Liu Tao, Wang Ning, Zhang Li, Zhong Linda
Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.
School of Chinese Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong.
Evid Based Complement Alternat Med. 2016;2016:8652523. doi: 10.1155/2016/8652523. Epub 2016 Jun 5.
Functional abdominal pain syndrome (FAPS) is one of the less common functional gastrointestinal disorders. Conventional therapy has unsatisfactory response to it so people turn to Chinese medicine for help. Currently, we reviewed the whole picture of Chinese herbal medicine (CHM) clinical and basic application in the treatment of FAPS, especially the traditional Chinese medicine (TCM) syndrome, the single herb, and Chinese medicine formulae, thus to provide a solid base to further develop evidence-based study for this common gastrointestinal complaint in the future. We developed the search strategy and set the inclusion and exclusion criteria for article search. From the included articles, we totally retrieved 586 records according to our searching criteria, of which 16 were duplicate records and 291 were excluded for reasons of irrelevance. The full text of 279 articles was retrieved for detailed assessment, of which 123 were excluded for various reasons. The number one used single herb is Radix Ginseng. The most common syndrome was liver qi depression. The most frequently used classic formula was Si-Mo-Tang. This reflected the true situation of clinical practice of Chinese medicine practitioners and could be further systematically synthesized as key points of the therapeutic research for FAPS.
功能性腹痛综合征(FAPS)是较罕见的功能性胃肠疾病之一。传统疗法对其疗效欠佳,因此人们求助于中医。目前,我们综述了中药在FAPS治疗中的临床及基础应用全貌,尤其是中医证候、单味中药及中药方剂,从而为未来进一步开展针对这一常见胃肠病症的循证研究奠定坚实基础。我们制定了检索策略并设定了文献检索的纳入与排除标准。根据检索标准,从纳入文献中我们共检索到586条记录,其中16条为重复记录,291条因不相关原因被排除。检索到279篇文献的全文进行详细评估,其中123篇因各种原因被排除。使用最多的单味中药是人参。最常见的证候是肝郁气滞。最常用的经典方剂是四磨汤。这反映了中医临床实践的真实情况,可进一步系统整合为FAPS治疗研究的关键点。