Thermal Moxibustion Treatment Of Pixu (Spleen Deficient) And Qi Stagnation Syndrome After A Meal Is Not Syndrome Type Of Functional Dyspepsia Clinical Curative Effect Observation

Aim: In this study,the thermal moxibustion therapy was utilized in the treatment of pixu(spleen deficient)and qi stagnation type of pediatric postprandial distress syndrome functional dyspesia.The therapeutic efficiency was evaluated by observing the symptom integral and examining the variations of serum gastrin levels in patients.This study tried to provide more reliable clinical evidence and treatment for those children suffered from pixu(spleen deficient)and qi stagnation type of pediatric postprandial distress syndrome functional dyspepsia.Method: The 80 cases of pediatric functional dyspepsia who accepted treatment in Tong ling traditional Chinese medicine hospital during April to October 2014 were randomly divided in to two groups,the treatment group(traditional Chinese medicine external treatment)and control group(oral administration of western medicine).Each group contains 40 cases.The treatment group adopted thermal moxibustion therapy to gently stimulate acupuncture points;in contrast,the control group was treated with oral administration of domperidone.By observing the results after 2 courses of treatment and one month follow-up visit,the relief degree of the clinical symptoms,such as postprandial full bilge,early satiety,loss of appetite,belch,acid reflux and upper abdominal pain were compared and scored between two groups.The serum gastrin levels were examined before and after the treatments in both groups.The change in the serum gastrin levels provides physiological and biochemical indicators for the evaluation of the treatments.Results:1.The comparison of the symptom integral before and after treatment:After treatment,the treatment group with postprandial full bilge,early enough,upper abdominal pain,stomach reduction and belching children with clinical symptom score were lower than control group,difference has statistical significanc e(P < 0.05);Two groups of children with treatment process,the treatment group with appetite,abdominal distension,postprandial full bilge,abdominal pain,belching TCM symptom such as improving time were significantly less than the control group,the differences were statistically significant(P < 0.001);After treatment,children with clear Gas numerical treatment group was obviously higher than that of control group,with significant difference statistically significant(P < 0.001);Children at the end of the treatment,the treatment group total effective rate is significantly higher than the control group,the difference was statistically signific ant(P < 0.05);Over 2 months after treatment the treatment group recurrence rate was 12.5%,control group recurrence rate was 47.5%,the recurrence rate comp arison,the two groups was statistically significant difference(P < 0.05).Thus,th ermal moxibustion treatment of pixu(spleen deficient)and qi stagnation syndrome after a meal not syndrome type of functional dyspepsia clinical efficacy signifi cantly,and is superior to conventional western medicine treatment.2.The comparison of the serum gastrin levels before and after treatment: There is no significant statistic difference(P >0.05)in the serum gastrin levels between two groups before treatment.After treatment,the serum gastrin levels significa ntly increased compared to prior treatment data.The differences have statistical sense(P<0.05).After treatment,the serum gastrin levels of the treatment group are higher than the control group,the differences have statistical sense(P<0.05).These data indicates that the thermal moxibustion therapy can significantly enhance the serum gastrin level.These statistic data imply that the symptom of pediatri c functional dyspepsia may related with the serum gastrin level.Conclusion: This clinical study demonstrates that compared to the oral administr ation of domperidone,the thermal moxibustion therapy can significantly relieve the symptom of of the pixu(spleen deficient)and qi stagnation type of pediatric postprandial distress syndrome functional dyspepsia,increase the serum gastrin levels as well as reduce the recurrence rate.The therapeutic efficiency of this the rmal moxibustion treatment has been confirmed and this therapy is certainly worthy to be popularized.