Institute of Salutogenesis and Complementary Medicine, Pondicherry; Sri Balaji Vidyapeeth Deemed-to-be University, Pondicherry; School of Yoga Therapy, Pondicherry, India. .
Institute of Salutogenesis and Complementary Medicine, Pondicherry; Sri Balaji Vidyapeeth Deemed-to-be University, Pondicherry; School of Yoga Therapy, Pondicherry, India.
J Gastrointestin Liver Dis. 2023 Dec 22;32(4):513-525. doi: 10.15403/jgld-4867.
Functional dyspepsia (FD) is a common upper gastrointestinal disorder, characterized by bothersome epigastric pain or burning, fullness after meals or early satiety. The precise pathophysiology remains incompletely understood but may include the role of disordered gut-brain communication leading to disturbances in gastro-duodenal physiological functioning. Even if there are several pharmacological treatment options, it is a chronic and relapsing disorder with persistent symptoms that makes its management difficult. Yoga is a fast-spreading complementary and alternative medicine (CAM) specialty, that has gained attention in the medical field for its ability to address the physical, emotional, mental and social aspects of health and disease. Various other CAM therapies are being used for FD with varying efficacy. However, apart from one research study that used yoga therapy on abdominal pain related functional gastrointestinal disorders in children which included a few FD cases as well (11.6%), no other study using yoga therapy has been done in FD as per our best knowledge. Therefore, in the present review, we have summarized the current scientific understanding of the probable effects of yoga on the pathophysiological mechanisms involved in FD (gastric motility, fundic accommodation, hypersensitivity, duodenal inflammation, psychological distress and gut-brain dysfunction). The literature suggests yoga can have a beneficial role in the management of FD. However, rigorous research and clinical trials are required to confirm the same.
功能性消化不良（FD）是一种常见的上消化道疾病，其特征为上腹部疼痛或烧灼感、餐后饱胀或早饱。其确切的病理生理学机制仍不完全清楚，但可能包括肠道-大脑通讯紊乱导致胃-十二指肠生理功能障碍。尽管有几种药物治疗选择，但 FD 是一种慢性复发性疾病，症状持续存在，这使得其治疗具有挑战性。瑜伽是一种快速传播的补充和替代医学（CAM）专业，它在医学领域因其能够解决健康和疾病的身体、情感、心理和社会方面而受到关注。各种其他 CAM 疗法也被用于 FD，疗效不一。然而，据我们所知，除了一项研究使用瑜伽疗法治疗儿童与腹痛相关的功能性胃肠道疾病（包括一些 FD 病例）（11.6%）之外，没有其他使用瑜伽疗法治疗 FD 的研究。因此，在本综述中，我们总结了目前对瑜伽可能对 FD 中涉及的病理生理机制（胃动力、胃底顺应性、高敏性、十二指肠炎症、心理困扰和肠道-大脑功能障碍）的影响的科学认识。文献表明瑜伽在 FD 的管理中可能具有有益作用。然而，需要进行严格的研究和临床试验来证实这一点。
