Haneke E
Dtsch Med Wochenschr. 1978 Aug 18;103(33):1302-5. doi: 10.1055/s-0028-1129252.
The term glossodynia refers to all conditions with pain and dysaesthesia of the tongue and entire oral mucosa manifesting themselves in burning, prickling, itching, stinging, and other frequently bizarre sensations as well as subjective xerostomia and bad taste. In most cases psychiatric diseases are the cause of the complex of complaints whereas local and general disorders are of only minor importance. Menopausal women with atypical depression are most often affected. Schizophrenia and abnormal personality development are far less frequent in glossodynia. After exclusion or therapy of organic disorders antidepressants are the treatment of choice in glossodynia. Thereapeutic difficulties may arise in patients suffering from marked xerostomia whose complaints may intensify during therapy because of the anticholinergic effect of most antidepressants, and in neurotic persons.
术语“舌痛症”指的是所有伴有舌头及整个口腔黏膜疼痛和感觉异常的病症，表现为灼痛、刺痛、瘙痒、刺痛及其他常常怪异的感觉，以及主观的口腔干燥和味觉异常。在大多数情况下，精神疾病是这些主诉症状群的病因，而局部和全身性疾病的重要性相对较小。患有非典型抑郁症的更年期女性最常受到影响。精神分裂症和人格发育异常在舌痛症中则较为少见。在排除或治疗器质性疾病后，抗抑郁药是舌痛症的首选治疗药物。对于有明显口腔干燥的患者，治疗可能会遇到困难，因为大多数抗抑郁药的抗胆碱能作用，其主诉症状在治疗期间可能会加重，对于神经质的患者也是如此。
