A Case Report of Burning Mouth Syndrome with Dry Mouth Managed by Kampo Medicine.

Ichiro Okayasu, Mizuki Tachi, Erika Suzue, Nanae Ito, Yu Ozaki, Gaku Mishima, Shinji Kurata, Takao Ayuse
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Abstract

The patient was a 56-year-old woman who complained of chronic pain involving her tongue. We diagnosed her with burning mouth syndrome (BMS) based on exclusion of any local factors or systemic conditions. The patient not only had tongue pain but also had other signs and symptoms like scalloped tongue, dry mouth, and headache. To manage these additional issues, we used Goreisan, an herbal Kampo medicine, as a complementary alternative medicine (CAM) approach along with cognitive behavioral therapy (CBT). The patient's BMS was successfully managed with the combination of CAM and CBT, which may suggest that the pathophysiology for BMS might be nociplastic pain rather than purely nociceptive or neuropathic.

Kampo Medicine治疗烧伤口综合征并口干1例报告。
患者是一名56岁的女性,她抱怨舌头慢性疼痛。我们在排除任何局部因素或系统性疾病的基础上,诊断她患有灼口综合征(BMS)。患者不仅有舌头疼痛,还有其他体征和症状,如扇形舌头、口干和头痛。为了解决这些额外的问题,我们使用了一种草药贡布药Goreisan,作为一种补充替代药物(CAM)方法和认知行为疗法(CBT)。CAM和CBT联合治疗成功治疗了患者的BMS,这可能表明BMS的病理生理学可能是伤害性疼痛,而不是纯粹的伤害性或神经性疼痛。
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