The Relationship Between Functional Dyspepsia And Five Viscera And The Clinical Study On The Therapy Of Tong-tiao-wu-zang

Objectives:By observing and analyzing the functional dyspepsia (FD) patients with clinical manifestations of the relationship with the five organs of TCM, explore the guiding role of the Holistic Thinking on Treating FD; the use the Therapy of tong-tiao-wu-zang on FD, according to the result evaluation the treatment of the tong-tiao-wu-zang, and illuminate the important role of Holistic Thinking in curing FD. and in accordance with self-rating depression scale (SDS), Anxiety Scale (SAS) integral value changes, and further explore the FD with depression, anxiety state of relevance.Methods:According to the 2006 international gastroenterology meeting in Rome reached RomeⅢFD diagnostic criteria, and with reference to the Chinese Association of Integrative Medicine launch of the《functional dyspepsia treatment program combining Chinese and Western medicine (draft) 2003》, select the FD patients,90 patients were divided into traditional Chinese medicine treatment group, control group of Chinese medicine, western medicine control group of 30 cases. Chinese medicine group I pass transfer five internal organs France shipped the stomach soup, traditional Chinese medicine group I Shugan Jieyu, qi Xiaozhi, western group to promote gastrointestinal motility medication. Three groups of treatment were 6 weeks, while patients with medication guide diet and give conditions to explain to relieve patient concerns, but not do psychotherapy.Patients before and after treatment respectively FD symptom scale, depression scale, anxiety scale evaluation, statistics integral to observe the effect of each group, patients with abdominal distension, abdominal pain and SDS, SAS correlation integral, and the situation of adverse drug reactions.Results:(1) the selected clinical cases of psychological disorders than those reported in the high may be related to the selected cases and test a smaller sample size or geographic differences in the opportunities arising. (2) FD patients with clinical symptoms and psychological factors have a high degree of correlation, the concept of traditional Chinese medicine as a whole proceeding through the five internal organs, and tone, can significantly affect the correlation between the two. (3) the group transported the stomach soup can significantly improve the clinical symptoms in patients with FD and the accompanying anxiety and depression status, and no obvious toxic side effects and adverse reactions. (4) Syndrome Treatment and Differential Treatment can be combined to achieve the same clinical effect.Conclusions:(1)The psychological rate of patients with FD was higher than patients with FD repoted before, perhaps it contain to the number of sample or to the area is different.(2)To patients with FD the relationship between occurance of the disease,the grade of illness and the psychological factors were explicit, while terapy of tong-tiao-wu-zang could affect them evidently.(3) The soup of yunwei has no ill-effect, and could remarkably improve the clinical efficacy of treatment and the corresponding incidental psychological abnormity.(4)treatment based on differentiation of disease and treatment according to syndrome differentiation are both effective to FD.