Based On Literature Review And Clinical Research Of The Functional Dyspepsia Syndromes Analysis And Clinical Experience

ObjectiveThrough literature research, clinical epidemiology and cluster analysis to obtain a more objective functional dyspepsia syndrome distribution and characteristics, combined with the character Professor Peter treatment of functional dyspepsia the dominant ideology and clinical experience, the clinical treatment of FD proposed guidance.Methods1.literature researchFor functional dyspepsia in Western literature review; the past10years with functional dyspepsia syndromes related literature collection and collation, follow systematic literature review method, application SPSS17.0software, the basic information of the literature and the literature involved in the clinical symptoms, syndrome information, etc. frequency, frequency statistical analysis.2.Clinical researchIn the literature Institute syndromes, symptoms distribution based on the development of the functional dyspepsia clinical information questionnaire, a comprehensive collection of information; observational studies, study cases,389cases collected SPSS17.0software,basic information on389cases analyzed, and involved in the symptoms of cluster analysis.3. Experience summary of professor FUFrequency and frequency statistics,389cases of newly diagnosed cases of Chinese medicine combined with a combination of medication, summarized and analysis of Professor FU think experience in the treatment and the dominant ideology.Results1.literature research360qualified literature included, the total frequency of greater than5%of the syndrome were included7, respectively, for the weak stomach certificate, Liver and evidence, mixed cold and heat certificate, disharmony of liver and card, food stagnation certificate, liver qi stagnation, Spleen.The standardization of TCM symptoms after a total of49(not including the tongue and pulse), frequency greater than5%of the symptoms were epigastric or abdominal distention, abdominal swelling, nausea, epigastric pain, belching, noisy stomach, acid reflux, loose stools Results are not adjusted, ai rot Tunsuan, risk factors for the dietary factors, loss of appetite, irritability, dreams.Tongue literature relates to the description of a total of18colors, Common tongue is a big fat tongue, scalloped tongue, pink, dark red tongue, thin white tongue, thin yellow, greasy/ white thick and greasy, yellow greasy/thick yellow greasy fur.Related to the pulse of a total of14species. Frequency greater than5%are Wiry pulse of a few strings, string slippery pulse a few slip pulse, slippery pulse, wiry veins and veinlets.2.clinical epidemiology research2.1General Information389cases of patients with functional dyspepsia male patients139cases,250cases of female patients, the number of female patients was1.80times that of men. The youngest6years old,87years old, the average age was39.78±13.96. Of all ages,the most is middle-aged.2.2Causes and historyPredisposing factors in turn mainly mental/emotional factors, no obvious incentive to dietary factors, work/study pressure, overwork, drugs.27.25%of thepatients there are in the history of the history of functional diseases of the digestive system, drinking history, smoking history, non-steroidal anti-inflammatory drugs history of taking the proportion of larger.2.3Four diagnostic informationThe main symptoms were epigastric or abdominal distention, abdominal swelling, nausea, epigastric pain, belching, acid reflux, noisy stomach, the flank fullness/pain, nausea and vomiting.Patients with appetite loss of appetite, poor appetite and indigestion, loss of appetite normal, eat easy to hunger in patients with small, accounting for only9.19%; Irregular eating more than dietary laws; Partial addicted to diet in spicy, followed were addicted to coffee, tea addicted, addicted to fried; chills and fever partial addicted heat-loving significantly more than cool.Mouth abnormal sensation in turn manifested as dry mouth, want to drink, bitter taste in the mouth, mouth taste muddy, sticky mouth, dry mouth and do not want to drink, pale and tasteless mouth, mouth sweet, astringent mouth.Abnormal stool shapeless, loose stool bowel movements, fatigue, poor stool sticky, defecation sensation and dry stool, watery stools and diarrhea rarely.The abnormal looking up to the performance of a pale complexion.Mental emotional irritability most, followed by good heave a deep sigh, anxiety, nervous patients, depression is relatively small.The main symptoms associated with a frequency greater than5%were lassitude, body weight drowsiness, pharyngeal foreign body obstruction sense, head Shibuya, dizziness, sore throat, chills, cough, ringing in the ears. Abnormal tongue body fat and scalloped tongue more performance for the normal pink tongue, abnormal dull red the most, followed by pale tongue and light red certain proportion.Tongue with thin white and thin yellow, greasy, yellow greasy moss, followed by the survey also appeared in a lot of typical moss, moss and stripping moss patients with less.2.4Syndrome Distribution based on experienceThe were weak stomach certificate, liver and spleen and evidence, stomach Deficiency card, mixed cold and heat permit, diet stagnation certificate, Spleen, stomach Yin deficiency.2.5Through cluster analysis, functional dyspepsia associated with general symptoms eight categories, six categories of tongue and pulse-related symptoms.Combination of the two results prompted functional dyspepsia syndromes may have a weak stomach, liver depression and spleen, food stagnation Weiwanxiashu, spleen dampness, spleen, stomach Yin deficiency.3. Experience summary of professor FUBy of Professor Fu Hills medication analysis and summary, we have come to a concrete analysis of its stomach organs and the overall concept of dialectical "guiding ideology, decoction of medicinal flavored incense, the main drug used for woody, sweet, Agastache, fried Atractylodes, Codonopsis, ginger, fried radish seed, coke betel nut, Tuckahoe, flabellata, berberine, Magnolia, angelica, citrus aurantium,cuttlefish bone, calcined corrugated sub.Conclusion1.Through literature research, clinical research and cluster analysis, we got the basic characteristics of functional dyspepsia and symptoms, syndrome distribution, the three are basically the same.2.Drug analysis and summary by Professor Fu thinking, we have come and verify its stomach as the center of the organs as a whole dialectical concept of guiding ideology and experience.3.Comprehensive literature research, clinical research and cluster analysis, patients with functional dyspepsia spleen and stomach certificate, the Liver and certificate majority, as well as Professor Fu Hills stomach organs as a whole dialectical better clinical results on functionalthe diagnosis and treatment of indigestion theory and clinical guidance, attention should be paid in the Diagnosis and Treatment of spleen and stomach, Liver Qi, the specific syndrome accompanied by pass notes organs, the overall differentiation.4.Incidence of functional dyspepsia, suggesting that we usually should pay attention to the article Emotions regular diet, pay attention to self-conditioning and health, not disease prevention.5.Research surviving in the region single sample size, determine the efficacy of the subjective limitations and shortcomings, future research should be supplemented and corrected.