the rounded corner of the scraping board to gently press the Shuigou acupoint, avoiding edema after pressing. Use purging scraping therapy on Baihui and Yongquan acupoints. After the patient's condition improves, continue scraping therapy on Neiguan and Zusanli acupoints.
3. Precautions after scraping therapy
1. Scraping therapy opens sweat pores and expels evil qi, causing the consumption of body fluids. After scraping therapy, the patient should drink a cup of warm water and rest for a while.
2. After scraping therapy, to prevent invasion by wind and cold evil qi, the patient should wait for the skin pores to close and return to their original state before bathing, which usually takes about 3 hours.
3. For patients with complicated and critical conditions, in addition to scraping therapy, other treatments should also be used to avoid delaying the condition, such as medication.
Who is not suitable for scraping therapy?
1. Patients with bleeding tendencies should avoid or use caution in scraping therapy. Conditions such as thrombocytopenia, allergic purpura, leukemia, etc. are not suitable for purging therapy, but suitable for replenishing therapy or balanced replenishing and purging therapy.
2. Patients with critical conditions, such as acute infectious diseases and severe heart diseases, should be immediately hospitalized for observation and treatment. If there are no other options, scraping therapy can be used as temporary first aid to buy time and treatment opportunities.
3. Newly fractured areas should not be scraped until the fracture has healed. Scraping therapy should also be avoided in surgical scars until two months after the surgery. Be cautious when scraping scars in postoperative cancer patients.
4. Infectious skin diseases, such as boils, abscesses, scars, ulcers, sexually transmitted skin diseases, and unexplained lumps on the skin, should not be directly scraped.
5. The abdomen of the elderly, those with weak constitution, fasting individuals, and women during menstruation should not be extensively purged by scraping therapy. Facial scraping should be gentle for women.
6. Those who fear or are allergic to scraping therapy should avoid it.
7. Pregnant women and women during menstruation should not have their lower abdomen, Sanyinjiao acupoints, Hegu acupoints, Zusanli acupoints, and other acupoints scraped. The scraping technique should be gentle, using replenishing therapy.
What are the causes of frequent oral ulcers?
1. Dietary imbalance
Patients with frequent oral ulcers should pay attention to whether there is a nutritional imbalance in their diet. If the body is often deficient in iron, folic acid, zinc, or vitamins B2, etc., it is easy to cause recurrent oral ulcers.
2. Genetic factors
Oral ulcers have a clear familial tendency. Although not all oral ulcers are hereditary, through investigations of the affected population, it can be found that oral ulcers have a hereditary basis in certain groups. In addition, oral ulcers can occur in a wide range of populations regardless of age, region, or gender.
3. Psychological factors
Frequent exposure to psychological and social factors can cause oral ulcers. Common factors include psychological stress, depression, exam stress, work fatigue, and poor sleep, which can all be triggers for oral ulcers.
4. Endocrine disorders
Oral ulcers caused by endocrine disorders are commonly seen in women during menstruation and pregnancy. Changes in estrogen levels in the body can cause this. However, this is only a speculative reason, and there is no actual evidence to prove that estrogen levels will definitely cause oral ulcers.
5. Digestive disorders
Oral ulcers are closely related to gastrointestinal diseases. Common diseases such as ulcerative colitis, segmental enteritis, chronic gastritis, gastric and duodenal ulcers, etc., can all cause disturbances in the body's digestion and absorption functions, which can become a major cause of recurrent oral ulcers.
6. Microcirculation disorders
Microcirculation disorders in the body can also cause oral ulcers. We can observe whether there are abnormalities in the patient's nailfold microcirculation and blood rheology through tests. If the patient has increased whole blood and plasma viscosity, slowed blood flow, reduced blood flow, dilated capillary venous end, etc., it indicates the presence of microcirculation disorders.
7. Other factors
In addition to the possible factors mentioned above, local trauma in the oral cavity can also cause oral ulcers. For example, rough food, bites, brushing teeth, and injuries during oral treatment can all cause recurrent oral ulcers. It should be noted that the causes of oral ulcers are complex, and the above are only possible factors.
