中药治疗功能性消化不良的概况

Research overview of Traditional Chinese Medicine in the treatment of functional dyspepsia

功能性消化不良(functional dyspepsia,FD)是一种常见的功能性胃肠疾病,临床症状有上腹痛、上腹胀、早饱、嗳气、食欲不振、恶心、呕吐等,但其临床表现不能用器质性、系统性或代谢性疾病等来解释,罗马Ⅳ标准[1]按其临床表现分为餐后不适综合征和上腹痛综合征2大类。西方国家流行病学调查发现,有20%~40%的普通人有FD症状,国内也同样有20%~45%的人出现FD症状,消化科门诊中FD患者占总量的20%~40%[2]。

Functional dyspepsia(FD) is a common disease in the digestive department. Its cause is still unidentifiable and current treatment method has not received ideal effect. However, Traditional Chinese Medicine(TCM) has comparative advantages in the treatment of FD. In accordance with the Roman Ⅳ diagnostic criteria for the categorization of FD, epigastric pain syndrome can be identified as "stomachache" in TCM, and postprandial distress syndrome can be identified as "mass in stomach" in TCM. This paper summarizes the clinical research on the treatment of FD with TCM in recent years..