REVIEW ARTICLE
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. '\VSHSVLDFDQEHFODVVL¿HGLQWRIXQFWLRQDODQGRUJDQLFG\VSHSVLD)XQFWLRQDOG\VSHSVLDLVPRUHFRPPRQO\ 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 Volume 13, Number 1 April 2012
49
Anastasia Yoveline, Murdani Abdullah, Guntur Darmawan, Hasan Mihardja, Saleha Sungkar
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INTRODUCTION
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The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Acupuncture in the Management of Functional Dyspepsia
Management of Functional Dyspepsia
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Anastasia Yoveline, Murdani Abdullah, Guntur Darmawan, Hasan Mihardja, Saleha Sungkar
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The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Acupuncture in the Management of Functional Dyspepsia
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Anastasia Yoveline, Murdani Abdullah, Guntur Darmawan, Hasan Mihardja, Saleha Sungkar
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The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Acupuncture in the Management of Functional Dyspepsia
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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: [email protected]
Volume 13, Number 1, April 2012
55
