Acupuncture in the Management of Functional Dyspepsia

Acupuncture  in  the  Management   of  Functional  Dyspepsia

Anastasia Yoveline*, Murdani Abdullah**, Guntur Darmawan*, Hasan Mihardja***, Saleha Sungkar****

*  Department  of  Internal  Medicine,  Faculty  of  Medicine,  University  of  Indonesia Dr.  Cipto  Mangunkusumo  General  National  Hospital,  Jakarta

**  Division  of  Gastroenterology,  Department  of  Internal  Medicine,  Faculty  of  Medicine   University  of  Indonesia/Dr.  Cipto  Mangunkusumo  General  National  Hospital,  Jakarta

***  Department  of  Medical  Acupuncture,  Faculty  of  Medicine,  University  of  Indonesia Dr.  Cipto  Mangunkusumo  General  National  Hospital,  Jakarta

****  Department  of  Parasitology,  Faculty  of  Medicine,  University  of  Indonesia Dr.  Cipto  Mangunkusumo  General  National  Hospital,  Jakarta

ABSTRACT

Dyspepsia  is  an  uncomfortable  sensation  or  pain  in  the  upper  abdomen  which  is  persisting  or  recurring.  

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found   compared   to   the   organic   type,   approximately   60%.   Pharmacologic   therapy   in   the   management   of   functional  dyspepsia  has  not  shown  optimal  results,  with  the  multifactorial  etiology  of  functional  dyspepsia   as  the  main  challenge.  Therefore,  the  management  of  functional  dyspepsia  is  widened  and  involves  variety   treatment  modalities,  acupuncture  being  one  of  them.  Acupuncture  is  a  way  of  treatment  by  puncturing  needles  to   particular  area  on  the  skin  to  eliminate  pain  and  treat  particular  diseases.  Acupuncture  affects  stomach  motility   and  gastric  acid  secretion  in  functional  dyspepsia  patients.  Two  acupuncture  points  commonly  used  in  functional   dyspepsia  are  ST  36  and  PC  6.  Acupuncture  can  restore  gastric  motility  in  patients  with  functional  dyspepsia,   who   have   gastric   emptying   disturbance.   Besides,   functional   dyspepsia   complaints,   such   as   epigastric   pain,   nausea,  vomiting,  anorexia,  burning  sensation,  and  bloating  were  found  to  improve  after  acupuncture  therapy.  

Side  effects  of  acupuncture  are  not  life  threatening  with  low  incidence  rate.  The  effectiveness  of  acupuncture   WKHUDS\FRPSDUHGWRVWDQGDUGPHGLFDWLRQVKRZVYDULHVUHVXOWV)XUWKHUVWXGLHVDUHQHHGHGWRGHWHUPLQHWKH characteristics  of  functional  dyspepsia  patients  which  could  have  optimal  results  through  acupuncture  therapy.

 

Keywords:  epigastric  pain,  gastric  motility,  ST  36,  PC  6

ABSTRAK

Dispepsia  merupakan  rasa  tidak  nyaman  atau  nyeri  di  abdomen  bagian  atas  yang  menetap  atau  berulang.  

'LVSHSVLDGDSDWGLNODVL¿NDVLNDQPHQMDGLGLVSHSVLDIXQJVLRQDOGDQRUJDQLN'LVSHSVLDIXQJVLRQDOOHELKEDQ\DN ditemukan  daripada  tipe  organik,  yaitu  sebesar  60%.  Terapi  medikamentosa  untuk  dispepsia  fungsional  belum   PHQXQMXNNDQKDVLORSWLPDO3HQ\HEDEGLVSHSVLDIXQJVLRQDO\DQJEHUVLIDWPXOWLIDNWRUPHUXSDNDQWDQWDQJDQXWDPD Hal  itu  menyebabkan  tatalaksana  dispepsia  fungsional  meluas  dan  melibatkan  berbagai  modalitas  terapi,  salah   VDWXQ\DDGDODKDNXSXQNWXU$NXSXQNWXUDGDODKVXDWXFDUDSHQJREDWDQGHQJDQPHQXVXNNDQMDUXPSDGDWLWLN tertentu  di  kulit  untuk  menghilangkan  nyeri  dan  mengobati  berbagai  penyakit  tertentu.  Akupunktur  mempengaruhi   motilitas  lambung  dan  sekresi  asam  lambung  pada  penderita  dispepsia  fungsional.  Dua  titik  akupunktur  yang   umum  digunakan  pada  dispepsia  fungsional  adalah  ST  36  dan  PC  6.  Akupunktur  dapat  memperbaiki  motilitas   lambung  pada  penderita  dispepsia  fungsional  dengan  gangguan  pengosongan  lambung.  Selain  itu,  keluhan   dispepsia  fungsional  seperti  nyeri  ulu  hati,  mual,  muntah,  anoreksia,  rasa  terbakar,  dan  kembung  ditemukan   EHUNXUDQJVHWHODKWHUDSLDNXSXQNWXU(IHNVDPSLQJDNXSXQNWXUWLGDNPHPEDKD\DNDQMLZDGHQJDQDQJNDNHMDGLDQ

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Kata  kunci:  nyeri  ulu  hati,  motilitas  lambung,  ST  36,  PC  6

INTRODUCTION

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Pathophysiology  Related  to  Functional  Dyspepsia   Symptoms

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Correspondence:  

Murdani  Abdullah   Division  of  Gastroenterology,  Department  of  Internal  Medicine   Dr.  Cipto  Mangunkusumo  General  National  Hospital   Jl.  Diponegoro  No.  71  Jakarta  10430  Indonesia   3KRQH)DFV   E-­mail:  murdani_08@yahoo.com