Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives

Mingming Fan,1 Xiangbin Pan,2 Yingzhe Liu3 1Department of Geriatric, Heilongjiang Academy of Traditional Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 2Department of Spleen, Stomach and Hepatobiliary, Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Ha...

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Main Authors: Fan M, Pan X, Liu Y
Format: Article
Language:English
Published: Dove Medical Press 2025-06-01
Series:Drug Design, Development and Therapy
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Online Access:https://www.dovepress.com/comprehensive-treatment-of-functional-dyspepsia-using-traditional-chin-peer-reviewed-fulltext-article-DDDT
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author Fan M
Pan X
Liu Y
author_facet Fan M
Pan X
Liu Y
author_sort Fan M
collection DOAJ
description Mingming Fan,1 Xiangbin Pan,2 Yingzhe Liu3 1Department of Geriatric, Heilongjiang Academy of Traditional Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 2Department of Spleen, Stomach and Hepatobiliary, Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 3First Department of Endocrinology, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of ChinaCorrespondence: Yingzhe Liu, First Department of Endocrinology, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, 26 heping Road, Harbin, Heilongjiang, People’s Republic of China, Email lyzkyyxscience@163.comAbstract: Functional dyspepsia (FD) is a common functional gastrointestinal disorder characterized by epigastric pain and symptoms related to meal consumption. According to recent diagnostic criteria, FD can be classified as epigastric pain syndrome (EPS) or postprandial discomfort syndrome (PDS), based on the predominant symptoms. The pathophysiology of FD can be influenced by various factors, including microinflammation, gastrointestinal infections, abnormal gastroduodenal motility, visceral hypersensitivity, disturbances in the brain-gut axis, and psychological factors. As a result, its management requires a comprehensive approach that includes both pharmacological and non-pharmacological interventions such as psychological therapies and adjunctive treatments. However, despite the availability of various treatment options, no contemporary pharmacological agents have been approved specifically for FD. In this context, Traditional Chinese Medicine (TCM) has emerged as a promising alternative that offers notable efficacy and safety in managing FD. Various TCM modalities, including herbal prescriptions, acupuncture, moxibustion, and music therapy have demonstrated therapeutic potential. In this article, we discuss the pathophysiology of FD from a modern medical perspective and describe integrative treatment strategies based on TCM, highlighting the potential benefits of combining the traditional and contemporary approaches.Keywords: FD, EPS, PDS, duodenum, TCM
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spelling doaj-art-25d7384d76d7449990a703626ef930fc2025-08-20T02:24:08ZengDove Medical PressDrug Design, Development and Therapy1177-88812025-06-01Volume 19Issue 153495367104135Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological PerspectivesFan M0Pan X1Liu Y2Geriatrics DepartmentDepartment of gastrologyDepartment of gastrologyMingming Fan,1 Xiangbin Pan,2 Yingzhe Liu3 1Department of Geriatric, Heilongjiang Academy of Traditional Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 2Department of Spleen, Stomach and Hepatobiliary, Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of China; 3First Department of Endocrinology, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, People’s Republic of ChinaCorrespondence: Yingzhe Liu, First Department of Endocrinology, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, 26 heping Road, Harbin, Heilongjiang, People’s Republic of China, Email lyzkyyxscience@163.comAbstract: Functional dyspepsia (FD) is a common functional gastrointestinal disorder characterized by epigastric pain and symptoms related to meal consumption. According to recent diagnostic criteria, FD can be classified as epigastric pain syndrome (EPS) or postprandial discomfort syndrome (PDS), based on the predominant symptoms. The pathophysiology of FD can be influenced by various factors, including microinflammation, gastrointestinal infections, abnormal gastroduodenal motility, visceral hypersensitivity, disturbances in the brain-gut axis, and psychological factors. As a result, its management requires a comprehensive approach that includes both pharmacological and non-pharmacological interventions such as psychological therapies and adjunctive treatments. However, despite the availability of various treatment options, no contemporary pharmacological agents have been approved specifically for FD. In this context, Traditional Chinese Medicine (TCM) has emerged as a promising alternative that offers notable efficacy and safety in managing FD. Various TCM modalities, including herbal prescriptions, acupuncture, moxibustion, and music therapy have demonstrated therapeutic potential. In this article, we discuss the pathophysiology of FD from a modern medical perspective and describe integrative treatment strategies based on TCM, highlighting the potential benefits of combining the traditional and contemporary approaches.Keywords: FD, EPS, PDS, duodenum, TCMhttps://www.dovepress.com/comprehensive-treatment-of-functional-dyspepsia-using-traditional-chin-peer-reviewed-fulltext-article-DDDTFDEPSPDSDuodenumTCM
spellingShingle Fan M
Pan X
Liu Y
Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives
Drug Design, Development and Therapy
FD
EPS
PDS
Duodenum
TCM
title Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives
title_full Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives
title_fullStr Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives
title_full_unstemmed Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives
title_short Comprehensive Treatment of Functional Dyspepsia Using Traditional Chinese Medicine: A Review Based on Pathophysiological Perspectives
title_sort comprehensive treatment of functional dyspepsia using traditional chinese medicine a review based on pathophysiological perspectives
topic FD
EPS
PDS
Duodenum
TCM
url https://www.dovepress.com/comprehensive-treatment-of-functional-dyspepsia-using-traditional-chin-peer-reviewed-fulltext-article-DDDT
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AT liuy comprehensivetreatmentoffunctionaldyspepsiausingtraditionalchinesemedicineareviewbasedonpathophysiologicalperspectives