灼口综合征的中西医认识与治疗概况  

Overview of traditional Chinese medicine and western medicine in cognition and treatment of burning mouth syndrome

作　　者：戴卫 张平[1] 孙碧倩 DAI Wei;ZHANG Ping;SUN Biqian(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,ShangHai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《上海中医药大学学报》2023年第5期94-98,共5页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81704025);国家中医药管理局黄吉赓全国名老中医药专家传承工作室建设项目(20101118);上海市卫健委余小萍上海市名老中医学术经验研究工作室建设项目(SHGZS-202222);曙光医院高级中医师项目(20170728)。

摘　　要：灼口综合征(BMS)是以舌痛、口腔黏膜灼痛为主要症状的疾病,患病人群以女性居多,主要为绝经后期的女性。目前对于BMS的治疗缺乏有效系统的方案,西医通常采用对症治疗、抗焦虑治疗联合心理疗法等方法;中医认为,此病当属“舌痹”“舌麻”“舌痛”等范畴,与心、脾、小肠等脏腑的关系尤为密切,除中药汤药外,还有许多特色诊疗手段。由于目前该病缺少明确的有证据支持的临床治疗手段和客观疗效评价指标,仍需进行大量临床总结观察。Burning mouth syndrome(BMS)is mainly manifested as glossodynia and burning pain in the oral mucosa,with the majority of patients being female,mainly in postmenopausal women.At present,there is a lack of effective and systematic therapeutic regimens to treat BMS.It's more common to adopt methods of symptomatic treatment and anxiolytic treatment combined with psychotherapy in western medicine.Meanwhile,the disease falls into the category of“tongue impediment”,“tongue numbness”and“glossodynia”in traditional Chinese medicine(TCM).In addition,the tongue is closely related to the internal organs embracing heart,spleen,and small intestine.Apart from Chinese medicine decoction,there are various specific treatments in TCM.However,a large number of clinical observations are required to carry on due to a lack of certain evidence-supported clinical treatments and objective efficacy evaluation indicators.

关 键 词：灼口综合征 发病机制 中西医疗法 

分 类 号：R781.5[医药卫生—口腔医学]