Research On The Distribution Characteristics Of TCM Syndrome Types Of Functional Dyspepsia And Professor Liu Huayi’s Experience In Syndrome Differentiation And Treatment

Objective: To explore the gender,age,occupation,education,eating habits and preferences,Helicobacter pylori infection,anxiety and depression status,different subtypes of FD,etc.of patients with Functional Dyepepsia(FD)through epidemiological research methods The relationship between the situation and FD,further explore the characteristics of the distribution of FD TCM syndrome types,and summarize Professor Liu Huayi’s experience in differentiation and treatment of FD,so as to provide a reliable basis and experience for better prevention,diagnosis and treatment of FD in the future.Methods: The first part is clinical research.The "Functional Dyspepsia(FD)Questionnaire for Patients with Functional Dyspepsia(FD)Questionnaire" was developed by consulting domestic and foreign scholars on FD research,referring to domestic and foreign diagnosis and treatment guidelines and expert consensus,and collecting FD patients attending the Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital Medical treatment information,including: general information,disease diagnosis information,self-evaluation of anxiety,self-evaluation of depression,etc.,and statistical analysis of the collected data,summarizing the gender,age,occupation,education level,eating habits and bias of FD patients The relationship between FD,Helicobacter pylori infection,anxiety and depression status,FD subtypes,etc.,and the distribution characteristics of FD TCM syndrome types.The second part is Professor Liu Huayi’s experience in treating functional dyspepsia.By collecting the medical records of Professor Liu Huayi’s diagnosis and treatment of FD,he summarized and summarized Professor Liu Huayi’s unique academic theory,understanding of the etiology and pathogenesis of FD,as well as the characteristics of syndrome differentiation and treatment and medication.Result:1 A total of 233 FD patients were enrolled in this study.The youngest age was 22 years old,the oldest age was 72 years old,and the average age was 48 years old.The incidence rate was highest among the ages of 50-59 years.The incidence was mainly in females,and the age of onset in females was 40.-49 years old are the most,males are 50-59 years old,and the incidence of females between 40-49 is significantly higher than that of males;the education level is mainly undergraduate/college,followed by high school/secondary school,junior high school,master and doctoral students,Elementary school and below;when classified by occupation,office workers are the main ones,followed by unemployed or retired,business service personnel,technicians,farmers,teachers,students,and civil servants;some patients have problems such as eating too fast and eating irregularly Living habits;the top four in frequency of eating preference are salty,spicy,greasy,and sweet.2 The different subtypes of FD are mainly EPS and PDS.A small number of patients meet the diagnostic criteria of both subtypes and are inconvenient to classify,so they are classified separately;28.76% of FD patients are associated with Helicobacter pylori infection;45.49%of FD patients are associated with anxiety And(or)depression state,mainly pure anxiety or depression state,a small part of it is anxiety and depression compound state.3 According to the distribution of TCM syndrome types in FD patients,the highest incidence is liver-stomach discord,followed by spleen deficiency and qi stagnation,spleen and stomach deficiency and cold(weak)syndrome,cold and heat syndrome,spleen and stomach damp-heat syndrome;male and female patients The distribution of syndrome types is arranged in descending order of incidence.The first two syndrome types are the syndrome of liver-stomach discord and spleen deficiency and qi stagnation.The incidence of liver-stomach discord and spleen-stomach deficiency(weak)syndrome is significantly higher in women than in men The incidence of spleen and stomach damp-heat syndrome in males is significantly higher than that in females;the distribution of different TCM syndrome types at different age levels is statistically different.Pairwise comparisons show that spleen-stomach damp-heat syndrome and liver-stomach discord syndrome,spleen deficiency and qi stagnation syndrome,spleen and stomach deficiency and cold(There are significant differences in the distribution of weak)syndromes at different age levels.For different subtypes of FD,the syndrome of spleen deficiency and qi stagnation,spleen and stomach deficiency and cold(weak)syndromes,and cold-heat complex syndromes are mainly caused by PDS,liver-stomach discordant syndrome and spleen-stomach damp-heat syndrome The main disease is EPS.4 Professor Liu Huayi praised the theory of "Qi machine lifting and lowering" in clinical syndromes,and applied the theory of "deficiency due to stagnation,and clamping evil due to deficiency" in clinical practice.Professor Liu believed that functional dyspepsia is diet when treating FD Irregularity,the invasion of six evils,internal injuries of emotions,and the insufficiency of the elementary body are the causes,and the core pathogenesis is stagnation of qi and dysfunction of lifting and lowering.Syndrome differentiation is not only for spleen and stomach weakness,liver and spleen(stomach)disharmony,and cold and heat complex syndromes.It is advisable to strengthen the body and eliminate pathogenic factors.Professor Liu takes the method of replenishing qi and nourishing blood and regulating the middle,soothing the liver and regulating qi,and working hard to relieve the pain.Addition and subtraction of the proposed prescriptions and subtractions for the treatment,the effect is remarkable.In addition,Professor Liu pays attention to the light Qing Xuan San,aromatic and Qi-invigorating powers of anthers when selecting medicines for differentiation and treatment,and selects the medicines to complement each other and apply them to different syndrome types.Conclusions:1 From the general situation of FD patients,the incidence of FD is related to age and gender.The incidence of FD is mainly female patients,and its incidence is significantly higher than that of males.The peak incidence of female patients is 40-49 years old,and that of male patients is 50-59.The peak incidence is at age,and the peak incidence is at the age of 50-59.The distribution of academic qualifications is mainly undergraduate/college,followed by high school/technical secondary school,junior high school,master and doctoral degree and above,and elementary school and below.The occupation distribution is mainly office staff,followed by unemployed or retired,business service personnel,technical personnel,farmers,teachers,students,and civil servants.People who eat irregular meals and eat too fast account for a small part of FD patients,which may have an impact on the occurrence and development of FD.People with FD diet preference are mostly salty,spicy,greasy,sweet,etc.,and poor diet preference can lead to FD The occurrence of dietary factors has become a risk factor for FD.2 FD subtypes can be divided into three types: EPS,PDS,and inconvenience with the characteristics of the first two subtypes.The incidence of EPS and PDS is relatively high,and there is no significant difference in incidence.There is no significant correlation between FD and Helicobacter pylori infection,but Helicobacter pylori treatment can improve the symptoms of FD,and bactericidal treatment is recommended for patients with Helicobacter pylori-positive FD.Some FD patients are accompanied by anxiety and(or)depression,indicating that anxiety and depression seriously affect people’s daily life and become an important risk factor for FD in today’s society.3 The two most common TCM syndromes in FD patients are liver-stomach discord and spleen deficiency and qi stagnation syndrome,indicating that FD is closely related to the abnormal function of liver,spleen,and stomach,and emotional disorder has become the primary cause of FD disease.Factors: long-term illness consumes righteous qi,leading to the prosperity of righteous deficiency and evil.As the course of the disease is prolonged,a variety of syndromes of clamping evils can follow.With the development of society and increasing work pressure,the majority of FD patients are middle-aged.Male patients,due to their unique social attributes,eating disorders and eating fat,sweet and thick flavors can be more common in spleen and stomach damp-heat syndrome.Female patients are more likely to be compared with male patients.Essence-qi failure occurs earlier,so the syndrome of spleen and stomach deficiency and cold(weakness)may be common.For the different subtypes of FD,PDS is the predominant incidence of spleen deficiency and qi stagnation syndrome,spleen and stomach deficiency and cold(weak)syndrome,and cold-heat complex syndromes,and the incidence of liver-stomach discordant syndrome and spleen-stomach damp-heat syndrome is predominantly EPS.4 Professor Liu Huayi put forward unique academic insights on the etiology,pathogenesis,disease course development,syndrome differentiation and treatment of FD based on the theory of "Qi machine lifting and lowering" and "deficiency due to stagnation,and clamping evil due to deficiency".The characteristic advantages of medicine for FD treatment.