Setia Garima, Ramanathan Meena, Bhavanani Ananda Balayogi, Prabu B Sajeeth Manikanda, B Vinoth, N Ananthkrishnan
Institute of Salutogenesis & Complementary Medicine (ISCM), Sri Balaji Vidyapeeth (SBV) Deemed-to-be University, Pondicherry, India.
School of Yoga Therapy, ISCM, SBV Deemed-to-be University, Pondicherry, India.
J Ayurveda Integr Med. 2023 May-Jun;14(3):100715. doi: 10.1016/j.jaim.2023.100715. Epub 2023 May 20.
Functional Dyspepsia (FD), commonly called chronic indigestion, comes under the umbrella of 'Disorders of Gut-Brain Axis'. It manifests as a cluster of upper gastrointestinal symptoms including epigastric pain or burning, postprandial fullness and early satiety. Since the pathophysiology is complex, it is often difficult to effectively manage and significantly impacts the patient's quality of life. This case series aims to elucidate the role of Yoga as an adjuvant therapy to modern medicine in providing relief of dyspeptic symptoms in such patients. Yoga is an ancient Indian mind-body practise that has the potential to be used for various brain-gut disorders. Apart from treating the gut disorders from top down (mind-gut) pathway, it may have more direct physiological effects as well. Researches on IBS and one research on abdominal pain related FGID have shown Yoga therapy to be effective in ameliorating the symptoms. In this study, we present three such cases (1 male and 2 female) having a clinical diagnosis of FD in detail. These patients were initially non-responsive to medications but later showed remarkable improvement in symptoms within one month of added Yoga therapy intervention. This study was conducted as a part of a larger study conducted at a tertiary hospital in Pondicherry in collaboration between its Yoga department and Medical Gastroenterology Department. Yoga therapy protocol was given along with their regular medical management for a month. Gastrointestinal Symptom Rating Scale (GSRS) and Dyspepsia Symptom Score questionnaires were used to assess symptoms before and after the intervention period. All three patients showed marked reductions in symptom scores both in the GSRS and Dyspepsia Questionnaire. The present case series suggests effect of adjuvant Yoga therapy in reducing symptoms of functional dyspepsia. Future studies may clarify the psycho-physiological basis of the same.
功能性消化不良（FD），通常称为慢性消化不良，属于“肠脑轴紊乱”范畴。它表现为一系列上消化道症状，包括上腹部疼痛或烧灼感、餐后饱胀感和早饱感。由于其病理生理学复杂，往往难以有效管理，且对患者的生活质量有显著影响。本病例系列旨在阐明瑜伽作为现代医学辅助疗法在缓解此类患者消化不良症状方面的作用。瑜伽是一种古老的印度身心练习方法，有潜力用于治疗各种脑肠疾病。除了从自上而下（心-肠）途径治疗肠道疾病外，它可能还具有更直接的生理作用。对肠易激综合征的研究以及一项关于腹痛相关功能性胃肠病的研究表明，瑜伽疗法在改善症状方面是有效的。在本研究中，我们详细介绍了三例临床诊断为功能性消化不良的病例（1例男性和2例女性）。这些患者最初对药物治疗无反应，但在增加瑜伽疗法干预后的一个月内症状有显著改善。本研究是在本地治里一家三级医院的瑜伽科和医学胃肠病科合作进行的一项更大规模研究的一部分。在常规医疗管理的同时给予患者为期一个月的瑜伽治疗方案。使用胃肠道症状评分量表（GSRS）和消化不良症状评分问卷来评估干预前后的症状。所有三名患者在GSRS和消化不良问卷中的症状评分均显著降低。本病例系列表明辅助瑜伽疗法对减轻功能性消化不良症状有效果。未来的研究可能会阐明其心理生理基础。
