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What causes toothache due to "shang huo" (excessive internal heat)?

Aug 31, 2024 Source: Cainiu Health
Dr. Liu Chao
Introduction
Tooth pain caused by "excessive internal heat" (shang huo) may result from improper diet, excessive stress, dental caries, gingivitis, pulpitis, or other conditions, and treatment should be based on the specific cause. Consuming excessive spicy or fried foods can easily lead to internal heat, causing inflammation of the oral mucosa and subsequent tooth pain. If you experience any discomfort, it is recommended to seek medical attention at a hospital promptly and follow the doctor's instructions for treatment.

Tooth pain caused by "internal heat" (a traditional Chinese medicine concept referring to bodily imbalance) may result from improper diet, excessive stress, dental caries, gingivitis, pulpitis, and other factors. Management should be tailored according to the specific cause. Detailed analysis is as follows:

1. Improper diet: Consuming excessive spicy or fried foods can easily trigger internal heat, leading to oral mucosal inflammation and subsequent tooth pain. It is recommended to adjust the diet by reducing intake of spicy and fried foods and increasing consumption of vegetables and fruits.

2. Excessive stress: Prolonged mental tension and high stress levels can disrupt the body's endocrine balance, causing internal heat and resulting in tooth pain. It is advisable to learn relaxation techniques, engage in moderate physical exercise, and ensure adequate sleep.

3. Dental caries: This condition involves progressive destruction of tooth hard tissues. When internal heat alters the oral environment, it may exacerbate surrounding inflammation and cause pain. Follow medical advice for treatments such as fillings or tooth extraction to improve dental health.

4. Gingivitis: This refers to inflammation of the tissues surrounding the teeth. Internal heat may alter the oral environment, irritating the gums and causing congestion and swelling, which leads to pain. Follow medical guidance in using anti-inflammatory medications such as metronidazole tablets, amoxicillin capsules, or minocycline hydrochloride capsules.

5. Pulpitis: This is an inflammatory condition of the dental pulp, usually caused by infection. Internal heat may worsen local inflammation, leading to severe pain. Under a doctor’s supervision, take analgesic medications such as acetaminophen tablets, ibuprofen tablets, or diclofenac sodium sustained-release tablets to relieve pain.

If any discomfort occurs, it is recommended to seek prompt medical attention at a hospital and follow professional medical advice for treatment.

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