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. 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 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. ditemukan daripada tipe organik, yaitu sebesar 60%. Terapi medikamentosa untuk dispepsia fungsional belum Hal itu menyebabkan tatalaksana dispepsia fungsional meluas dan melibatkan berbagai modalitas terapi, salah 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 Volume 13, Number 1 April 2012 49
Anastasia Yoveline, Murdani Abdullah, Guntur Darmawan, Hasan Mihardja, Saleha Sungkar yang akan mendapat hasil optimal melalui terapi akupunktur. Kata kunci: nyeri ulu hati, motilitas lambung, ST 36, PC 6 INTRODUCTION 1 2 3 6 7 CLASSIFICATION OF FUNCTIONAL DYSPEPSIA Pathophysiology Related to Functional Dyspepsia Symptoms 8 9 11 12 8 9 50 The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Acupuncture in the Management of Functional Dyspepsia Management of Functional Dyspepsia 13 11 ACUPUNCTURE acus punctura Acupuncture Mechanism of Action Volume 13, Number 1, April 2012 51
Anastasia Yoveline, Murdani Abdullah, Guntur Darmawan, Hasan Mihardja, Saleha Sungkar Acupuncture and Functional Dyspepsia 16 17 Acupuncture Mechanism of Action in Improving Functional Dyspepsia Symptoms 18 19 19 21 22 23 22 16 18 52 The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Acupuncture in the Management of Functional Dyspepsia 19 Comparison of Acupuncture and Medication Effectiveness towards Symptoms Improvement in Functional Dyspepsia 26 27 28 Advantages and Disadvantages of Acupuncture in Functional Dyspepsia Management 29 Volume 13, Number 1, April 2012 53
Anastasia Yoveline, Murdani Abdullah, Guntur Darmawan, Hasan Mihardja, Saleha Sungkar 17 CONCLUSION REFERENCES 54 The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Acupuncture in the Management of Functional Dyspepsia Correspondence: Murdani Abdullah Division of Gastroenterology, Department of Internal Medicine Dr. Cipto Mangunkusumo General National Hospital Jl. Diponegoro No. 71 Jakarta 10430 Indonesia E-mail: murdani_08@yahoo.com Volume 13, Number 1, April 2012 55