Clinical Observation Of "treatment From The Heart" Acupuncture For Functional Dyspepsia (disharmony Of Liver And Stomach)

Objective:To evaluate the clinical effect of treating functional dyspepsia of liver and stomach by acupuncture at the acupoints composed on the base of theory of regulating heart.Mothods:Seventy eligible cases with functional dyspepsia will be divided into treatment group and control group(35cases each)at random.Additionally,on the basic treatment,the treatment group was given acupuncture at the bilateral shaofu(HT8),shenrnen(HT7),Juque(CV14)and Neiguan(PC6),and was treated once every other day,3 times a week,consecutively for 4 weeks.The control group was received oral mosapride(5mg,3 times per day)for 4 weeks.Before and after treatment.The main symptom score,TCM symptom score,the hospital anxiety and depression(HAD)scale and Nepean Dyspepsia Life Quality Index(NDLQI)were compared,and the therapeutic effect was evaluated in the two groups.Results:With the elimination of 7 cases which fell off due to various reasons.the clinical observations were completed on a total of 63 cases among which 31 cases in the treatment group and 32 in the controls.Evaluation and comparisons of the clinical observations were performed.(1)The main symptom score:The effective rate of main symptoms was 87.10%in the treatment group,similar to 84.38%in the control group(P>0.05).After 4 weeks of treatment,the scores of early satiety and postprandial fullness were significantly decreased in both groups(P<0.05),and the symptoms score of upper abdominal pain also declined significantly in the treatment group(P<0.05)but not in the control group(P>0.05),while the score of the epigastric burning were not reduced evidently in both groups(P>0.05).(2)The Chinese medicine symptom score:The curative rate of treatment group which got 93.55%exceeds the rate of 81.25%in control group,and the discrepancy was significant(P<0.05).After 4 weeks treatment.all TCM syndromes of liver and stomach syndrome were relaxed in the treatment group(P<0.05)with the duration of treatment time,and the score of the symptoms of bilge pain,sigh and irritability in the acupuncture group was obviously less than those in the control group(P<0.05).(3)The hospital anxiety and depression(HAD)scale:After 4 weeks treatment,the HAD scale were increased apparently in treatment groups compared with pre-treatment(P<0.05),but there were no obviously downtrend in control groups(P>0.05).The falling range between too groups has statistically difference(P<0.05).(4)Nepean Dyspepsia Life Quality Index(NDLQI):After 4 weeks treatment,the NDLQI was increased significantly in two groups compared with pre-treatment(P<0.05),but there were no statistically difference between two groups(P>0.05).Conclusion:Acupuncture on the base of theory of regulating heart and Oral mosapride can effectively control the main symptoms and TCM symptoms of functional dyspepsia patients with syndrome of disharmony between liver and stomach,enhance the quality of life of patients,and relieve the mood of anxiety and depression to the certain degree.