Analyzing TCM Syndromes Of Functional Dyspepsia And The Relationship Between Various Involving Factors.

Objective:To provide basis for clinical treatment through analyzing the distribution of TCM syndromes of functional dyspepsia (FD).Methods:①Collecting 322 cases diagnosed as functional dyspepsia by western medicine.②Enquiring patients by each of the items on the questionnaire pre-designed and accessing to related records.③Surveying the patient by questionnaires and confirming repeatedly in order to reduce recall bias. Ordering the survey forms, auditing all survey data, and analyzing with SPSS 13 software.Results:①The proportion of TCM syndromes of FD in descending order is as follows. The Spleen and stomach damp-heat syndrome is 31.7% as the highest percentage, the disharmony of liver and stomach syndrome is 25.8%, the spleen and stomach deficiency syndrome is 14.3%, the liver depression leading to spleen deficiency syndrome is 11.5%, the stomach yin deficiency syndrome is 8.7%, the phlegm and blood stasis syndrome is 8.1%.②The relationship between age and TCM syndrome: The highest incidence of FD occurs from 31 years old to 45 years old and from 46 years old to 70 years old, they are 33.2% and 32.9% respectively. There is significant difference of the distribution among different age.③The relationship between gender and TCM syndrome:There is significant difference of the distribution of TCM syndromes among different sex. FD patients were predominantly female (63.1%) with syndromes of disharmony of liver and stomach. The Spleen and stomach damp-heat syndrome is main syndrome among male patients.④The relationship between incentive and TCM syndrome:There is significant difference of the distribution among TCM syndromes of FD because of different incentives.⑤The relationship between HP infection and TCM syndrome:There is significant difference (P<0.005) of the distribution among TCM syndromes because of HP infection. Among all the syndromes of HP infection positive, the syndrome of spleen and stomach damp-heat(42.5%) and the syndrome of disharmony of liver and stomach(26.1%) are the dominated syndromes, which are significantly different (P<0.001) from the other syndromes; while the syndrome of stomach yin deficiency (4.8%) is the least syndrome, which is significantly different (P<0.001) from the two syndromes above, but not significantly different (P> 0.001) between the remaining syndrome.⑥The relationship between western medicine types and TCM syndrome:There is significant difference (P<0.001) of the distribution among western medicine types. Disharmony of liver and stomach syndrome in 45% are the main syndrome of PDS, while spleen and stomach deficiency in 31.7% are the main syndromes of EPS. Conclusion:The distribution of TCM syndromes of Functional dyspepsia is in different proportion in Chengdu, the syndrome of Spleen and stomach damp heat is in the highest percentage. Because of the effects such as area, climate, age, and incentives to the TCM syndrome differentiation of functional dyspepsia, we get the individualized syndrome differentiation and treatment with much emphasizing on the difference of individuals, seasons, and places. The national standard of syndrome differentiation on the diagnosis and treatment of functional dyspepsia may not be feasible.