Name: Zbang.

Sex : Female.

Age: 34 years.

Occupation: A teacher.

Chief Complaint: Ulceration and pain of lingual surface for 1 week.

History of Present Illness: One week ago, there appeared a peanut-like bloody bulla on the patient's lingual surface when she was blowing a ballon. When the bloody bulla broke, ulcera-tion was formed on the sinister lingual surface, accompanied with sharp pain. So that it's difficult for her to eat or speak. Then she went to the local policlinie for treatment, and was treated with "VitB2, VitC, Methacycline and watermelon frost. " After 1 week's treatment, there was no effect on her. She suffered from the sharp pain in her tongue, which caused she couldn't eat and speak. Then she came here for treatment on March 22,1996.

Physical Examination: The patient was conscious with an acute painful complexion. She spoke to me in a vague voice. An ulceration whose length was 1.5cm was seen on the sinister region of the root of tongue. The pulse was rapid and thready. The tongue was dark red with a thin layer of yellow fur. There wasn't other abnormal sign.

Diagnosis: Ulcer on Facies Lingualis.

Differention: It was caused by sthenic heat of liver and gallbladder, pathogenic heart-fire, which flamed upward and burnt the lingual surface.

Therapeutic Principle: Clearing away sthenic heat from liver and gallbladder, cooling blood and eliminating toxic materials, promoting the production of body fluid and expelling dampness.

Recipe:

ShengDiHuang,Dried Rehmannia Root 25g

HuangLian, Coptis Root 15g

HuangQin, Seutellaria Root 15g

LongDanCao,Gentian Root 25g

ZhiMu,Windweed Rhizome 15g

ZiCao,Arnebia Root 20g

CangZhu,Atractylodes Rhizome 15g

FuLing, Tuekahoe 15g

JinYinHua, Honeysuckle Flower 15g

YeJuHua,Mother Chrysanthemum 15g

ShanZhi,Capejasmine Fruit 10g

GanCao,Liquorice Root 10g

All the above drugs were to be decocted in water for oral taking. 3 doses were prescribed.

Effect Observation: After taking the 1st dose, the sharp pain was relieved greatly. After taking the 2nd dose, the pain disappeared, the patient could eat and speak as normal. After taking the 3rd dose, the ulcer on the lingual surface disappeared too, there was no uncomfortable sensation with her. After 1 week's follow-up, the illness didn't recur. Then it's ending.