Clinical Effect of Kampo Medicine for Patients with Glossodynia under the Traditional Diagnosis

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  • ITOH Takashi
    Center for Japanese Oriental (Kampo) Medicine, Kashima Rosai Hospital, Japan Labour Health and Welfare Organization
  • SHIMADA Ken
    Department of Dentistry and Oral Surgery, Kashima Rosai Hospital,Japan Labour Health and Welfare Organization
  • ENDO Yosuke
    Department of Dentistry and Oral Maxillofacial Surgery, Chiba University Hospital
  • MURANO Akiyuki
    Department of Dentistry and Oral Surgery, Chiba Prefectural Sawara Hospital
  • TANZAWA Hideki
    Department of Dentistry and Oral Maxillofacial Surgery, Chiba University Hospital

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  • 舌痛症に対する随証漢方治療の検討

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Abstract

We studied retrospectively the result of Kampo medicine for 29 patients (three males and twenty-nine females with average age of 65.7 years old) with glossodynia by the treatment protocol under traditional diagnosis. Their median contraction period was eight months (0.5-144 months). The target symptoms were mental illnesses in sixteen patients, tongue pain in five patients, oral dryness and depletion of zinc in three patients, and the others in two patients. We administered only Kampo medicine to ten patients with no treatment in the former clinics and continued the former medicines in nineteen patients with Kampo medicine. And we changed Kampo medicine or added western drugs to non-responded patients. Their treatment period was 10.9 months on average. Glossodynia improved in twelve patients remarkably (42%), improved in eleven patients slightly (38%), did not change in four patients (14%), ameliorated in one patient (3%) and could not be followed in one patient (3%). Effective treatment were Kampo medicine in eighteen patients (62%), zinc drug in three patients (10%), both medicines in one patient and vitamin B drug was in one patient (3%). Some modification might be needed in our psychiatric treatment because improvement was less in patients with mood disorder and patients with somatoform disorder.

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