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Beijing Korea And China In Functional Dyspepsia Of Tcm Syndromes Research

Posted on:2008-02-12Degree:MasterType:Thesis
Country:ChinaCandidate:C S HanFull Text:PDF
GTID:2204360212989025Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Functionaldyspepsia(FD)isaclinicalsyndrome.It's clinicalmanifestationsarecontinuous or rapidly occurred epigastric discomfort , accompanied by abdominaldistention after meal, gassiness, belch, anorexia, nausea ,vomiting, heartburn, painbehindsternum,regurgitation.FDinfluences life qualityseriouslybecause ofits longcourse andrecurrence, thepatients are afflicts physicallyandpsychologically. FDisa common functional gastro-intestinal disease, which has the higher rate of 50% inthegastro-intestinalmedicalclinic.The increasing number of FD patients has rise year by year, it had becomegraduallyarousedtheattentionofdomesticandinternationalresearch.This study goes through literature summary and clinical research, it's to exploreTraditional Chinese Medicine from different perspective towards understanding andto systemize functional dyspepsia. It is include also to study the principle ofTraditional Chinese Medicine syndrome of Korean and Chinese FD patients inBeijing, which the useful attempt is for better prevention towards functionaldyspepsia.1.Literature summary:Goes through nearly 10 years of domestic andinternational literature information, explore Traditional Chinese Medicine philosophyconsist of cause theory,pathogenesis theory,syndrome principle study,treatmentresearch and systemize disease onset of modern medicine,progress and overview ofdiagnosisandtherapy.2.ClinicalresearchesApproach:Use method of clinical epidemiology basis on 100 clinical casesinformation of FD patients, explore the relevance information of epidemiology,Traditional Chinese Medicine syndrome principle of Korean and Chinese FD patientsinBeijing.Results:1Ratioofmaleandfemalepatientis1:1.22,averageage40.58±12.44,age distribution of age group 30~39 years old and 40~49 years old show largeproportion, has the percentage 30%.Ratio of Korean male and female patient is 1.4:1, average age 40.00±9.11. Ratio of Chinese male and female patient is 1:2.06,averageage41.12±14.93.2.Duration of FD patient are mostly 5~10 years long.There was no significantstatistical diffenrence in Korean and Chinese FD patients over the classification ofduration.3.Themostcommonfactorstriggeringonsetinpatientsareemotionalcausesthathas the proportion of 32%. The most common factors triggering onset in Koreanpatients are working stress that has the proportion of 39.58%. The most commonfactors triggering onset in Chinese patients are emotional causes that has theproportionof34.62%.4.University show large proportion in the education level of both Korean andChinesepatientshasthepercentage45.83% and36.54%.5.The occupational distribution of both Korean and Chinese patients are mostlymerchant. 6.The habits of diet of FD Patients are mostly unregular diet,which has thepercentage 60%。Unregular diet which has the percentage 93.75% is the mostcommon habits of diet of Korean FD Patients,while are the hobby of eating fryingfoods and drinking strong teas in Chinese FD Patients,each has the percentage 67.31% and65.38%.7.Patients diagnosis by Traditional Chinese Medicine syndrome principle aremostly with dampness-heat in spleen and stomach,cold and heat complex anddisharmony between stomach and liver,has the proportion of 22%,20% and 19%.Follow by deficiency of the spleen and stomach,deficiency of stomach yin,foodsstagnation syndrome ,blood stagnation of gastric retinervus.There was significantstatistical diffenrence in Korean and Chinese FD patients over the classification ofthe TCM syndromes (P<0.05) .Cold and heat complex, disharmony of stomch andliver and deficiency of the spleen and stomach were the main syndromes of KoreanFD patients. Dampness-heat in spleen and stomach, disharmony of stomch and liverand deficiency of the spleen and stomach were the main syndromes of Chinese FDpatients.8.Thehobbyofeatingacorfoodshastherelationshipwiththesyndromesofcoldandheatcomplexanddeficiencyofstomachyin.9.The hobby of drinking cold drinks has the relationship with the syndrome ofdeficiencyofthespleenandstomach.10.The hobby of eating frying foods has the relationship with the syndrome ofdampness-heatinspleenandstomach.Conclusion:1.Korean and Chinese FD patients in Beijing onset are related towards sexes,educationlevel,occupation,emotion,workingstressandthehabitofdiet.2.The characteristics of TCM syndrome of functional dyspepsia is mixed withdeficiency and excess .The visceral position is mainly in liver,spleen and stomach,Theresultssuggestthatdampness-heatinspleenandstomach,Coldandheatcomplexanddisharmonyofstomchandliverarethemainsyndrome.3.ColdandheatcomplexisthemainsyndromeofKoreanFDpatients.4.dampness-heat in spleen and stomach is the main syndrome of Chinese FDpatients.
Keywords/Search Tags:FD, Korean, Chinese, Epidemiology, TCM syndrome
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