Clinical observation of Xiapu Fuling Decoction in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency

LIU Bao-shan; WU Xiao-yong

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Clinical observation of Xiapu Fuling Decoction in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency

更新时间：2022-08-31

- Clinical observation of Xiapu Fuling Decoction in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency
- Shanghai Journal of Traditional Chinese Medicine Vol. 51, Issue 5, Pages: 42-45(2017)
- 作者机构：
  
  1. 北京市通州区新华医院中医科,北京,101100
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LIU Bao-shan, WU Xiao-yong. Clinical observation of Xiapu Fuling Decoction in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency. [J]. Shanghai Journal of Traditional Chinese Medicine 51(5):42-45(2017)
DOI：

LIU Bao-shan, WU Xiao-yong. Clinical observation of Xiapu Fuling Decoction in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency. [J]. Shanghai Journal of Traditional Chinese Medicine 51(5):42-45(2017) DOI：

摘要

目的：观察夏朴茯苓饮治疗脾胃虚弱型功能性消化不良的临床疗效。方法：将70例脾胃虚弱型功能性消化不良患者随机分成治疗组(36例)与对照组(34例)。对照组予多潘立酮片,治疗组予中药夏朴茯苓饮治疗。两组疗程均为1个月,观察临床疗效,比较中医证候积分,并随访疗效的持续性。结果：①治疗组、对照组临床总有效率分别为88.89%、73.53%；组间临床疗效比较,治疗组比对照组疗效更加显著(P<0.05)。②治疗后组间比较,治疗组在脘腹痞满、食欲不振、疲乏无力、恶心欲吐、大便稀溏评分及总分均较对照组明显改善(P<0.05)。③组内停药3个月与6个月后比较,治疗组中医证候积分差异无统计学意义(P>0.05),而对照组差异有统计学意义(P<0.05)。组间停药3个月与6个月后比较,治疗组中医证积分均显著低于对照组(P<0.05)。结论：夏朴茯苓饮治疗脾胃虚弱型功能性消化不良,可显著缓解患者临床症状,且疗效维持时间较长。

Abstract

Objective:To observe the clinical efficacy of Xiapu Fuling Decoction in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency. Methods70 patients of functional dyspepsia with syndrome of spleen and stomach deficiency were randomly divided into the treatment group (36 cases)and control group(34 cases). The control group was treated with domperidone tables,and the treatment group was treated with Xiapu Fuling Decoction,with a course of one month. The clinical efficacy was observed,the TCM syndrome scores were compared,and the efficacy persistence during follow-up was evaluated. Results:①The clinical total effective rate was 88.89% in the treatment group and 73.53% in the control group. The clinical efficacy of the treatment group was significantly better than that of the control group(P<0.05). ②For the comparison after treatment,the improvement on the scores of abdominal distention and fullness,loss of appetite,fatigue and weakness,nausea and vomiting,loose stool and the total score in the treatment group were more significant than those in the control group(P<0.05). ③For the comparison between withdrawal for 3 months and 6 months,the difference on TCM syndrome score in the treatment group was not statistically significant(P>0.05),while this difference in the control group was statistically significant(P<0.05). When withdrawal for 3 months and 6 months,the TCM syndrome scores in the treatment group were significantly lower than those in the control group(P<0.05). Conclusion:Xiapu Fuling Decoction can be used in the treatment of functional dyspepsia with syndrome of spleen and stomach deficiency,which can significantly relieve the clinical symptoms of patients with longer persistent efficacy.

关键词

夏朴茯苓饮外台茯苓饮功能性消化不良痞满证脾胃虚弱随访疗效

Keywords

Xiapu Fuling DecoctionWaitai Fuling Decoctionfunctional dyspepsiadistention and fullness syndromedeficiency of spleen and stomachfollow-up efficacy

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