| Back groundThe understanding of the motherland medicine for stomach new began in huangdi neijing,after one thousand years of practice,for the new full clear definition as:consciousness under the new plug,XiongGe bilge full,touch the intangible,according to the soft,pressure of painless.According to the site,the stomach the new disease when refers to the new heart.Functional dyspepsia is in modern medicine in the motherland medicine belong to stomach the new category.Functional dyspepsia is a common digestive system disease,clinical characteristics of the main symptom is characterized by:the abdominal pain or discomfort,burning sensation in the upper abdomen,postprandial fullness or early enough.According to the Roman ? standard,it can be divided into two kinds,one kind is called postprandial discomfort syndrome;Another is the abdominal pain syndrome.And the incidence of FD is on the rise in recent years,according to the report,the European and American countries functional dyspepsia crowd incidence of 19%to 19%,on average,32%;Domestic is 18%-45%,accounting for 20%40%of digestive outpatient.As functional disease occurrence in disease incidence trend of body and mind,part of the patients with functional dyspepsia symptoms even seriously affect the quality of life.It is reported that every year can be severe or persistent symptoms,from 20-30%of the population has a chronic or recurrent indigestion symptoms,and many clinicians will be many different digestive tract symptoms are considered to be indigestion,and confusion of understanding the concept of indigestion.Therefore,modern medicine in the treatment of functional dyspepsia,especially after a meal there is clinical discomfort syndrome is difficult to cure,in patients with recurrent problems.Modern medicine for the pathogenesis of functional dyspepsia and temporary not clear,and there is no specific treatment,while Chinese medicine for thousands of years on the syndrome differentiation and treatment of gastric new disease of the physicians have accumulated rich experience and a large number of books,records,forms the perfect unity of theoretical system.Accordingly,traditional Chinese medicine in the treatment of functional dyspepsia with their own characteristics and advantages.First to improve clinical cure rate,especially in the relieve epigastric discomfort,upper abdominal pain full bilge full obvious advantages on the main symptoms such as early as possible,secondly,syndrome differentiation and treatment and diet can obviously decrease the recurrence rate,the traditional Chinese medicine in the treatment of functional dyspepsia side effect is small,and does not appear serious adverse drug reactions.ObjectiveThis study based on guangdong lingnan area,due to the regional climate humid,and the guangdong people prefer "herbal tea",hot and humid for mark,pixu(spleen deficient)as the constitution in guangdong,which causes the new stomach disease is given priority to with syndrome pixu(spleen deficient).This research to the clinical treatment experience of the new disease syndrome stomach wendan tang fang pixu(spleen deficient)to add and subtract,based on new disease syndrome stomach pixu(spleen deficient)as the research object,observe wendan tang treatment stomach syndrome new disease clinical curative effect of pixu(spleen deficient),provide better reference for clinical treatment of patients with similar ideas.MethodsThis research adopts randomized,single-blind,controlled clinical design method,in the first affiliated hospital of guangzhou university of TCM digestive internal medicine professor KuangWeiGong outpatients selected accord with standard of study based on diagnosis,into and out of 90 cases of pixu(spleen deficient)syndrome of the stomach the new disease,were randomly divided into traditional Chinese medicine,western medicine group and the Chinese and western medicine group.Inclusion criteria:TCM diagnostic criteria refer to the 6th edition of Chinese traditional Chinese medicine(TCM).Diagnostic criteria for western medicine refer to the Rome III standard officially released in May 2006.Chinese medicine treatment group:"WenDan tonga taste" basic square:10 g tangerine peel,pinellia,10 g,bamboo shavings,15 g,dangshen 10 g,15 g atractylodes,radix curcumae 10 g,10 g of frutus aurantii immaturus,magnolia officinalis 10 g,purple Perilla,15 g one day 1 dose of Chinese medicine,150 ml per day,after lunch 1 hour early warm clothing;Western medicine Group:citrate moser(new collaterals):will the dispersible tablet Szechwan by Chengdu Kanghong Pharmaceutical Group Co.,Ltd,approved by:H20031110,specifications:5 mg/tablet,three times a day,one tablet,taken before a meal and a half hours;The Chinese and western medicine group:"the soup of mild bile" plus or minus the combination of the "mosa".Treatment of 4 weeks.Observation record subjects before and after treatment the symptoms of integral situation,with statistical methods were analyzed,and the evaluation of wendan tang for new syndrome stomach disease curative effect and safety of pixu(spleen deficient).Result1.In this study,90 cases were included in the study,and no adverse reactions were performed in the case of non-drug adverse reactions,and 88 cases were completed.2.Clinical efficacy analysis:the cure rate of Chinese medicine group was 24.14%,total efficiency 86.21%;The cure rate of western medicine group was 10.34%,total efficiency 82.76%.The cure rate was 30.00%,and the total efficiency was 96.67%.Cure rate aspect,traditional Chinese medicine group is superior to western medicine group,and there is statistical difference,while the Chinese and western medicine group is superior to the traditional Chinese medicine and western medicine group,with statistical significance.Equally efficient ways,traditional Chinese medicine group was obviously better than the western medicine group,and there is statistical difference,while the Chinese and western medicine group is superior to the traditional Chinese medicine and western medicine group,with statistical significance.3.The symptoms integral aspects:comparison before and after treatment the total integral aspect,traditional Chinese medicine(TCM)and Chinese and western medicine group was better than western medicine group,and statistically difference,no statistical difference between Chinese medicine and Chinese and western medicine group;Contrast the new stool,urine short yellow,thin pond full three points before and after the symptom,the curative effect of traditional Chinese medicine group was obviously better than the western medicine group,and statistically difference,no difference between the traditional Chinese medicine with Chinese and western medicine group;Compared to the symptoms such as the anti-acid,the fatigue,the dry mouth,the chest stuffiness and the interest,the Chinese and western medicine group were significantly better than the western medicine group and statistically significant.Compared to the symptoms of stomach pain,diet reduction,nausea vomiting,noise in the stomach,and burnout,there was no significant difference in the three groups.Conclusion1.Wendan tang for pixu(spleen deficient)syndrome stomach curative effect is the new disease,and the new stool,urine short yellow,thin pond full wait for a symptom curative effect obviously,is clinically feasible effective agent.2.The treatment of the spleen and moist heat of the spleen is superior to that of a single or single use.3.No adverse drug reactions in the experiment phenomenon,WenDan tonga taste to treat stomach syndrome pixu(spleen deficient)new high safety,and can effectively prevent moser will caused the symptom such as loose stool pond,worth clinical promotion. |
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