功能性消化不良的中医治疗概况

Overview of Traditional Chinese Medicine treatment for functional dyspepsia

功能性消化不良(functional dyspepsia,FD)是常见的功能性胃肠病之一,临床表现包括上腹疼痛、早饱、餐后不适、上腹烧灼感等。目前FD的诊断主要以功能性胃肠病罗马Ⅳ标准为依据,分为餐后不适综合征(postprandial discomfort syndrome,PDS),上腹痛综合征(epigastric pain syndrome,EPS)以及二者的重叠3个亚型[1]。有研究显示,全球FD的发病率为10%~30%[2]。

Functional dyspepsia(FD) is a common disease of digestive system,and its pathogenesis is still not very clear.In western medicine,it is always treated by regulating gastric acid,protecting gastric mucosa,promoting gastrointestinal motility,resisting Helicobacter pylori infection and regulating visceral nerve sensitivity, etc.However,the clinical effects are usually not very ideal with repeated episodes,which brings heavy psychological and economic pressure to patients.In recent years,with the development of the research and practice about modern Chinese medicine,significant effects have been achieved through internal and external treatment in traditional Chinese medicine.It has a lot of advantages such as definite therapeutic effects,low recurrence rate and fewer adverse reactions.Therefore,the paper aims at providing reference for clinical treatment by organizing and summarizing relevant literature in recent years.