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Modern clinical study of functional dyspepsia in traditional Chinese medicine |
NIU Ran WEI Wei▲ SUN Xiaohong SU Xiaolan ZHANG Yiqing LIU Yaxin |
Gastroenterology Department, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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Abstract Functional dyspepsia is a common disease of the digestive system. It is also a dominant disease in Chinese medicine. The main symptoms are postprandial fullness, early satiation, middle upper abdominal pain and burning pain in the middle and upper abdomen. The pathogenesis of functional dyspepsia is not yet clear. The main Western medicine treatment is improving gastrointestinal motility, anti-Helicobacter pylori infection, regulating gastric acid, protecting gastric mucosa, anti-anxiety and depression, and so on. Based on related reports in recent years, the methods and means of modern Chinese medicine in the treatment of functional dyspepsia are diverse, the effects are definite, the adverse reactions are less, the quality of life of patients is improved, which is widely used in clinical practice. With the deepening of modern Chinese medicine research, basic research finds that Chinese medicine can effectively improve the gastrointestinal motility of functional dyspepsia patients, reduce gastrointestinal sensitivity and so on. In the near future, Chinese medicine will play a greater role in the treatment of worldwide functional gastrointestinal diseases.
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[1] Stanghellini V,Chan FK,Hasler WL,et al. Gastroduodenal Disorders [J]. Gastroenterology,2016,150(6):1380-1392.
[2] [美]德罗斯曼.罗马Ⅳ:功能性胃肠病 肠-脑互动异常[M].方秀才,侯晓华,译.北京:科学出版社,2016:1127-1129.
[3] Drossman DA. Gastrointestinal illness and the biopsychosocial model [J]. J Clin Gastroenterol,1996,22(4):252-254.
[4] 中华中医药学会脾胃病分会.功能性消化不良中医诊疗专家共识意见(2017年)[J].中华中医药杂志,2017,32(6):2595-2598.
[5] 冯玲.路志正脾胃学术思想探微,新时代内伤脾胃致病因素[J].中华中医药杂志,2010,5(25):693-696.
[6] 王长洪.功能性消化不良的论治经验[J].辽宁中医杂志,1999,26(7):289-290.
[7] 田海河.董建华教授通降理论在针灸治疗脾胃病临床上的拓展应用[J].中国中西医结合消化杂志,2018,26(8):633-635.
[8] 郭宇,苏晓兰,杨俭勤,等.魏玮教授治疗功能性消化不良的临床经验[J].中国中西医结合消化杂志,2016,24(2):156-158.
[9] 张爱娟,祁广红,张铮铮,等.许鑫梅教授治疗胃痞经验[J].中医杂志,2015,56(11):912-915.
[10] 叶倩男,梁俊尉.迟莉丽论治功能性消化不良经验[J].湖南中医杂志,2018,34(5):25-27.
[11] 魏玮,郝建军,田俊.辛开苦降法对功能性消化不良大鼠胃壁肌电活动和自主神经功能的影响[J].中华中医药杂志,2008,23(9):837-839.
[12] 刘燕君,鲁思凡,刘亭亭,等.胃康宁对VDAC1、ATP在能量代谢中干涉效应的影响研究[J].世界中西医结合杂志,2015,10(10):1442-1446.
[13] 常玉娟,刘敏敏,刘燕君,等.胃康宁对功能性消化不良大鼠胃排空及血浆胃肠激素水平的影响[J].陕西中医,2016,37(9):1249-1256.
[14] 曾丽君.基于胃Cajal间质细胞自噬探讨柴胡疏肝散促进功能性消化不良大鼠胃动力的作用机制[D].南宁:广西医科大学,2017:30-39.
[15] 王小娟,阳松威,郭璇,等.舒胃汤对功能性消化不良大鼠小肠ICC 细胞IP3R,RyR表达的影响[J].中国实验方剂学杂志,2018,24(3):97-103.
[16] 蔡砚美.基于文献评价与临床研究的功能性消化不良证候分析及临床经验总结[D].北京:北京中医药大学,2013:30-33.
[17] 杨超.基于现代文献对中医药治疗功能性消化不良诊治规律的研究[D].南京:南京中医药大学,2018:24-26.
[18] 张声生,陈贞,许文君,等.基于“寒、热、虚、实”二次辨证的565例功能性消化不良证候分布特点研究[J].中华中医药杂志,2008,23(9):833-835.
[19] 赵鲁卿,张声生.中医治疗功能性消化不良经验与思路[J].北京中医药,2011,30(1):32-34.
[20] 来要良,和媛媛,王劲松,等.邓贵成主任治疗功能性消化不良的临床经验[J].世界中医药,2018,13(1):131-137.
[21] 钟招梅,杨洁.柴枳平肝汤对功能性消化不良肝胃不和证患者血清5-HT、SS含量的影响[J].现代中西医结合杂志,2018,27(7):721-723.
[22] 赵彬,张秋丽.柴枳平肝汤对功能性消化不良患者MTL、Gas、SS和Ghrelin的影响[J].上海中医药杂志,2018, 52(1):48-50.
[23] 肖琳,李岩.加减半夏厚朴汤治疗伴心理因素功能性消化不良随机对照研究[J].中国中西医结合杂志,2013, 33(3):298-302.
[24] 李宏升,方家,陈苏宁,等.疏肝和胃汤治疗功能性消化不良的临床观[J].实用药物与临床,2009,12(2):138-139.
[25] 赵鲁卿,张声生,卢小芳,等.胃病2号方对功能性消化不良脾虚气滞证患者生活质量影响的研究[J].中国中西医结合消化杂志,2017,25(12):948-951.
[26] 苗木,刘迪,刘慧芳,等.补中益气汤治疗危重症患者功能性消化不良疗效观察[J].中医药临床杂志,2013,25(10):877-878.
[27] 曹森林,范利锋,王楠,等.加味三香汤联合复方消化酶治疗对肝郁脾虚型功能性消化不良患者疗效及焦虑抑郁状态的影响[J].中西医结合消化杂志,2018,26(1):83-86.
[28] 王萍,王玉芳,苏东平.三仁汤加减联合四联疗法治疗脾胃湿热型Hp阳性功能性消化不良临床研究[J].陕西中医,2018,39(3):328-330.
[29] 秦书杰.柴胡舒肝散治疗功能性消化不良临床观察[J].光明中医,2009,24(1):88-89.
[30] 赵晶,杨才德,郭立君,等.杨氏3+疗法“胃五针”穴位埋线治疗功能性消化不良临床观察[J].中国中医药现代远程教育,2018,16(13):126-128.
[31] 谢双智,徐勇刚.隔药饼灸治疗脾胃虚寒型功能性消化不良的疗效观察[J].上海针灸杂志,2018,37(5):519-521.
[32] 林佳,刘小琼,陈定定.脐针结合中药治疗功能性消化不良临床观察[J].中医药临床杂志,2018,30(2):311-314.
[33] 朱小兰.子午流注择时音乐疗法对肝阳上亢型高血压合并功能性消化不良患者的影响作用[J].世界华人消化杂志,2018,26(7):449-453.
[34] 汤净,陈军,谭安萍,等.体表神经调控对功能性消化不良患者胃容受及胃电图的影响[J].实用医学杂志,2018, 34(3):406-415.
[35] Sarosiek I,Song G,Sun Y,et al. Central and peripheral effects of transcutaneous acupuncture treatment for nausea in patients with diabetic gastroparesis [J]. J Neurogastroenterol Motil,2017,23(2):245-253.
[36] 谢胜,侯秋科,周晓玲,等.周易象数切脉疗法治疗功能性消化不良临床研究[J].新中医,2018,50(1):29-33.
[37] 李明潭.整脊疗法治疗功能性消化不良的临床研究[D].广州:广州中医药大学,2012:6-18.
[38] 王继建.中医为主要措施治疗功能性消化不良复发率的Meta分析[J].中医临床研究,2018,10(3):44-46. |
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