Dyspepsia is the most common symptom of the digestive system and the most frequently seen condition in gastroenterology clinics. Domestic and international studies have shown that the majority of patients who undergo gastroscopy for dyspepsia symptoms are diagnosed with functional dyspepsia (FD) after the examination. An Asian study showed that 43% of 1115 patients with dyspepsia were diagnosed with functional dyspepsia after gastroscopy. Two domestic studies suggested that 69% and 51% of patients with dyspepsia symptoms were diagnosed with functional dyspepsia after examination, respectively.
Indigestion can be divided into organic indigestion and functional indigestion.
Organic dyspepsia can be shown to be caused by relevant examinations, such as peptic ulcer, erosive gastritis, esophagitis and malignant tumor. It also includes abnormal digestive function caused by systemic diseases, such as diabetic dyspepsia, progressive systemic scleroderma, etc.
Functional dyspepsia, on the other hand, refers to the same clinical manifestations as above, but without organic lesions, i.e. no structural, morphological and biochemical abnormalities are found clinically.
What is functional dyspepsia?
Functional dyspepsia is defined in our 2007 dyspepsia guidelines as a group of syndromes originating from the upper abdomen, with no abnormal blood biochemistry or endoscopic findings, and whose clinical manifestations are difficult to be explained by organic diseases, mainly manifested by pain or burning sensation in the upper abdomen, a feeling of fullness and early satiety in the upper abdomen after meals, which may be accompanied by loss of appetite, belching, nausea or vomiting.
Functional dyspepsia is a small disease but not easy to treat
Although functional diseases are benign, they are often recurrent and have a long course. Patients often go to the doctor and repeat a lot of tests, which not only consumes a lot of medical resources and brings a huge economic burden to individuals and society, but also makes patients physically and mentally exhausted, which seriously affects their life and work and low quality of life.
In addition, these patients are often combined with psychiatric disorders, prone to depression and anxiety, and affect the quality of sleep. Psychiatric abnormalities may exacerbate patients’ clinical symptoms and may affect the time of consultation, the course of treatment, as well as the treatment plan and outcome. Results of a population-based 10-year follow-up study showed that anxiety, but not depression, significantly increased the risk of new-onset functional dyspepsia.
How can functional dyspepsia be effectively prevented and managed?
1, maintaining mental health can prevent the occurrence of functional dyspepsia and reduce the clinical symptoms of dyspepsia.
2, functional dyspepsia patients should pay attention to dietary conditioning research shows that more than 30% of functional dyspepsia patients with dyspepsia symptoms related to the following foods: carbonated beverages, fried foods, coffee, milk, cheese, sweets, beans, bread and spicy food, suggesting that dietary conditioning is important for the prevention and treatment of dyspepsia.
3, functional dyspepsia patients generally have a good prognosis, but should pay attention to follow-up functional dyspepsia symptoms can be repeated or intermittent episodes, affecting the quality of life, but the general prognosis is good. If the patient’s symptoms continue to be unrelieved or alarm symptoms appear, electronic gastroscopy should be reviewed regularly to exclude other organic diseases.
4, psychotherapy is helpful in the treatment of functional dyspepsia. Psychological intervention treatment in the prevention and treatment of dyspepsia is getting more and more attention, “bio-psycho-social” disease treatment model in the treatment of dyspepsia is worth promoting.
Commonly used proprietary Chinese medicines can effectively treat functional dyspepsia
1.Hovenia Kuanzhong capsule (pill)
Strengthen the spleen and stomach, regulate qi and eliminate gangrene. It is used for gastric stagnation (spleen deficiency and qi stagnation), vomiting, regurgitation, nasal dullness, acid reflux, etc., and functional dyspepsia with the above symptoms.
2.Dalitong Granules
Clearing heat and relieving depression, harmonizing the stomach and lowering rebelliousness, promoting the circulation and eliminating stagnation. It can be used for the symptoms of fullness caused by heat in the liver and stomach, such as distention and fullness in the stomach, belching, poor appetite, burning in the stomach, noisy and acidic, pain in the stomach and abdomen, dry mouth and bitterness; and functional dyspepsia with the above symptoms.
3.Gas stagnation and stomach pain granules
Relieve liver and qi, harmonize stomach and relieve pain. Used for liver stagnation, chest fullness, gastric pain.
4.Gastric Su granules
Relieving Qi and distension, and relieving pain in stomach. It is used for gas stagnation type gastric and epigastric pain, see gastric and epigastric distension and pain, fleeing and the two sides, with belching or vector gas is relieved, emotional depression and anger is aggravated, chest tightness and less food, poor bowel movement and chronic gastritis see the above symptoms.
5.Shi Mo Tang
Alleviating Qi and subduing rebellion, eliminating stagnation and relieving pain. It is used for Qi stagnation, food stagnation, symptoms such as bloating, abdominal pain and constipation.
6.Stomach Strengthening and Eliminating Food Oral Liquid
Strengthening the stomach and eliminating food. Used for food accumulation caused by weakness of spleen and stomach, see the symptoms of not thinking about eating and drinking, belching and sour odor, epigastric and abdominal distension and fullness; dyspepsia see the above symptoms.
7.Wicker Bell Stomach Pain Granules
Promotes the flow of Qi and blood, harmonizes the stomach and relieves pain. Used for stomach pain caused by Qi stagnation and blood stasis, and chronic superficial gastritis with the above symptoms.
8.Yue Ju Wan
Relieving Qi and depression, relieving fullness in the middle. Used for chest and epigastric congestion, abdominal distension and fullness, stagnant diet, belching and swallowing acid.
9.Sanjiu Gastrodia Pellet
Clearing heat and drying dampness, promoting blood circulation, softening the liver and relieving pain. It is used for stomach pain caused by dampness and heat, stagnation of Qi and blood stasis, which can be seen as vague pain in the abdomen, fullness and distension, acid reflux, malignant
It can be used for superficial gastritis, erosive gastritis, atrophic gastritis with the above symptoms.
10.Fengliao Gastrointestinal Health Granules
Clearing heat, removing dampness and resolving stagnation. Used for abdominal pain, abdominal
It can also be used for stomach pain with food stagnation, refusal to press, vomiting, belching and vomiting, thick or yellow tongue coating, and smooth pulse.
11.Gastrointestinal An Wan
Aromatizing and resolving turbidity, regulating qi and relieving pain, strengthening the stomach and inducing stagnation. It is used for diarrhea, poor appetite, nausea, vomiting, abdominal distension, abdominal pain caused by dampness and turbidity, food stagnation. Indigestion, enteritis, dysentery with the above symptoms.
12.Ri Zhong Wan
Warming the middle and dispersing cold, strengthening the stomach. Used for spleen and stomach deficiency cold, vomiting and diarrhea, chest fullness and abdominal pain, indigestion.
13.Warm Stomach Capsule
Warming the middle Jiao and nourishing the stomach, moving Qi and relieving pain. It is used for stomach pain caused by deficiency of cold in the middle jiao, and is seen as cold pain in the stomach and epigastrium, bloating and belching, poor appetite, cold and weakness; chronic atrophic gastritis, superficial gastritis with the above symptoms.
14.Pellets for deficiency cold and stomach pain
Benefiting Qi, strengthening the spleen, warming the stomach and relieving pain. It is used for stomach pain caused by spleen deficiency and stomach weakness, with symptoms of vague pain in the stomach and epigastrium, warmth and pressure, aggravated by cold or empty stomach; duodenal bulb ulcer, chronic atrophic gastritis with the above symptoms.
15.Jing Hua Stomach Health Gum Pills
Promoting Qi and dispersing cold, clearing heat and resolving blood stasis. It is used for cold and heat mismatch, gas stagnation and blood stasis caused by bloating and pain, belching, acid reflux, noisy, bitter mouth; duodenal ulcer with the above symptoms.