舌痛和舌灼痛是最难诊断和处理的两种病状。舌及下颌骨内侧面的烧灼感和神经痛与大量吸烟、饮酒及食用浓味食品有关。唇膏,牙膏、假牙基托及漱口剂的刺激也可能有作用。当舌痛及舌灼痛的症状与舌颜色的变化同时出现时,其病因通常是全身性的,这些可能的病因有:恶性贫血、复方维生素B缺乏、性腺不足及缺铁性贫血,这时发现舌变红色,舌乳头萎缩和舌边缘溃烂。然而,更难诊断的问题是舌体没有明显损害的症状,当典型的舌部变化尚未出现之前,这些症状往往是由糖尿病、继发性贫血、早期恶性贫血等所引起,而未能予以识别,这些病的特点是舌疼痛及烧灼感并不妨碍病人进食和睡眠,它通常仅在白天或疲劳时出现。舌痛和 Tongue pain and burning pain are two of the most difficult to diagnose and treat. The burning sensation and neuralgia on the inner surface of the tongue and mandible are related to heavy smoking, drinking, and consuming foods. Lipsticks, toothpaste, denture bases, and gargles may also be helpful. When the symptoms of tongue pain and burning pain occur simultaneously with changes in the color of the tongue, the etiology is usually systemic. These possible causes are: pernicious anemia, compound vitamin B deficiency, hypogonadism, and iron deficiency anemia. It was found that the tongue became red, the tongue papilla was atrophic, and the tongue edge was ulcerated. However, the more difficult problem to diagnose is the fact that there are no obvious signs of damage to the tongue. Before typical tongue changes have occurred, these symptoms are often caused by diabetes, secondary anemia, and early pernicious anemia. These diseases are characterized by tongue pain and burning sensation that do not prevent the patient from eating and sleeping. It usually occurs only during the day or when tired. Tongue pain and