ObjectiveTo observe Banxiaxiexin decoction treatment of functional dyspepsia(FD) mixed cold and heat syndrome clinical efficacy. Methods56 cases studied were from patients in November 2013- October 2014 in the department of traditional Chinese medicine clinic of Combining traditional Chinese medicine hospital, and all subjects were interpreted by the digestive endoscopy to exclude organic disease symptoms in the digestive system, and by the principles of traditional Chinese medicine, the diagnosis of patients with functional dyspepsia mixed cold and heat type. Random number table, visiting research object reference sequence, the 56 cases studied were randomly divided into observation group and control groups, including the observation group 28 cases, 28 cases in the control group. The control group received Mosapride tablet, 5mg / time, 3 times / day, orally before meals. To 10 days for a course, for taking three courses. Observation group Banxiaxiexin decoction decoction orally, the composition of essential drugs and doses are as follows: ginger Pinellia 10 g, ginger 3g, berberine 6g, skullcap 8g, Amomum 6g, Magnolia officinalis 10 g, white Kou Ren 10 g, Coix 30 g, Codonopsis 10 g, licorice 6g. Pro Modified disease: abdominal pain, plus Xuan Hu, Toosendan; severe dry mouth, mouth pain, dark urine or yellow greasy tongue, ginger Pinellia easy summer for the law, increased berberine, baicalin amount, plus psyllium, through the grass; abdominal distention unabated who soda terrier, Citrus aurantium; poor appetite, plus wood, coke Sansen; thermophilic evil eating cold, stomach vomit, greasy tongue who reuse ginger, Zhuojia aconite, Evodia, herb, dried tangerine peel, ginger; lassitude, loose stool who reuse Codonopsis, plus Atractylodes, Poria; poor sleep soundly at night, chest discomfort, plus Cyperus, turmeric, Chuanxiong. Daily 1, decoction juice 300 ml,Morning and evening service, each 150 ml. To 10 days for a course, for taking three courses. During treatment, the study should rest rules, regular follow(10 days)。 Results:1. After treatment, both groups symptom scores had significant differences(P <0.05), the observation group(TCM group) to improve symptom scores than the control group(western medicine group).2. The effect of TCM symptoms aspects, the observation group(TCM group), the total effective rate was 92.86% in the control group(western medicine group), the total effective rate was 85.71%, total effective groups, with significant differences(P <0.05), Tip medicine TCM symptoms better than the observation group comparison group.3. Individual treatment of different groups studied TCM host disease symptom score had significant differences(P <0.05), the effect of individual differences in different TCM main symptoms were statistically significant(P <0.05). Observation group than western medicine show in the control group(P <0.05) in improving the cold and heat mixed type of functional dyspepsia symptoms main effect, particularly in improving the abdominal fullness, pain and swelling of the liver symptoms significantly better than the comparison group(P < 0.01).4. After treatment, the study of different times of individual TCM symptoms integral difference was statistically significant(P <0.05), the difference between the different times of individual symptoms of TCM efficacy was statistically significant(P <0.05), which belching, poor appetite, thermophilic diet, loose stools or stools poor have a very significant difference(P <0.01).5. The three-month follow-up, the recurrence rate in the observation group 10.71%, 28.57% in the control group compared with the two groups of subjects relapse rate significantly different, indicating that the recurrence rate, medicine observation group than the comparison group. ConclusionBanxiaxiexin decoction mixed cold and heat treatment of functional dyspepsia syndrome in terms of improvement in symptom scores, symptom efficacy aspects of Chinese medicine, Western medicine relapse rate than the control group. In terms of improving individual TCM host disease, disease symptoms secondary calculus and individual TCM host disease, secondary herniation, than the control group, especially in the belching, poor appetite, eating thermophilic, loose stools or stools poor areas, significantly better in the control group.The results suggest that:the structure of this decoction is reasonable,and its effects are good,using it to treating functional dyspepsia mixed cold and heat syndrome has clinical value. |