功能性消化不良中医研究概况

Functional Dyspepsia TCM Research

功能性消化不良(FD)是常见病,发病率高,病理尚未完全阐明。中医对FD治疗效果肯定。多数学者认为病机系脾胃虚弱、脾虚气滞、肝郁脾虚等,湿热内蕴、痰浊阻滞、淤血阻滞、寒热错杂也有不少医家提及。辨证治疗以健脾理气、疏肝健脾、理气化瘀、化浊降逆、清热化湿为主。目前辨证分型、疗效评定标准尚未统一,中西医治疗多强调药物,鲜有心理干预,未能将基础研究与临床观察研究结合,今后应加强基础研究,进一步阐明中医药作用机制,开展大宗病例前瞻性研究,提高疗效可重复性。

Functional indigestion （FD） are common diseases, the high rate, pathological have not fully clarified. In traditional Chinese medicine treatment sure FD effect. Most scholars believe pathogenesis is weak, the spleen deficiency of spleen and stomach and qi stagnation, the spleen deficiency stomach, hot and humid implication, sputum turbidity block, passive congestion block, cold du also have many physicians men- tioned. Dialectical therapy to the spleen qi ShuGan, spleen, qi, change chaotic drop to remove the wet, heat inverse give priority to. At present, the curative effect evaluation of dialectical classification standards have not agreed on traditional Chinese and western medicine treatment more emphasis on drugs, few psychological inter- vention, failed to basic research and clinical observation research union, we should strengthen basic research, further clarify mechanism of traditional Chinese medicine, and carry out the big cases prospective studies, en- hance the curative effect repeatability.