What should I do about swollen and painful gums caused by excessive internal heat ("shang huo")?

Jun 05, 2024 Source: Cainiu Health
Dr. Guo Huijie
Introduction
In general, gum swelling and pain caused by "heatiness" can be relieved through dietary adjustments, cold compresses, warm saltwater rinses, massage, medications, and other methods. It is recommended to maintain good oral hygiene habits, such as brushing teeth morning and night, and rinsing the mouth after meals to prevent food residue from remaining. At the same time, adequate rest and healthy lifestyle habits should be maintained, avoiding late nights, smoking, excessive alcohol consumption, and other behaviors that may worsen physical discomfort.

In general, gum swelling and pain caused by "internal heat" (a traditional Chinese medicine concept often referred to as "shang huo") can be relieved through dietary adjustments, cold compresses, warm saltwater rinses, massage, medications, and other methods. If discomfort persists, it is advisable to seek timely medical attention. Specific measures are as follows:

1. Dietary Adjustments

Diet should be light and清淡 in nature. Increase intake of fresh vegetables and fruits such as apples and pears to supplement vitamins and hydration. Avoid spicy, stimulating, and greasy foods like chili peppers and barbecued items, which may worsen symptoms.

2. Cold Compress

Wrap an ice pack in a clean towel and apply it to the swollen or painful area of the gums. This helps constrict local capillaries and reduces pain and swelling.

3. Warm Saltwater Rinse

Mix an appropriate amount of salt with warm water at a ratio of approximately 1:10. After stirring thoroughly, use the solution to rinse your mouth, which can help alleviate gum pain.

4. Massage

Massage the Hegu acupoint, located at the midpoint between the first and second metacarpal bones of the hand. Proper massage may help regulate qi and blood flow and reduce gum swelling and pain.

5. Medication

If gum pain is significant, medications such as ibuprofen sustained-release capsules, indomethacin capsules, or diclofenac sodium sustained-release tablets may be used under medical guidance.

In daily life, it is recommended to maintain good oral hygiene habits, including brushing teeth morning and night and rinsing after meals to prevent food residue buildup. Additionally, ensure adequate rest and develop healthy lifestyle habits, avoiding late nights, smoking, and excessive alcohol consumption, which may exacerbate physical discomfort.

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