Investigational Study On Relationship Between TCM Syndrome-Type And Western Medicine Type, The Inducing Factors In Functional Dyspepsia

Objective:Through the collection of clinical cases, to explain functional dyspepsia (FD) TCM syndrome typing and Western Rome III between the internal rules and different incentives in the incidence of TCM Syndrome typing and Western intrinsic factors, with a view to explore the FD combined Chinese and Western Medicine in Treating provide the basis for the law, so that combined Chinese and Western medicine treatment of the disease is more systematic and standardized.Method:First, according to the 2006 World Conference gastroenterology diagnostic criteria established by the Rome III collection of FD patients and sick after Postp randialdistress syndrome, (PDS) and Epigastric pain syndrome(EPS) two types of Western subtype; Chinese Differentiation According to the 2002 published the "Guiding Principles of Chinese Medicine Clinical Research Drug" to justify it, sub-hepatogastric discord, spleen card, spleen and stomach weak card, cold and heat jumbled cards, food stagnation, card five types. The same time, patients met the inclusion criteria survey the incidence of incentives (including emotional changes, eating disorders, Laojuan over, climate change and no obvious incentive to five major aspects). Data statistics that can be used for statistical analysis of data, are used spss13.0 statistical software for processing.Results:1.Functional dyspepsia in patients with Syndrome Differentiation in to the main spleen, a total of 66 cases (36.1%), followed by hepatogastric not and 56 cases (30.6%), the other three syndromes less followed by weak spleen and stomach in 31 cases (17%), food stagnation,21 cases (11.4%), cold and heat jumbled 9 cases (4.9%).2. Doctors are divided into postprandial discomfort syndrome (PDS) were 88 cases (48%), upper abdominal pain syndrome (EPS) were 95 cases (52%), both at the TCM syndrome distribution were statistically significant(P=0.009<0.05), PDS in order to permit based hepatogastric discord, a total of 32 cases, followed by the spleen card, a total of 21 cases. EPS in order to permit the main spleen, a total of 45 cases, followed by hepatogastric discord, a total of 24 cases.3.For a different incentive for FD's overall distribution analysis,showing to the etiology of eating disorders induced mainly a total of 115 cases (62.8%), followed by emotional changes in 102 cases (56%), Lao Juan over 35 cases (accounting for 19.1%),climate change,28 cases(15.3%),no obvious incentive to 22 cases(12%).4. TCM syndrome type and between the various incentives to the overall distribution of statistical analysis show:to change the incentive hepatogastric emotional discord and weakness of the spleen group than in the spleen and stomach, food stagnation, group common; eating disorders than hepatogastric incentives are not in the spleen and the,spleen and stomach weakness, food stagnation group more common. Lao Juan excessive incentives, the spleen and stomach weakness group than in hepatogastric discord and spleen more common. The above group, P<0.05, statistically significant. The remaining group, P>0.05, no statistical significance, suggesting no significant difference.5.Incentives for distribution of PDS in the order of 59 cases of emotional changes (67%), eating disorders,49 cases (55.6%), Lao Juan over 20 cases (22.7%), no obvious incentive for 10 patients (11.4%), climate change (5 cases,5.6%); EPS incentive for distribution in the order of eating disorders,66 patients (69.5%), emotional changes in 43 cases (45.3%),climate change in 23 cases (24.2%), Lao Juan over 15 cases, no obvious incentive (11 cases,11.6%). Of eating disorders and emotional changes in the two main incentives for medical practitioners two separate sub-type pairwise comparisons, showing:PDS patients with more easily than the EPS changes induced by emotional, P=0.003<0.05,statistically significant. The eating disorders in the two sub-types on, P =0.054> 0.05,no statistical significance, suggesting that eating disorders there is no difference in the induction of disease can be induced by PDS can also be induced EPS.Conclusion:Functional dyspepsia TCM features to the spleen and the main hepatogastric discord. In the Western sub-type medium, PDS is not to hepatogastric and evidence-based, followed by the spleen; EPS to the main spleen, followed by the hepatogastric discord. Both syndromes in Chinese medicine there are differences. Incentives on the overall incidence of eating disorders and emotional change common. TCM syndrome,the hepatogastric emotional changes are not and in the main eating disorders in order to close the spleen, followed by emotional change induced. Weak spleen and stomach in order to induce more common Laojuan excessive. In the Western sub-type medium, PDS more emotional change induced by, followed by eating disorders, Laojuan over. Multi-eating disorder induced by the EPS, followed by emotional change, climate change.