[Research progress in functional dyspepsia relevant to traditional Chinese medicine based on the theory of brain-gut axis]

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2019 Nov 28;44(11):1300-1305. doi: 10.11817/j.issn.1672-7347.2019.180544.
[Article in Chinese]

Abstract

The incidence of functional dyspepsia (FD) is closely related to the dysfunction of brain-gut axis (BGA). Brain gut peptide (BGP) is expressed in the brain and gastrointestinal tract, which is important factor involved in BGA. FD is in the category of "stomach cramps" and "small full" in traditional Chinese medicine (TCM). TCM believes that the brain and intestines are closely connected to each other and form a brain-gut interaction. Therefore, the intestinal function is regulated by the brain, which is consistent with the BGA theory of western medicine. Researchers for TCM verified that the clinical symptoms of FD could be alleviated by regulating BGP and/or BGA through experimental research, clinical prescription therapy, and clinical non-drug therapy. Although TCM has a unique therapeutic effect on the treatment of FD, it has not yet to verify that TCM exerts significant clinical efficacy on FD, which still requires high-quality evidence-based medical evidence verification.

功能性消化不良(functional dyspepsia,FD)发病与脑-肠轴(brain-gut axis,BGA)的功能失调紧密相关。脑肠肽(brain gut peptide,BGP)作为脑和胃肠道中双重分布的肽类,是BGA的重要因子。FD在中医学归属“胃脘痛”“痞满”等范畴,中医学认为脑肠上下相通、互相联系形成脑肠互动,因而肠功能受到脑的调控,与西医的BGA理论相吻合。中医学者通过实验研究、临床方药治疗和临床非药物疗法证实调节BGP和/或BGA可减缓FD的临床症状。尽管中医在治疗FD方面具有独特疗效,尚不能验证中医对FD具有显著临床疗效,仍需高质量的循证医学证据验证。.

MeSH terms

  • Brain
  • Dyspepsia*
  • Gastrointestinal Tract*
  • Humans
  • Intestines
  • Medicine, Chinese Traditional