A burning tongue is a constant burning sensation in all or part of the tongue. There are two medical names, glossodynia and glossopyrosis. There are usually no visible signs. If there is also burning in other areas, it is called burning mouth syndrome. The patient may or may not have decreased or altered taste. It may be caused by a problem with the nerves going to the tongue or by a reduced amount of blood to the tongue. Fortunately, most patients with the problem do not experience changes in taste.
Some causes of a burning tongue are hormone deficiency and/or abnormality, diabetes, menopause, oral candida (oral yeast), dry mouth (xerostomia), medications (diuretics, oral diabetic meds, some blood pressure meds), blood abnormalities (dyscrasias, anemia), nutritional deficiencies (especially vitamin B-12, niacin, iron, or folic acid), gastric acid reflux , allergies (foods, toothpastes, mouthwashes, chewing gums), geographic tongue, dental disease, noxious oral habits (tongue biting, scalloped tongue), psychological causes (depression), chronic infections, inflammatory disorders, lingual nerve damage, tobacco use and oral cancer.
The successful treatment of a burning tongue depends on identifying the true cause. This process often involves a dentist who is comfortable working with other health professionals. The diagnosis of the source involves a systematic ruling out of each known cause. If the cause is medical, the treating dentist may assist by providing medication for symptomatic relief while the physician addresses the cause. All serious causes should be eliminated besides providing symptomatic relief. A one-to-one elixir of Benadryl/Kaopectate or viscous lidocaine can provide symptomatic relief. In severe cases, the dentist may prescribe a steroid such as prednisone.
Sunday, June 7, 2009
Male Menopause
Do aging males undergo a menopause like women?
Yes, and not surprisingly men are not spared from a “menopause”. The andropause or the “male menopause” is the time in a man’s life when the hormones naturally decline. It is also a time where there is a change of life that may be expressed in terms of a career change, divorce, or reordering of life. This event brings about psychological changes as well. Like menopause, the andropause usually occurs from fifty years onwards. Some have questioned whether the male menopause is more myth than reality. In truth, there is an undeniable hormonal decline as one age, and this in turn accelerates the aging process. The decline in hormones for men is more gradual unlike in women’s menopause, which is a more abrupt event. For that reason, the andropause is sometimes termed medically as the A.D.A.M., an acronym for Androgen Decline in Aging Males.
Men can suffer from symptoms of the andropause, and they may be similar to that of menopause. Between the ages of 50 to 70, some men report symptoms such as erectile dysfunction (failure to achieve an erection), general tiredness, mood changes, night sweats and sometimes palpitations. My research reveals that most men attribute erectile dysfunction to be the most significant event of the andropause. Apart from erectile dysfunction, mood changes can take place too. Some patients of mine have complained of nervousness, irritability and even depression. Other patients undergoing andropausal changes report the feelings of wanting to be closer to family and friends. Men often focus too intently on their career, money and power in their earlier life, often neglecting family and friends. In the andropausal years, men and take on a more “maternal” role, as if transitioning to become more motherly than fatherly. They become more concerned about their friends and family, as if regretting their former attitudes. It is interesting that many patients do not sense these changes in themselves, but rather it is women that notice this and tells me that he is undergoing “the menopause”!
In andropausal men, night sweats and palpitations occur because of an overactive autonomic system in response to falling testosterone levels. It is important not to dismiss or misdiagnose physiological changes related to the andropause.
Is memory loss part of the andropause?
I believe so, as in my research, I found that the third most common reported symptom of andropause was indeed memory loss. It is not uncommon for patients who undergo the andropause to report misplacing a key or forgotten important details. Often the memory loss is so minor it does not affect everyday functioning. This memory loss has sometimes been referred to as “age related memory loss” and is not as severe as Alzheimer’s disease, (which is accompanied by loss of functioning). Memory loss in the andropausal years has been a research interest of mine. In my clinical studies, I have replaced testosterone in demented hypogonadic men (those low on testosterone) and have demonstrated improvements in their visual-spatial cognitive abilities. Although the study results have been presented at several scientific meetings, more research is needed before recommending testosterone as a possible treatment of certain dementias. Another researcher in Oregon has found similar results and he demonstrated improving cognitive functions with testosterone even in normal older men who did not have hypogonadism.
Should men see a doctor to manage their andropause?
Women often see their physicians to manage symptoms related to the menopause. In managing menopause, doctors frequently prescribe drugs such as estrogens, calcium, aspirin and biphosphonates for postmenopausal women in the hope that they decrease risk of osteoporosis, heart attacks and dementia.
However, research demonstrates that men by and large are less likely to see a doctor for any reason. Part of it is because the male psyche where a dependent role is not acceptable. Generally speaking, men tend to focus less on health and more on money, power and status. One strategy to get men to see their doctor is actually to see a understanding and well trained doctor together with their significant other. Sometimes, the doctor can get a lot more information interviewing couples together. At times, the interviews should be held separately and staggering consult times 30 minutes apart is prudent. During the interview, the doctor may assess for “hypogonadism”, which is in part the clinical basis of the andropause. Hypogonadism means low in hormones like testosterone. The doctor may check for the following in men to confirm hypogonadism:
loss of armpit and genitalia hair
shrinkage of testicle size
loss of libido and impotence
tiredness and depression
muscle weakness and bone loss
Androgens basically create “masculinity” and the loss of androgens such as testosterone leads to physical changes. Women in their post-menopausal years complain of dryness in their vagina, skin and sometimes even a lowering of the pitch of voice. The dryness in the vagina could result in dyspareunia or pain on intercourse. In men, subtle changes occur in the post-andropausal years. The once dashing looks are now exchanged for something much less eye-catching. Hardened muscle disappears and instead, flabby fat accumulates, as one gets older. This distorts the physique from an athletic “android” to one with a beer belly and little muscle. The skin also gets dry, and there is hair loss. Hair loss occurs not only in the scalp, but also in the genital area as well as in the armpit. The testes also get smaller in size. There is loss of height because of osteoporosis and the spine gets curved from wedge compression fractures. It is important to realize that testosterone can maintain bone integrity just like estrogens in women.
The reason for seeing an understanding doctor is that there is potential help available. Some of the physical and accompanying psychological changes may be treated with counseling as well as with certain hormones. Treatment for impotence or erectile dysfunction and mood changes is easily available today.
How can we cope with the changes associated with the andropause?
The andropause brings about physical and psychological changes. As the older male ages and undergoes the andropause, he has to grapple with profound changes and issues. These changes bring about stress, and if stress is not managed well, it can be very disabling and even lead to depression. In my book, “The Andropause Mystery”, I described Six Simple Strategies to combat Stress in the Andropause. I believe that these 6 simple strategies can help you manage this aging process graciously. The 6 strategies for a successful andropause is summarized below:
1. Learn to love and reward yourself and others. Much satisfaction can be obtained from not only receiving but also giving. We cannot bring our earthly wealth to the afterworld, and we should learn to reward not only ourselves but also those around us. There comes a point in life where leaving legacies behind become important.
2. Take control and organize yourself. Discipline is important even in the later part of life. In particular, learn not to abuse alcohol and quit smoking. Time management is crucial as well. It is important for instance, to prepare our wills, estate management and advance directives and that is part of organizing ourselves.
3. Exercise yourself. A combination of cardiovascular and muscle conditioning will help delay aging processes.
4. Relax and Rest yourself. The body is changing with aging and there are physiological changes occurring and that he and you should be mindful of that.
5. Feed yourselves- not quantitatively but qualitatively! It is important to eat the right kinds of food to adjust for physiological aging changes.
6. Enjoy Aging and the Andropause. Some things are inevitable, no matter what we do! It is important to be satisfied. Most of us will have to pass through this journey so let us make the best of it. May we make this journey of profound change one also of positive evolvement, and a time of rich blessings for ourselves as well as those around us, as we age graciously through the andropause!
Will the future for men’s health include hormone replacement as it is for women today?
I studied 302 men, and one of the questions are asked them was this: “if the doctor told you that your testosterone level is normal, will you still go want testosterone replacement?” Rather surprisingly, the majority of the respondents said “YES”. My rationale is that there really cannot be too much of a good thing! Perhaps men perceive hormones like testosterone differently from women. It seems to me that by and large, men want to remain virile and stay away from aging naturally. While some women have delayed the end of reproductive life by the aid of science, it is rare. However, men throughout centuries and across all cultures have taken all sorts of supplements including aphrodisiacs, secretogues, vitamins etc. in an attempt to stay virile. It is interesting that some cultures in Asia have been using the root of a plant for anti-aging purposes. Recently, scientists found that this root stimulates the body’s own testosterone production and accounted for some of the anti-aging properties.
I believe men want to be on hormonal replacement, and they need to hear from their doctors that it is safe and effective. There are insufficient large clinical trials to say that hormonal replacement is for all men. Before then, men will continue to use their anti-aging supplements in an attempt to delay their age. Doctors have a responsibility to their patients as their practice is rooted on “evidence-based medicine”. At this point, hormonal replacement for men should be considered on a case-by-case basis, depending on symptoms. Over the next decade or two, as more information is available, I do foresee that hormonal replacement will be more routine and perhaps replace some of the self-help regimens that men are experimenting with now.
Yes, and not surprisingly men are not spared from a “menopause”. The andropause or the “male menopause” is the time in a man’s life when the hormones naturally decline. It is also a time where there is a change of life that may be expressed in terms of a career change, divorce, or reordering of life. This event brings about psychological changes as well. Like menopause, the andropause usually occurs from fifty years onwards. Some have questioned whether the male menopause is more myth than reality. In truth, there is an undeniable hormonal decline as one age, and this in turn accelerates the aging process. The decline in hormones for men is more gradual unlike in women’s menopause, which is a more abrupt event. For that reason, the andropause is sometimes termed medically as the A.D.A.M., an acronym for Androgen Decline in Aging Males.
Men can suffer from symptoms of the andropause, and they may be similar to that of menopause. Between the ages of 50 to 70, some men report symptoms such as erectile dysfunction (failure to achieve an erection), general tiredness, mood changes, night sweats and sometimes palpitations. My research reveals that most men attribute erectile dysfunction to be the most significant event of the andropause. Apart from erectile dysfunction, mood changes can take place too. Some patients of mine have complained of nervousness, irritability and even depression. Other patients undergoing andropausal changes report the feelings of wanting to be closer to family and friends. Men often focus too intently on their career, money and power in their earlier life, often neglecting family and friends. In the andropausal years, men and take on a more “maternal” role, as if transitioning to become more motherly than fatherly. They become more concerned about their friends and family, as if regretting their former attitudes. It is interesting that many patients do not sense these changes in themselves, but rather it is women that notice this and tells me that he is undergoing “the menopause”!
In andropausal men, night sweats and palpitations occur because of an overactive autonomic system in response to falling testosterone levels. It is important not to dismiss or misdiagnose physiological changes related to the andropause.
Is memory loss part of the andropause?
I believe so, as in my research, I found that the third most common reported symptom of andropause was indeed memory loss. It is not uncommon for patients who undergo the andropause to report misplacing a key or forgotten important details. Often the memory loss is so minor it does not affect everyday functioning. This memory loss has sometimes been referred to as “age related memory loss” and is not as severe as Alzheimer’s disease, (which is accompanied by loss of functioning). Memory loss in the andropausal years has been a research interest of mine. In my clinical studies, I have replaced testosterone in demented hypogonadic men (those low on testosterone) and have demonstrated improvements in their visual-spatial cognitive abilities. Although the study results have been presented at several scientific meetings, more research is needed before recommending testosterone as a possible treatment of certain dementias. Another researcher in Oregon has found similar results and he demonstrated improving cognitive functions with testosterone even in normal older men who did not have hypogonadism.
Should men see a doctor to manage their andropause?
Women often see their physicians to manage symptoms related to the menopause. In managing menopause, doctors frequently prescribe drugs such as estrogens, calcium, aspirin and biphosphonates for postmenopausal women in the hope that they decrease risk of osteoporosis, heart attacks and dementia.
However, research demonstrates that men by and large are less likely to see a doctor for any reason. Part of it is because the male psyche where a dependent role is not acceptable. Generally speaking, men tend to focus less on health and more on money, power and status. One strategy to get men to see their doctor is actually to see a understanding and well trained doctor together with their significant other. Sometimes, the doctor can get a lot more information interviewing couples together. At times, the interviews should be held separately and staggering consult times 30 minutes apart is prudent. During the interview, the doctor may assess for “hypogonadism”, which is in part the clinical basis of the andropause. Hypogonadism means low in hormones like testosterone. The doctor may check for the following in men to confirm hypogonadism:
loss of armpit and genitalia hair
shrinkage of testicle size
loss of libido and impotence
tiredness and depression
muscle weakness and bone loss
Androgens basically create “masculinity” and the loss of androgens such as testosterone leads to physical changes. Women in their post-menopausal years complain of dryness in their vagina, skin and sometimes even a lowering of the pitch of voice. The dryness in the vagina could result in dyspareunia or pain on intercourse. In men, subtle changes occur in the post-andropausal years. The once dashing looks are now exchanged for something much less eye-catching. Hardened muscle disappears and instead, flabby fat accumulates, as one gets older. This distorts the physique from an athletic “android” to one with a beer belly and little muscle. The skin also gets dry, and there is hair loss. Hair loss occurs not only in the scalp, but also in the genital area as well as in the armpit. The testes also get smaller in size. There is loss of height because of osteoporosis and the spine gets curved from wedge compression fractures. It is important to realize that testosterone can maintain bone integrity just like estrogens in women.
The reason for seeing an understanding doctor is that there is potential help available. Some of the physical and accompanying psychological changes may be treated with counseling as well as with certain hormones. Treatment for impotence or erectile dysfunction and mood changes is easily available today.
How can we cope with the changes associated with the andropause?
The andropause brings about physical and psychological changes. As the older male ages and undergoes the andropause, he has to grapple with profound changes and issues. These changes bring about stress, and if stress is not managed well, it can be very disabling and even lead to depression. In my book, “The Andropause Mystery”, I described Six Simple Strategies to combat Stress in the Andropause. I believe that these 6 simple strategies can help you manage this aging process graciously. The 6 strategies for a successful andropause is summarized below:
1. Learn to love and reward yourself and others. Much satisfaction can be obtained from not only receiving but also giving. We cannot bring our earthly wealth to the afterworld, and we should learn to reward not only ourselves but also those around us. There comes a point in life where leaving legacies behind become important.
2. Take control and organize yourself. Discipline is important even in the later part of life. In particular, learn not to abuse alcohol and quit smoking. Time management is crucial as well. It is important for instance, to prepare our wills, estate management and advance directives and that is part of organizing ourselves.
3. Exercise yourself. A combination of cardiovascular and muscle conditioning will help delay aging processes.
4. Relax and Rest yourself. The body is changing with aging and there are physiological changes occurring and that he and you should be mindful of that.
5. Feed yourselves- not quantitatively but qualitatively! It is important to eat the right kinds of food to adjust for physiological aging changes.
6. Enjoy Aging and the Andropause. Some things are inevitable, no matter what we do! It is important to be satisfied. Most of us will have to pass through this journey so let us make the best of it. May we make this journey of profound change one also of positive evolvement, and a time of rich blessings for ourselves as well as those around us, as we age graciously through the andropause!
Will the future for men’s health include hormone replacement as it is for women today?
I studied 302 men, and one of the questions are asked them was this: “if the doctor told you that your testosterone level is normal, will you still go want testosterone replacement?” Rather surprisingly, the majority of the respondents said “YES”. My rationale is that there really cannot be too much of a good thing! Perhaps men perceive hormones like testosterone differently from women. It seems to me that by and large, men want to remain virile and stay away from aging naturally. While some women have delayed the end of reproductive life by the aid of science, it is rare. However, men throughout centuries and across all cultures have taken all sorts of supplements including aphrodisiacs, secretogues, vitamins etc. in an attempt to stay virile. It is interesting that some cultures in Asia have been using the root of a plant for anti-aging purposes. Recently, scientists found that this root stimulates the body’s own testosterone production and accounted for some of the anti-aging properties.
I believe men want to be on hormonal replacement, and they need to hear from their doctors that it is safe and effective. There are insufficient large clinical trials to say that hormonal replacement is for all men. Before then, men will continue to use their anti-aging supplements in an attempt to delay their age. Doctors have a responsibility to their patients as their practice is rooted on “evidence-based medicine”. At this point, hormonal replacement for men should be considered on a case-by-case basis, depending on symptoms. Over the next decade or two, as more information is available, I do foresee that hormonal replacement will be more routine and perhaps replace some of the self-help regimens that men are experimenting with now.
Ideas to Get Rid of Burning Tongue
Burning tongue is also referred to as burning mouth syndrome (BMS). Its medical names are glossodynia, glossopyrosis, oral galvanism, stomatodynia and stomatopyrosis. It is a common ailment that can happen to anybody. It is a condition in which sensation of burning is felt in the tongue. It is accompanied by acute pain that lasts for a couple of days.
Burning mouth syndrome (BMS) is a complex, vexing condition in which a burning pain occurs on your tongue or lips, or over widespread areas involving your whole mouth, without any obvious reason.
The disorder has long been associated with a variety of other conditions — including menopause, psychological problems, nutritional deficiencies, and disorders of the mouth, such as oral thrush and dry mouth (xerostomia).
More recently, some researchers have suggested dysfunctional or damaged nerves as a possible cause. But the exact cause of burning mouth syndrome is often difficult to pin down, and pain may continue for months or years.
The treatment of burning tongue syndrome is highly individualistic. If your burning mouth is associated with dry mouth which is in turn linked to a specific medication, simply changing the prescription may be the only solution necessary. For nutritional deficiencies, supplements can be used. An outbreak of thrush responds to oral antifungals such as Mycostatin or Diflucan. If it’s your dentures, you can improve your care regimen or have the appliance adjusted.
Eat less hot and spicy foods; otherwise it will further cause irritation. Consume foods rich in iron.
Chewing a sugar free gum serves as an excellent burning tongue home remedy treatment.
For lasting softness and petal soft skin, add 1 tablespoon of Glycerin and Rosewater (found over the counter at most pharmacies) to your regular hand and body lotion. Shake the lotion bottle after replacing the lid to mix.
Avoid hot and spicy foods. They may aggravate the condition. Eat vitamin B and iron rich foods. It is recommended to avoid foods and oral hygiene products that you are allergic to, they may aggravate the condition.
Hot and spicy foods will aggravate the condition, instead eat foods that are rich in vitamin B and iron. And avoid allergy-causing foods and oral hygiene products.
Dry mouth, coated tongue, bad breath. - Headaches. - Rumblings in the stomach. - Stomach cramps and pains, nausea. - Hunger disappears when we wait. Diet citrimaxt complex. Determine if you’re hungry. If you’re not sure, then it means …
Another good first aid for burns is Lavender essential oil. Immediately put some neat Lavender oil onto the burned skin area. Lavender is not only a very effective antiseptic, but is also painkilling, helps to reduce the pain of the burn and promotes rapid healing. It will reduce eventual scaring. Lavender, applied to a burn very quickly, will often heal it with no scarring at all. For larger burns, Lavender oil should be poured neat onto a gauze or cloth, and applied to the burn, and renewed every few hours.
Allergic to milk. Have taken antibiotics and Nystatin mouthwash, gargled with hydrogen peroxide and yes.. extra-strength mylanta..dr. at urgent care said to do it.
Chewing gum: Chew a sugar-free gum or suck a piece of ice for a temporary relief from glossodynia.
Baking soda: Replace your commercial tooth paste with baking soda when brushing your teeth.
One way to think about it is that the temperature receptors are like a lock, and that hot stuff is the key. When the key meets the lock, the neuron carries a signal to the brain. Now say we have don't have the key but we have something that is shaped pretty close to it. We will still be able to open the lock, thus tricking the lock into thinking we have the key.
Burning mouth syndrome (BMS) is a complex, vexing condition in which a burning pain occurs on your tongue or lips, or over widespread areas involving your whole mouth, without any obvious reason.
The disorder has long been associated with a variety of other conditions — including menopause, psychological problems, nutritional deficiencies, and disorders of the mouth, such as oral thrush and dry mouth (xerostomia).
More recently, some researchers have suggested dysfunctional or damaged nerves as a possible cause. But the exact cause of burning mouth syndrome is often difficult to pin down, and pain may continue for months or years.
The treatment of burning tongue syndrome is highly individualistic. If your burning mouth is associated with dry mouth which is in turn linked to a specific medication, simply changing the prescription may be the only solution necessary. For nutritional deficiencies, supplements can be used. An outbreak of thrush responds to oral antifungals such as Mycostatin or Diflucan. If it’s your dentures, you can improve your care regimen or have the appliance adjusted.
Eat less hot and spicy foods; otherwise it will further cause irritation. Consume foods rich in iron.
Chewing a sugar free gum serves as an excellent burning tongue home remedy treatment.
For lasting softness and petal soft skin, add 1 tablespoon of Glycerin and Rosewater (found over the counter at most pharmacies) to your regular hand and body lotion. Shake the lotion bottle after replacing the lid to mix.
Avoid hot and spicy foods. They may aggravate the condition. Eat vitamin B and iron rich foods. It is recommended to avoid foods and oral hygiene products that you are allergic to, they may aggravate the condition.
Hot and spicy foods will aggravate the condition, instead eat foods that are rich in vitamin B and iron. And avoid allergy-causing foods and oral hygiene products.
Dry mouth, coated tongue, bad breath. - Headaches. - Rumblings in the stomach. - Stomach cramps and pains, nausea. - Hunger disappears when we wait. Diet citrimaxt complex. Determine if you’re hungry. If you’re not sure, then it means …
Another good first aid for burns is Lavender essential oil. Immediately put some neat Lavender oil onto the burned skin area. Lavender is not only a very effective antiseptic, but is also painkilling, helps to reduce the pain of the burn and promotes rapid healing. It will reduce eventual scaring. Lavender, applied to a burn very quickly, will often heal it with no scarring at all. For larger burns, Lavender oil should be poured neat onto a gauze or cloth, and applied to the burn, and renewed every few hours.
Allergic to milk. Have taken antibiotics and Nystatin mouthwash, gargled with hydrogen peroxide and yes.. extra-strength mylanta..dr. at urgent care said to do it.
Chewing gum: Chew a sugar-free gum or suck a piece of ice for a temporary relief from glossodynia.
Baking soda: Replace your commercial tooth paste with baking soda when brushing your teeth.
One way to think about it is that the temperature receptors are like a lock, and that hot stuff is the key. When the key meets the lock, the neuron carries a signal to the brain. Now say we have don't have the key but we have something that is shaped pretty close to it. We will still be able to open the lock, thus tricking the lock into thinking we have the key.
Burning tongue, burning roof of mouth, bad taste in mouth, change in breath odor
Burning Mouth Syndrome
Burning mouth syndrome (also called stomatopyrosis, stomatodynia, and oral dysesthesia) occurs most commonly among women after menopause. The most commonly affected part of the mouth is the tongue (glossodynia). Burning mouth syndrome is not the same as the temporary discomfort that many people experience after eating irritating or acidic foods. Burning mouth syndrome is poorly understood. It probably represents a number of different conditions with different causes but a common symptom.
A common cause is use of antibiotics, which alters the balance of bacteria in the mouth, leading to an overgrowth of the fungus Candida (a condition called thrush). Ill-fitting dentures and allergies to dental materials may be causes as well. Overuse of mouth rinses and sprays may lead to burning tongue syndrome, as can anything that leads to a dry mouth. Sensitivities to certain foods and food additives, particularly to sorbic acid and benzoic acid (which are food preservatives), propylene glycol (found as a moisturizing agent in foods, drugs, and cosmetics), chicle (found in some chewing gums), and cinnamon, may play some role. Deficiencies of vitamins, including B12, folic acid, and B-complex, can cause burning mouth syndrome. Iron deficiency has also been implicated.
A painful burning sensation may affect the entire mouth (particularly the tongue, lips, and roof of the mouth [palate]) or just the tongue. The sensation may be continuous or intermittent and may gradually increase throughout the day. Symptoms that commonly accompany the burning sensation include a dry mouth, thirst, and altered taste. Other possible symptoms include changes in eating habits, irritability, depression, and avoidance of other people.
The condition is easy for doctors to diagnose but difficult to treat. Frequent drinks of water or use of chewing gum may help keep the mouth moist. Antidepressants, such as nortriptylineSome Trade Names AVENTYL or anti-anxiety drugs, such as clonazepamSome Trade Names KLONOPIN are sometimes helpful, although these drugs may make the symptoms worse by causing dry mouth. Sometimes symptoms disappear without treatment, although they may return later.
More:
A small percentage of older men and women (mostly women), generally at, or around the age of menopause develop a problem with chronic burning pain and phantom tastes in their mouths. It often centers on the tongue. The tongue itself looks perfectly normal. It just develops a burning sensation that progresses throughout the day. These patients may have seen numerous doctors to try to rid themselves of the annoying, and sometimes painful symptoms, but generally to no avail. The problem has been ignored for centuries because there seemed to be no physical reason for the symptoms, and because it was believed that it was a hysterical symptom brought on by emotional distress. In fact, the problem sometimes does respond to antidepressant drugs like Elavil.
Burning mouth syndrome (also called stomatopyrosis, stomatodynia, and oral dysesthesia) occurs most commonly among women after menopause. The most commonly affected part of the mouth is the tongue (glossodynia). Burning mouth syndrome is not the same as the temporary discomfort that many people experience after eating irritating or acidic foods. Burning mouth syndrome is poorly understood. It probably represents a number of different conditions with different causes but a common symptom.
A common cause is use of antibiotics, which alters the balance of bacteria in the mouth, leading to an overgrowth of the fungus Candida (a condition called thrush). Ill-fitting dentures and allergies to dental materials may be causes as well. Overuse of mouth rinses and sprays may lead to burning tongue syndrome, as can anything that leads to a dry mouth. Sensitivities to certain foods and food additives, particularly to sorbic acid and benzoic acid (which are food preservatives), propylene glycol (found as a moisturizing agent in foods, drugs, and cosmetics), chicle (found in some chewing gums), and cinnamon, may play some role. Deficiencies of vitamins, including B12, folic acid, and B-complex, can cause burning mouth syndrome. Iron deficiency has also been implicated.
A painful burning sensation may affect the entire mouth (particularly the tongue, lips, and roof of the mouth [palate]) or just the tongue. The sensation may be continuous or intermittent and may gradually increase throughout the day. Symptoms that commonly accompany the burning sensation include a dry mouth, thirst, and altered taste. Other possible symptoms include changes in eating habits, irritability, depression, and avoidance of other people.
The condition is easy for doctors to diagnose but difficult to treat. Frequent drinks of water or use of chewing gum may help keep the mouth moist. Antidepressants, such as nortriptylineSome Trade Names AVENTYL or anti-anxiety drugs, such as clonazepamSome Trade Names KLONOPIN are sometimes helpful, although these drugs may make the symptoms worse by causing dry mouth. Sometimes symptoms disappear without treatment, although they may return later.
More:
A small percentage of older men and women (mostly women), generally at, or around the age of menopause develop a problem with chronic burning pain and phantom tastes in their mouths. It often centers on the tongue. The tongue itself looks perfectly normal. It just develops a burning sensation that progresses throughout the day. These patients may have seen numerous doctors to try to rid themselves of the annoying, and sometimes painful symptoms, but generally to no avail. The problem has been ignored for centuries because there seemed to be no physical reason for the symptoms, and because it was believed that it was a hysterical symptom brought on by emotional distress. In fact, the problem sometimes does respond to antidepressant drugs like Elavil.
Burning Mouth Syndrome
Burning mouth syndrome is a painful and often frustrating condition. Some patients compare it to having burned their mouth with hot coffee.
The burning sensation may affect the tongue, the roof of the mouth, the gums, the inside of the cheeks and the back of the mouth or throat. The condition sometimes is known as “burning tongue (or lips) syndrome,” “scalded mouth syndrome,” “glossodynia” and “stomatodynia.”
In addition to the burning sensation, other conditions—such as a dry or sore mouth or a tingling or numb sensation throughout the mouth and tongue—may occur. A bitter or metallic taste also may be present. This condition can affect men and women, but it is especially common in women during or after menopause.
WHAT CAUSES BURNING MOUTH SYNDROME?
The exact cause of burning mouth syndrome often is difficult to pinpoint. The disorder has long been linked to a variety of other conditions: menopause, diabetes, nutritional deficiencies, tongue thrusting, disorders of the mouth (oral thrush and dry mouth), acid reflux, cancer therapy (irradiation and chemotherapy) and psychological problems. Some researchers also have suggested dysfunction in the nerves supplying the mouth and tongue as a possible cause. Strictly speaking, the term “burning mouth syndrome” should be used only when a definite cause has not been found.
Once burning mouth syndrome begins, it may persist for many years. Patients who have it may awaken with no pain only to find that the burning sensation grows progressively worse during the day. They may have difficulty falling asleep. The discomfort and restlessness may cause mood changes, irritability, anxiety and depression.
HOW IS IT TREATED?
Your dentist can confirm the diagnosis and develop an appropriate treatment plan. The dentist will review your medical history and ask you to describe your symptoms.
First, any oral conditions causing the burning sensations should be investigated. For example, if you have dry mouth, your dentist may advise that you drink more fluids or may suggest saliva replacement products that can be purchased at a pharmacy. An oral swab or biopsy may be used to check for thrush, which is a fungal infection; thrush can be treated with oral anti-fungal medications. Any irritations caused by sharp or broken teeth or by a removable partial or full denture should be eliminated.
Other simple measures may help. Eliminate mouthwash, chewing gum, tobacco and very acidic liquids (certain fruit juices, soft drinks and coffee) for two weeks to see if there is any improvement. Consider trying a different brand of toothpaste (look for products with the ADA Seal of Acceptance).
Look up the side effects of any medications you are taking (such as those used to treat high blood pressure). You can ask a pharmacist, check a Physicians’ Desk Reference at the library or go to the Internet for this information. If any of your medications are reported to cause a burning sensation in the mouth, ask your physician to consider prescribing a substitute medication. Also, some medications can cause dry mouth, which might aggravate the condition.
If your dentist determines that no oral conditions are causing the burning sensation and the steps listed above do not resolve the problem, disorders such as diabetes, abnormal thyroid conditions, Sjögren’s syndrome (a rheumatological disorder), mineral deficiencies or food allergies should be investigated. This usually involves referral to your family physician and the use of blood tests.
SUMMARY
Start with the simple and eliminate various possibilities. Even if a cause cannot be found, a dentist working with your physician may recommend medications to provide relief of symptoms.
The burning sensation may affect the tongue, the roof of the mouth, the gums, the inside of the cheeks and the back of the mouth or throat. The condition sometimes is known as “burning tongue (or lips) syndrome,” “scalded mouth syndrome,” “glossodynia” and “stomatodynia.”
In addition to the burning sensation, other conditions—such as a dry or sore mouth or a tingling or numb sensation throughout the mouth and tongue—may occur. A bitter or metallic taste also may be present. This condition can affect men and women, but it is especially common in women during or after menopause.
WHAT CAUSES BURNING MOUTH SYNDROME?
The exact cause of burning mouth syndrome often is difficult to pinpoint. The disorder has long been linked to a variety of other conditions: menopause, diabetes, nutritional deficiencies, tongue thrusting, disorders of the mouth (oral thrush and dry mouth), acid reflux, cancer therapy (irradiation and chemotherapy) and psychological problems. Some researchers also have suggested dysfunction in the nerves supplying the mouth and tongue as a possible cause. Strictly speaking, the term “burning mouth syndrome” should be used only when a definite cause has not been found.
Once burning mouth syndrome begins, it may persist for many years. Patients who have it may awaken with no pain only to find that the burning sensation grows progressively worse during the day. They may have difficulty falling asleep. The discomfort and restlessness may cause mood changes, irritability, anxiety and depression.
HOW IS IT TREATED?
Your dentist can confirm the diagnosis and develop an appropriate treatment plan. The dentist will review your medical history and ask you to describe your symptoms.
First, any oral conditions causing the burning sensations should be investigated. For example, if you have dry mouth, your dentist may advise that you drink more fluids or may suggest saliva replacement products that can be purchased at a pharmacy. An oral swab or biopsy may be used to check for thrush, which is a fungal infection; thrush can be treated with oral anti-fungal medications. Any irritations caused by sharp or broken teeth or by a removable partial or full denture should be eliminated.
Other simple measures may help. Eliminate mouthwash, chewing gum, tobacco and very acidic liquids (certain fruit juices, soft drinks and coffee) for two weeks to see if there is any improvement. Consider trying a different brand of toothpaste (look for products with the ADA Seal of Acceptance).
Look up the side effects of any medications you are taking (such as those used to treat high blood pressure). You can ask a pharmacist, check a Physicians’ Desk Reference at the library or go to the Internet for this information. If any of your medications are reported to cause a burning sensation in the mouth, ask your physician to consider prescribing a substitute medication. Also, some medications can cause dry mouth, which might aggravate the condition.
If your dentist determines that no oral conditions are causing the burning sensation and the steps listed above do not resolve the problem, disorders such as diabetes, abnormal thyroid conditions, Sjögren’s syndrome (a rheumatological disorder), mineral deficiencies or food allergies should be investigated. This usually involves referral to your family physician and the use of blood tests.
SUMMARY
Start with the simple and eliminate various possibilities. Even if a cause cannot be found, a dentist working with your physician may recommend medications to provide relief of symptoms.
膽固醇與膽結石（排膽結石、腎結石配方）
１天３次排便，降低膽固醇
所謂膽固醇，是指被人體攝取的脂肪未被分解成為養分，而囤積在體內的脂肪，因此變成了膽固醇和脂肪廢物，而這類物質又以動物性脂肪所形成的較多，就算你一點脂肪和油都不吃，肝臟每天自己也會製造1,000～1,500亳克的膽固醇，來供應身體的需求。
血液中的膽固醇一旦過度增加，血液就變得較沈重，黏性也會增大，要輸送這種血液，心臟的負荷變得沈重，心臟機能自然也受到了影響。同時黏附在血管的氧化膽固醇，不僅有害血管，也會堆積在血管壁內，而使血管受到堵塞失去彈性，這種情形就像水管長期使用後，裡面會生鏽一樣。
膽固醇愈積愈多，則原本流暢的血管將變得狹窄，全體血管所受的壓力也會增大，於是就會發生高血壓，嚴重的甚至會有腦溢血的現象。不過，膽固醇雖是油的一種，也並非只有壞處，它是幫助肝臟製造膽汁、合成荷爾蒙和維生素D3的重要原料。而且體內本來就會自行合成膽固醇，主要是在肝臟進行，體內的膽固醇僅有25%需來自食物。
肝臟的運作如同汽車一般，汽車是透過排氣管排除廢氣，我們身體裡的肝臟則是將壞膽固醇、多餘的鈣、氧化的油、毒素、廢物等送進膽囊，膽囊再將這些廢物製成膽汁，由膽管流入十二指腸，以幫助分化脂肪及我們吃進的油脂、脂肪變成油酸，部分油酸會被肝臟靜脈吸收，另一部分則由淋巴管吸收或被送入大腸內。
使用過的膽汁沿著小腸流入大腸，可以潤滑大腸壁，幫助蠕動並加速排便，同特也將這些膽汁連同大便，一起排出體外。但如果長期大便緩慢，甚至有宿便、便祕的情形，膽汁就會在腸內停留過久，而被回收到肝臟，使得肝臟的負荷增加同時也使膽固醇升高。
由於我們身體裡的膽囊，只是一個小小的袋型器官，無法承受過多肝臟送進的壞膽固醇與毒素，因而過多的壞膽固醇、毒素就被遺留在肝臟內，再被送進血液中，因此血液中的膽固醇就會上升。但如果膽囊製造的膽汁，無法被排出十二指腸，久而久之，膽汁就會漸漸變得濃稠，變得乾燥，最後形成膽結石，阻塞了膽汁的流通，因而妨礙膽汁進入十二指腸分化脂肪。
雖然食用油和脂肪還可以經由胰臟分泌出的脂肪酶分化，但當膽汁無法執行任務，只剩下脂肪酶單打獨鬥，是無法將全部脂肪分化的，而這些部分沒被分化的脂肪流入大腸內，如果沒有快速隨大便排出，也會使膽固醇升高。
降膽固醇藥物，非解決高膽固醇的最好方法
肝臟每天約製造1,000～1,500百毫克的膽固醇，供應全身細胞、皮膚組織及身體各器官的需求，並協助製造荷爾蒙。沒有足夠的膽固醇，就無法製造足夠的荷爾蒙，沒有足夠的荷爾蒙，就會加速我們老化、掉髮、陽痿、性無能等問題的產生。
要知道肝臟製造膽固醇的管道，同時也是製造輔酶Ｑ10的管道，若沒有足夠的輔酶Ｑ10，心臟便無法伸展肌肉和收縮，導致心臟停止跳動而死亡。輔酶Ｑ10是由米糠所提煉出來的，一天要吃20碗糙米飯才能得到足夠的輔酶Ｑ10，這是不可能做到的，所以只有適時補充輔酶Ｑ10，或停止服用降膽固醇藥物，才能根本解決心臟停止跳動的危機。
雖然降低膽固醇的藥，在目前被廣泛的使用，也有一定的效果，但不能忽略的是，降膽固醇藥會將製造膽固醇的管道阻塞、切斷，肝臟便無法製造膽固醇送入血液中，血液中膽固醇自然而然下降，但也會提高心跳停止、突然死亡的機率。
此外，服用降膽固醇的藥，有時還有伴隨頭痛、呼吸困難、脾氣暴躁等副作用，長期服用降膽固醇的藥，還會使人加速老化，甚至導致肝癌、肝臟硬化等罹患機率。若不得已必須服用降膽固醇藥的同時，建議必須加倍服用輔酶Ｑ10，來幫助心臟肌肉的伸展和收縮。
然而，服用降膽固醇的藥，並非解決高膽固醇最好的方法，想要降低膽固醇的第一個步驟，就是必須保持一天３～４次的排便。第二個步驟則是打通膽囊，排除膽結石，讓膽汁順暢流入食道內。
降低膽固醇的二大步驟
第一步，保持一天３～４次排便
可維持一天喝六杯蔬果原汁，搭配二盤生菜沙拉與十穀豆米飯飯，加上服食全天然的纖維粉(纖維粉並不會影響腸子蠕動過快，也不會拉肚子。建議選擇無色、無味不含人工色素和無添加果糖甜味的為佳)，以及一天飲用八杯蒸餾水，水記得要慢慢地喝，才能有效幫助排便。
一天若能保持約３～４次排便，不僅可以排除體內宿便，還能確保吃進的食用油、脂肪，不被回收到肝臟，藉以減輕肝臟負博，使其恢復正常功能。
第二步，打通膽囊、排除膽結石
要排除膽結石，必須先保持一天有３～４次的排便，給予食道空間才能將膽結石排掉。在美國，一年約有一百萬人因為膽結石被割掉膽囊，數據非常驚人！許多人因為無知，白白地被醫生割掉這十分重要的小器官，實際上，只需要４天時間，就能將膽結石以自然的方式排出體外，可說非常簡單。
只需４天就能排除膽結石的方法
所需準備的材料
３瓶32盎司(約949cc)的有機蘋果汁、或３瓶32盎司(約949cc)的活性水(建議糖尿病患者使用)。
１瓶純磷酸Ｐ30(Ortho-phosphoric acid)。
１瓶橄欖油(任一種類、品牌都可以，１瓶約750cc)。
３顆檸檬。
１小盒硫酸鎂，又名瀉鹽(Epsom salt)，可在一般的西藥房或有機食品店買到。
１小瓶500cc的梨子汁或500cc的芭樂汁(糖尿病患者需改用沒有添加糖分的朝芭樂汁)
食用方法和順序
第一天：將１毫升(約90滴)純磷酸，倒入32盎司蘋果汁內(或32盎司的活性水中)，搖晃混合後，在中午前將其喝完，純磷酸將有助於軟化膽石。
三餐必須喝蔬果汁(一天６杯)，再搭配生菜沙拉和十穀豆米飯並服用纖維粉，如此能達到一天有３～４次的排便。
第二天：與第一天一樣。
第三天：與第一天一樣。
但在下午３～４點時，將１大匙硫酸鎂，加入250cc溫的蒸餾水中，混合後立刻服下。晚上６點(可隨個人的吃飯時間做彈性調整)，吃些少量晚餐，並於３小時後，將250cc橄欖油、３顆檸檬壓汁，加上1/2杯梨子汁(或芭樂汁)用蔬果機慢速混合打成乳狀後，立即飲用。喝完後，立刻上床，將身體側向右邊躺下，並把右腳膝蓋彎曲，壓在肝臟部位，在床上靜臥30分鐘就可起床，做任何事。
第四天：早上一起床，將１大匙硫酸鎂，加入250cc溫的蒸餾水中混合後立刻飲下。記得一天之內要喝８杯蒸餾水，並於每杯水中加入２小匙纖維粉，一天喝８次，以確定能使腸內的膽結石經由糞便全數排出體外(此為一種排毒做法，不會痛、也沒感覺)。第一次排便沒有看見什麼東西，第二次排便就會看見很多膽結石浮在馬桶的水上，第三次排便只有少許，第四次就沒有了。
排出的膽結石可能小如砂石、綠豆，也有可能大如豌豆、蠶豆，顏色則有青色、黃色或棕色。身體排出膽結石10天後，會感覺身心輕鬆、心情愉快及不易發怒，皮膚也變得細緻光滑，口臭、體臭都會在10天內獲得改善。
身體容易產生結石的人，可於每年春天和初秋兩季，利用上述的方法，自行排除膽結石，清除體內毒素。
此外，飲食方面，也要盡量避免煎、炸、炒、烤等食物，同時戒除咖啡、茶及汽水類的飲品，還要避免奶類製品，例如牛奶、牛油、乳酪、冰淇淋、巧克力等，也記得不要同時吃豆腐和煮熟的菠菜。當然，喝水是最佳的方法，記得多喝蒸餾水，一天必須飲用８杯，才能發揮效果。同時也可在吃飯前喝一杯甜菜根汁，或每天早上用２大匙橄欖油加一顆檸檬壓汁，混合後喝下，就可避免再發生結石。
除了排除膽結石，如果有腎結石的困擾，則可以將４顆檸檬壓汁，加入半加侖（約２公升)的活性水內，在一天之內將其喝完，如此連續飲用３～４天，加上勤做足部腎臟反射區的按摩，腎結石也會溶解(不論大或小的腎結石都可被溶解)，並被排出體外。
記得！每天運動30分鐘，多吃蔬菜水果，飲用６杯蔬果原汁，排除體內結石，就是如此簡單。
吳醫師小叮嚀
這四天的的排石，也可用來幫助清肝 。
一般的人雖然沒有感覺結石，但多多少少都有膽沙，可在每年春季做四天，將膽沙排掉，避免以後發生結石的痛苦。
所謂膽固醇，是指被人體攝取的脂肪未被分解成為養分，而囤積在體內的脂肪，因此變成了膽固醇和脂肪廢物，而這類物質又以動物性脂肪所形成的較多，就算你一點脂肪和油都不吃，肝臟每天自己也會製造1,000～1,500亳克的膽固醇，來供應身體的需求。
血液中的膽固醇一旦過度增加，血液就變得較沈重，黏性也會增大，要輸送這種血液，心臟的負荷變得沈重，心臟機能自然也受到了影響。同時黏附在血管的氧化膽固醇，不僅有害血管，也會堆積在血管壁內，而使血管受到堵塞失去彈性，這種情形就像水管長期使用後，裡面會生鏽一樣。
膽固醇愈積愈多，則原本流暢的血管將變得狹窄，全體血管所受的壓力也會增大，於是就會發生高血壓，嚴重的甚至會有腦溢血的現象。不過，膽固醇雖是油的一種，也並非只有壞處，它是幫助肝臟製造膽汁、合成荷爾蒙和維生素D3的重要原料。而且體內本來就會自行合成膽固醇，主要是在肝臟進行，體內的膽固醇僅有25%需來自食物。
肝臟的運作如同汽車一般，汽車是透過排氣管排除廢氣，我們身體裡的肝臟則是將壞膽固醇、多餘的鈣、氧化的油、毒素、廢物等送進膽囊，膽囊再將這些廢物製成膽汁，由膽管流入十二指腸，以幫助分化脂肪及我們吃進的油脂、脂肪變成油酸，部分油酸會被肝臟靜脈吸收，另一部分則由淋巴管吸收或被送入大腸內。
使用過的膽汁沿著小腸流入大腸，可以潤滑大腸壁，幫助蠕動並加速排便，同特也將這些膽汁連同大便，一起排出體外。但如果長期大便緩慢，甚至有宿便、便祕的情形，膽汁就會在腸內停留過久，而被回收到肝臟，使得肝臟的負荷增加同時也使膽固醇升高。
由於我們身體裡的膽囊，只是一個小小的袋型器官，無法承受過多肝臟送進的壞膽固醇與毒素，因而過多的壞膽固醇、毒素就被遺留在肝臟內，再被送進血液中，因此血液中的膽固醇就會上升。但如果膽囊製造的膽汁，無法被排出十二指腸，久而久之，膽汁就會漸漸變得濃稠，變得乾燥，最後形成膽結石，阻塞了膽汁的流通，因而妨礙膽汁進入十二指腸分化脂肪。
雖然食用油和脂肪還可以經由胰臟分泌出的脂肪酶分化，但當膽汁無法執行任務，只剩下脂肪酶單打獨鬥，是無法將全部脂肪分化的，而這些部分沒被分化的脂肪流入大腸內，如果沒有快速隨大便排出，也會使膽固醇升高。
降膽固醇藥物，非解決高膽固醇的最好方法
肝臟每天約製造1,000～1,500百毫克的膽固醇，供應全身細胞、皮膚組織及身體各器官的需求，並協助製造荷爾蒙。沒有足夠的膽固醇，就無法製造足夠的荷爾蒙，沒有足夠的荷爾蒙，就會加速我們老化、掉髮、陽痿、性無能等問題的產生。
要知道肝臟製造膽固醇的管道，同時也是製造輔酶Ｑ10的管道，若沒有足夠的輔酶Ｑ10，心臟便無法伸展肌肉和收縮，導致心臟停止跳動而死亡。輔酶Ｑ10是由米糠所提煉出來的，一天要吃20碗糙米飯才能得到足夠的輔酶Ｑ10，這是不可能做到的，所以只有適時補充輔酶Ｑ10，或停止服用降膽固醇藥物，才能根本解決心臟停止跳動的危機。
雖然降低膽固醇的藥，在目前被廣泛的使用，也有一定的效果，但不能忽略的是，降膽固醇藥會將製造膽固醇的管道阻塞、切斷，肝臟便無法製造膽固醇送入血液中，血液中膽固醇自然而然下降，但也會提高心跳停止、突然死亡的機率。
此外，服用降膽固醇的藥，有時還有伴隨頭痛、呼吸困難、脾氣暴躁等副作用，長期服用降膽固醇的藥，還會使人加速老化，甚至導致肝癌、肝臟硬化等罹患機率。若不得已必須服用降膽固醇藥的同時，建議必須加倍服用輔酶Ｑ10，來幫助心臟肌肉的伸展和收縮。
然而，服用降膽固醇的藥，並非解決高膽固醇最好的方法，想要降低膽固醇的第一個步驟，就是必須保持一天３～４次的排便。第二個步驟則是打通膽囊，排除膽結石，讓膽汁順暢流入食道內。
降低膽固醇的二大步驟
第一步，保持一天３～４次排便
可維持一天喝六杯蔬果原汁，搭配二盤生菜沙拉與十穀豆米飯飯，加上服食全天然的纖維粉(纖維粉並不會影響腸子蠕動過快，也不會拉肚子。建議選擇無色、無味不含人工色素和無添加果糖甜味的為佳)，以及一天飲用八杯蒸餾水，水記得要慢慢地喝，才能有效幫助排便。
一天若能保持約３～４次排便，不僅可以排除體內宿便，還能確保吃進的食用油、脂肪，不被回收到肝臟，藉以減輕肝臟負博，使其恢復正常功能。
第二步，打通膽囊、排除膽結石
要排除膽結石，必須先保持一天有３～４次的排便，給予食道空間才能將膽結石排掉。在美國，一年約有一百萬人因為膽結石被割掉膽囊，數據非常驚人！許多人因為無知，白白地被醫生割掉這十分重要的小器官，實際上，只需要４天時間，就能將膽結石以自然的方式排出體外，可說非常簡單。
只需４天就能排除膽結石的方法
所需準備的材料
３瓶32盎司(約949cc)的有機蘋果汁、或３瓶32盎司(約949cc)的活性水(建議糖尿病患者使用)。
１瓶純磷酸Ｐ30(Ortho-phosphoric acid)。
１瓶橄欖油(任一種類、品牌都可以，１瓶約750cc)。
３顆檸檬。
１小盒硫酸鎂，又名瀉鹽(Epsom salt)，可在一般的西藥房或有機食品店買到。
１小瓶500cc的梨子汁或500cc的芭樂汁(糖尿病患者需改用沒有添加糖分的朝芭樂汁)
食用方法和順序
第一天：將１毫升(約90滴)純磷酸，倒入32盎司蘋果汁內(或32盎司的活性水中)，搖晃混合後，在中午前將其喝完，純磷酸將有助於軟化膽石。
三餐必須喝蔬果汁(一天６杯)，再搭配生菜沙拉和十穀豆米飯並服用纖維粉，如此能達到一天有３～４次的排便。
第二天：與第一天一樣。
第三天：與第一天一樣。
但在下午３～４點時，將１大匙硫酸鎂，加入250cc溫的蒸餾水中，混合後立刻服下。晚上６點(可隨個人的吃飯時間做彈性調整)，吃些少量晚餐，並於３小時後，將250cc橄欖油、３顆檸檬壓汁，加上1/2杯梨子汁(或芭樂汁)用蔬果機慢速混合打成乳狀後，立即飲用。喝完後，立刻上床，將身體側向右邊躺下，並把右腳膝蓋彎曲，壓在肝臟部位，在床上靜臥30分鐘就可起床，做任何事。
第四天：早上一起床，將１大匙硫酸鎂，加入250cc溫的蒸餾水中混合後立刻飲下。記得一天之內要喝８杯蒸餾水，並於每杯水中加入２小匙纖維粉，一天喝８次，以確定能使腸內的膽結石經由糞便全數排出體外(此為一種排毒做法，不會痛、也沒感覺)。第一次排便沒有看見什麼東西，第二次排便就會看見很多膽結石浮在馬桶的水上，第三次排便只有少許，第四次就沒有了。
排出的膽結石可能小如砂石、綠豆，也有可能大如豌豆、蠶豆，顏色則有青色、黃色或棕色。身體排出膽結石10天後，會感覺身心輕鬆、心情愉快及不易發怒，皮膚也變得細緻光滑，口臭、體臭都會在10天內獲得改善。
身體容易產生結石的人，可於每年春天和初秋兩季，利用上述的方法，自行排除膽結石，清除體內毒素。
此外，飲食方面，也要盡量避免煎、炸、炒、烤等食物，同時戒除咖啡、茶及汽水類的飲品，還要避免奶類製品，例如牛奶、牛油、乳酪、冰淇淋、巧克力等，也記得不要同時吃豆腐和煮熟的菠菜。當然，喝水是最佳的方法，記得多喝蒸餾水，一天必須飲用８杯，才能發揮效果。同時也可在吃飯前喝一杯甜菜根汁，或每天早上用２大匙橄欖油加一顆檸檬壓汁，混合後喝下，就可避免再發生結石。
除了排除膽結石，如果有腎結石的困擾，則可以將４顆檸檬壓汁，加入半加侖（約２公升)的活性水內，在一天之內將其喝完，如此連續飲用３～４天，加上勤做足部腎臟反射區的按摩，腎結石也會溶解(不論大或小的腎結石都可被溶解)，並被排出體外。
記得！每天運動30分鐘，多吃蔬菜水果，飲用６杯蔬果原汁，排除體內結石，就是如此簡單。
吳醫師小叮嚀
這四天的的排石，也可用來幫助清肝 。
一般的人雖然沒有感覺結石，但多多少少都有膽沙，可在每年春季做四天，將膽沙排掉，避免以後發生結石的痛苦。
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