Objective: To explore the clinical effect of four oral vitamins [vitamin E (Vit E) + folic acid (FA)+ vitamin B2 (Vit B2) + vitamin B12 (Vit B12)] combined with FE complex enzyme rash on the recurrent oral ulcer (ROU) and on the serum inflammatory factors levels. Methods: 126 cases with ROU in our hospital from January 2014 to February 2016 were selected as research objectives and randomly divided into two groups. FE complex enzyme was provided to the control group, while FE complex enzyme and four Vietnam (Vit E+FA+Vit B2+Vit B12) were given to the observation group. The local efficacy, long-term efficacy, serum inflammatory factor levels before and after treatment as well as the incidence of adverse drug reactions were recorded and compared between two groups. Results: Compared with the control group, the pain index was significantly decreased on 30th treating day in the observation group(P<0.01), and the average ulcer period was shorten (P<0.01). After being treated for 6 months, the overall effective rate was 95.2% in the observation group, which was significantly higher than that of the control group (81.0%, P<0.05). The serum TNF-α and IL-17 levels on the 30th treating day was significantly lower in both groups after treatment than those before treatment (P<0.01), but the serum IL-2 level was significantly increased (P<0.01), and the improvement of each above inflammatory factors in the observation group were more significant than those of the control group (P<0.01). No significant difference was found in the incidence of adverse reactions between two groups (P>0.05). Conclusions: Four oral Vietnam combined with FE complex enzyme could promote the ulcer wound healing, reduce the pain, regulate the body to promote/anti-inflammatory factor balance and improve the long-term efficacy in the treatment of patients with ROU with high safety. [ABSTRACT FROM AUTHOR]