The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지

Pattern Identification of 97 Functional Dyspepsia Patients and the Characteristics of Each Pattern Type

기능성 소화불량 환자 97명의 변증유형별 특성

  • Han, Ga-Jin (3rd Department of Internal Medicine, Hospital of Oriental Medicine, Kyung Hee University) ;
  • Kim, Jin-Sung (3rd Department of Internal Medicine, Hospital of Oriental Medicine, Kyung Hee University) ;
  • Park, Jae-Woo (Department of Internal Medicine, Hospital of Oriental Medicine at Gangdong, Kyung Hee University) ;
  • Ryu, Bong-Ha (3rd Department of Internal Medicine, Hospital of Oriental Medicine, Kyung Hee University)
  • 한가진 (경희대학교 한방병원 3내과) ;
  • 김진성 (경희대학교 한방병원 3내과) ;
  • 박재우 (강동경희대학교 한방병원 내과) ;
  • 류봉하 (경희대학교 한방병원 3내과)
  • Received : 2011.01.31
  • Accepted : 2011.02.28
  • Published : 2011.03.30
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Abstract

Objective: This study was designed to identify and explore the pathological patterns of functional dyspepsia (FD) patients. We also evaluated the usefulness of the Pattern Identification Questionnaire by comparing it with other assessment tools for FD. Methods: We recruited 97 FD patients based on the Rome III criteria for FD diagnosis. The pathological patterns of the subjects were determined by the Pattern Identification Questionnaire. Their dyspepsia-related symptoms were assessed using the Gastrointestinal Symptom Questionnaire (GIS) and the Pyeongwi-san (Pingwei-san) Patternization Questionnaire. Depressive symptoms were evaluated with the Beck Depression Inventory (BDI) and quality of life with the Functional Dyspepsia-Related Quality of Life (FD-QoL) Questionnaire. Tongue coating was measured by the Digital Tongue Diagnosis System (DTDS). Results: The male to female ratio was 1:1.1, and the forties and fifties age groups were largest in number. The spleen deficiency and phlegm-dampness pattern was the most common pattern found among the FD patients. No significant differences in the GIS, BDI, FD-QoL, and DTDS scores were found among the five pattern types. All pattern types showed significant correlation with GIS, Pyeongwi-san Patternization Questionnaire, and FD-QoL scores. Conclusions: Pattern Identification Questionnaire can not only identify the pathological pattern types of FD patients but also evaluate the severity of their symptoms. Compared to conventional assessment tools for FD, it could enable a more dynamic evaluation of FD patients reflecting the severity of dyspeptic symptoms and the quality of life. Further studies on the Pattern Identification of FD patients are anticipated in order to improve the diagnosis and therapy for Korean FD patients.

Keywords

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