中医药治疗痞满证的临床观察

Clinical Observation on TCM Treatment for Epigastric Fullness

目的:探讨自拟中药方剂对肝胃不和型痞满证的临床疗效。方法:选取符合中西医诊断标准的肝胃不和痞满证患者48例,随机分为两组,每组24例,治疗组应用常规西沙必利治疗的同时,加服自拟中药方剂,并随症加减,每日1剂,连用4w。对照组常规口服西沙必利,4w为1个疗程。结果:治疗组总有效率为83.33%,对照组总有效率为79.17%。说明两组药物对于痞满证患者均有较好疗效。两组治疗后中医症状积分的比较,有显著性差异(P<0.05),说明治疗组在中医症状改善方面优于对照组。结论:中药汤剂治疗痞满证,不仅有较好的疗效,而且毒副作用少,有良好的应用前景。

Objective：To probe the clinical therapeutic effect of modified prescription of Chinese medicines on the epigastric fullness caused by disharmony between liver and stomach. Methods：The 48 cases of epigastric fullness caused by disharmony between liver and stomach in accordance with the diagnostic criteria of TCM and western medicine were randomized into the treatment group and the control group with 24 in each. The treatment group was given Cisapride and prescription of Chinese medicines modified according to symptoms, one day one dose, 4w in succession. The control group was given Cisapride, 4w as one course. Results：The total effective rate in the treatment group was 83.33%, while that of the control group 79.17%, not obviously different （P〈0.05）, indicating that both medicines used were effective. After treatment, there showed an obvious difference in two groups in the scores of TCM symptoms （P〈0.05）, indicating that the treatment group was better than the control group in the improvement of TCM symptoms. Conclusion：Chinese medicinal decoction has good therapeutic effect on epigastric fullness, and its poisonous side effect is low, owning a good prospect in application.