| Purpose:through small sample survey of functional dyspepsia symptoms to understand characteristics of distribution of TCM syndromes of FD patients of Fuzhou and its surrounding areas,meanwhile,according to the findings,furtherly exploring the relationship between TCM syndromes of FD and seasons,TCM syndromes of FD and helicobacter pylori infection,proving TCM theory of corresponding with person,heaven and earth,that FD prevention and treatment must play a guiding significance.Objects and Methods:according to clinical manifestations of outpatients,combining with gastroscopy and helicobacter pylori detection,confirming the diagnosis of FD patients,then combining the use of TCM diagnostic criteria to make symptom investigation,analysing and summarizing,there were 563 cases of patients met the requirements:96 cases of stomach damp heat stagnation syndrome(male 55,female 41,the average age 46.87±5.65),78 cases of liver involving stomach syndrome(male 33,female 45,the average age 43.25±12.86),74 cases of spleen and stomach deficiency of Qi syndrome(male 36,female 38,the average age 51.69±12.27),63 cases of liver depression syndrome(male 26,female 37,the average age 42.76±13.67),61 cases of spleen and stomach cold and weakness syndrome(male 30,female 31,the average age 50.42±9.65),61 cases of diet siltation syndrome(male 33,female 28,the average age 36.52±11.38),51 cases of cold pathogenic factors invasing stomach syndrome (male 25,female 26,the average age 38.81±10.21),33 cases of yun-stomach heat syndrome (male 19,female 14,the average age 40.57±16.34),25 cases of insufficient of stomach yin syndrome(male 12,female 13,the average age 48.57±8.33),21 cases of hematoma block syndrome(male 8,female 13,the average age 45.62±11.58);then analysising TCM syndromes of FD associated with seasons,as well as Hp infection.Results:1.The distribution of TCM syndromes of FD patients:stomach damp heat stagnation syndrome accounted for 17.05%of FD patients in the whole year,the proportion of this syndrome at spring,summer,autumn and winter seasons followed by 15.63%,48.96%, 22.92%,12.50%;liver involving stomach syndrome accounted for 13.85%of FD patients throughout the year,the proportion of this syndrome at each season followed by 29.49%, 28.21%,19.23%,23.08%;spleen and stomach deficiency of Qi syndrome accounted for 13.14%of FD patients in the whole year,the proportion of this syndrome at each season followed by 21.62%,28.38%,24.32%,25.68%;liver depression syndrome accounted for 11.19%of FD patients in the whole year,the proportion of this syndrome at each season followed by 30.16%,28.57%,19.05%,22.22%;spleen and stomach cold and weakness syndrome accounted for 10.83%of FD patients in the whole year,the proportion of this syndrome at each season followed by 27.87%,16.39%,22.95%,32.79%;diet siltation syndrome accounted for 10.83%of FD patients in the whole year,the proportion of this syndrome at each season followed by 22.95%,36.07%,21.31%,19.67%;cold pathogenic factors invasing stomach syndrome accounted for 9.06%of FD patients in the whole year,the proportion of this syndrome at each season followed by 19.61%,29.41%,15.69%,35.29%; yun-stomach heat syndrome accounted for 5.86%of FD patients in the whole year,the proportion of this syndrome at each season followed by 15.15%,42.42%,33.33%,9.09%; stomach yin insufficient syndrome accounted for 4.44%of FD patients in the whole year,the proportion of this syndrome at each season followed by 24.00%,12.00%,48.00%,16.00%; block blood syndrome accounted for 3.73%of FD patients throughout the year,the proportion of this syndrome at each season followed by 33.33%,9.52%,14.29%,42.86%.2.The distribution of FD did not exist difference in four seasons(p=0.165＞0.05),but TCM syndromes of FD are different in seasons:(1) Spring,the proportion of patients with FD of the year accounted for 23.45%,liver involving stomach syndrome constituted more than yun-stomach heat syndrome(p=0.004), and insufficient of stomach yin syndrome(p=0.024);liver depression syndrome,and spleen and stomach cold and weakness syndrome constituted more than yun-stomach heat syndrome (the p value followed by p=0.022,p=0.042),with significant differences.(2) Summer,the proportion of patients with FD of the year accounted for 30.91%,stomach damp heat stagnation syndrome constituted more than diet siltation syndrome,liver involving stomach syndrome,spleen and stomach deficiency of Qi syndrome,liver depression syndrome,cold pathogenic factors invasing stomach syndrome,yun-stomach heat syndrome, the spleen and stomach cold syndrome,lack of stomach yin syndrome,and hematoma block syndrome(the p values were p=0.003,p=0.001,p=0.001,p=0.000,p=0.000,p=0.000, p=0.000,p=0.000,p=0.000);diet siltation syndrome,liver involving stomach syndrome, spleen and stomach deficiency of Qi syndrome,liver depression syndrome,cold pathogenic factors invasing stomach syndrome,yun-stomach heat syndrome,and spleen and stomach cold syndrome constituted more than hematoma block syndrome(the p values were p=0.000,p=0.000,p=0.000,p=0.001,p=0.002,p=0.003,p=0.022);diet siltation syndrome,liver involving stomach syndrome,spleen and stomach deficiency of Qi syndrome,liver depression syndrome,yun-stomach heat syndrome,and cold pathogenic factors invasing stomach syndrome constituted more than insufficient of stomach yin syndrome(the p values were p=0.006,p=0.006,p=0.011,p=0.025,p=0.032,p=0.037),with significant differences.(3) Autumn,the proportion of FD patients accounted for 22.74%throughout the year, stomach damp heat stagnation syndrome constituted more than hematoma block syndrome (p=0.026),with significant differences.(4) Winter,the proportion of FD patients of the year accounted for 22.91%,spleen and stomach cold and weakness syndrome,spleen and stomach deficiency of Qi syndrome,cold pathogenic factors invasing stomach syndrome,liver involving stomach syndrome,and liver depression syndrome constituted more than yun-stomach heat syndrome(the p values were p=0.002,p=0.003,p=0.005,p=0.010,p=0.041);spleen and stomach cold and weakness syndrome constituted more than tinsufficient of stomach yin syndrome(p=0.040),with significant differences.3.The relationship between TCM syndromes of FD patients and Hp infection:the overall Hp infection rate was 54.35%,every TCM syndromes' Hp infection rate were:stomach damp heat stagnation syndrome 78.13%,yun-stomach heat syndrome 66.67%,diet siltation syndrome 60.66%,cold pathogenic factors invasing stomach syndrome 58.82%,hematoma block syndrome 52.38%,liver involving stomach syndrome 51.28%,liver depression syndrome 49.21%,spleen and stomach deficiency of Qi syndrome 37.84%,spleen and stomach cold and weakness syndrome 37.7%%,insufficient of stomach yin syndrome 36.00%; stomach damp heat stagnation syndrome's Hp infection rate was higher than insufficient of stomach yin syndrome's(p=0.000),spleen and stomach cold and weakness syndrome's (p=0.000),spleen and stomach deficiency of Qi syndrome's(p=0.000),liver depression card's (p=0.000),liver involving stomach syndrome's(p=0.000),cold pathogenic factors invasing stomach syndrome's(p=0.014),hematoma block syndrome's(p=0.015),and diet siltation syndrome's(p=0.018);yun-stomach heat syndrome's Hp infection rate,diet siltation syndrome's Hp infection rate,and cold pathogenic factors invasing stomach syndrome's Hp infection rate were higher than spleen and stomach deficiency of Qi syndrome's(the p values were p=0.006,p=0.008,p=0.021),as well as spleen and stomach cold and weakness syndrome's Hp infection rate(the p values were p=0.007,p=0.011,p=0.026);diet siltation syndrome's Hp infection rate was higher than insufficient of stomach yin syndrome's (p=0.037),with significant differences.Conclusions:1.Patients of FD are common in every season,and no difference exists;but TCM syndromes of FD variou in the composition in different seasons,and significant differences exist,it embodies TCM theory of corresponding with person,heaven and earth.(1) Stomach damp heat stagnation syndrome accounts for the year the highest proportion of FD patients and it is more common in summer and autumn;liver involving stomach syndrome,liver depression syndrome,diet siltation syndrome,spleen and stomach deficiency of Qi syndrome,and spleen and stomach cold and weakness syndrome are common in every season;yun-stomach heat syndrome is more common in summer,insufficient of stomach yin syndrome is more common in autumn,cold pathogenic factors invasing stomach syndrome is more common in winter and summer,hematoma block syndrome is more common in winter and spring.(2) In spring,liver involving stomach syndrome and liver depression syndrome are more common;in summer and autumn stomach damp heat stagnation syndrome is more common; in winter spleen and stomach cold and weakness syndrome is more common.2.Stomach damp heat stagnation syndrome's Hp infection rate is the highest of all FD patients,it is higher than every syndromes except yun-stomach heat syndrome;yun-stomach heat syndrome's Hp infection rate,diet siltation syndrome's Hp infection rate,and cold pathogenic factors invasing stomach syndrome's Hp infection rate are higher than spleen and stomach deficiency of Qi syndrome's,as well as spleen and stomach cold and weakness syndrome's Hp infection rate;diet siltation syndrome's Hp infection rate is higher than insufficient of stomach yin syndrome's.
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