Abstract
Glossodynia is a disorder characterized by burning sensation on the tongue in the absence of any other clinical signs or mucosal lesions. Although psychological factors may play a significant role, the etiology is still unclear. We report a patient with glossodynia whose pain was improved by Yokukansankachinpihange. An 82-year-old man developed brain infarction 4 years before. Pain in the tongue occurred 1 year after the brain infarction. There were no apparent lesions in the oral cavity. He was referred to us for treatment of the pain. The initial examination revealed he had gait disturbance due to brain infarction, and complained of epigastric distress and irritation. He was also anxious about pathology of the tongue. Yokukansankachinpihange was administered at a dose of 7.5 g/day according to his "Sho." The pain improved and the painful area became almost half 7 days after starting Yokukansankachinpihange. Correct selection of medicine based on "Sho" is essential for the treatment of long-standing intractable glossodynia.
