Medical Record No.: SS-2025-NK-004
Patient: Ms. Camille, French, Female, 36 years old, Wine Sommelier
Treatment Duration: 8 weeks
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)
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
| Index | Before | After |
|---|---|---|
| GSRS Score | 16 | 2 |
| Gastric Emptying Time (Barium) | 180 min | 90 min |
| Postprandial Fullness VAS | 6/10 | 1/10 |
| 3-month Weight Change | -4 kg | +2.5 kg |
| Daily Food Intake | 1/2 of normal | Normal |