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【Case 04】Functional Dyspepsia (Postprandial Distress Syndrome)

Shan Clinic
2026-07-16

📋 Basic Information

  • Medical Record No.: SS-2025-NK-004

  • Patient: Ms. Camille, French, Female, 36 years old, Wine Sommelier

  • Treatment Duration: 8 weeks

Diagnostic Information

  • Chief Complaint: Recurrent postprandial fullness and early satiety for 2 years, aggravated with decreased appetite for 2 months.

  • History of Present Illness: Due to occupational wine tasting and irregular diet, the patient developed postprandial epigastric fullness 2 years ago, with early satiety, belching and nausea. Two months ago, symptoms worsened after continuous business trips, with postprandial fullness at all three daily meals, reduced appetite and 4kg weight loss in 3 months. External gastroscopy showed no organic lesions; gastric emptying test indicated delayed gastric emptying.

  • Western Diagnosis: Functional dyspepsia (postprandial distress syndrome)

  • TCM Diagnosis: Stomach distension disorder (Spleen deficiency with food retention, adverse stomach Qi stagnation)

💊 Comprehensive Treatment Plan

  • Manual Therapy: Visceral Tuina, twice weekly

  • Acupuncture Therapy: Acupoint catgut embedding, every 2 weeks

  • Physical Therapy: Low-frequency pulse electrotherapy, once daily

  • Rehabilitation Training: Postprandial walking training

  • Herbal Formula: Modified Baohe Pill + Sijunzi Decoction, 1 dose/day for 8 weeks

📊 Quantitative Comparison

IndexBeforeAfter
GSRS Score162
Gastric Emptying Time (Barium)180 min90 min
Postprandial Fullness VAS6/101/10
3-month Weight Change-4 kg+2.5 kg
Daily Food Intake1/2 of normalNormal


✅ Efficacy Evaluation

Postprandial fullness and early satiety basically resolved; appetite and food intake normalized. Gastric emptying function significantly improved with steady weight recovery.



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