Search JIM Advanced Search

Journal of Integrative Medicine ›› 2025, Vol. 23 ›› Issue (5): 502-518.doi: 10.1016/j.joim.2025.05.002

• Clinical Practice Guidelines • Previous Articles     Next Articles

International clinical practice guideline on the use of traditional Chinese medicine for functional dyspepsia (2025)

Sheng-sheng Zhang a, Lu-qing Zhao a, Xiao-hua Hou b, Zhao-xiang Bian c, Jian-hua Zheng d, Hai-he Tian e, Guan-hu Yang f, Won-sook Hong g, Yu-ying He h, Li Liu i, Hong Shen j, Yan-ping Li k, Sheng Xie l, Jin Shu m, Bin-fang Zeng n, Jun-xiang Li o, Zhen Liu p, Zheng-hua Xiao q, Jing-dong Xiao r, Pei-yong Zheng s, Shao-gang Huang t, Sheng-liang Chen u, Gui-jun Fei v#br#   

  1. a. Digestive Disease Center, Beijing Hospital of Traditional Chinese Medicine, Beijing 100010, China
    b. Department of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022 Hubei Province, China
    c. Chinese Medicine Clinical Study Center, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong 999077, China
    d. Chinese Medicine and Acupuncture Society of Australia Ltd, Sydney 2166, Australia
    e. American TCM Association (ATCMA), Vienna, VA 22182, USA
    f. Department of Specialty Medicine, Ohio University, Athens, OH 45701, USA
    g. Shanghai Hechuan-Rhine TCM Hospital, Shanghai 200240, China
    h. Yuying TCM Clinic, Paya Lebar Square, S409051, Singapore
    i. College of Traditional Chinese Medicine, Shaanxi University of Traditional Chinese Medicine, Xianyang 712046 Shaanxi Province, China
    j. Department of Gastroenterology, Jiangsu Provincial Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029 Jiangsu Province, Chinak k. Department of Gastroenterology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400000, China l. Department of Administration, the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning 530021, Guangxi Zhuang Autonomous Region, China
    m. Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050 Gansu Province, China
    n. College of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
    o. Department of Gastroenterology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China
    p. Department of Gastroenterology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
    q. Department of Gastroenterology, the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550003 Guizhou Province, China
    r. Department of Digestive Diseases, Liaoning University of Traditional Chinese Medicine, Shenyang 110032 Liaoning Province, China
    s. Institute of Digestive Disease, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    t. State Key Laboratory of Dampness Syndrome of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120 Guangdong Province, China
    u. Department of Gastroenterology and Hepatology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
    v. Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2024-11-28 Accepted:2025-05-10 Online:2025-09-15 Published:2025-05-11

Functional dyspepsia (FD), characterized by persistent or recurrent dyspeptic symptoms without identifiable organic, systemic or metabolic causes, is an increasingly recognized global health issue. The objective of this guideline is to equip clinicians and nursing professionals with evidence-based strategies for the management and treatment of adult patients with FD using traditional Chinese medicine (TCM). The Guideline Development Group consulted existing TCM consensus documents on FD and convened a panel of 35 clinicians to generate initial clinical queries. To address these queries, a systematic literature search was conducted across PubMed, EMBASE, the Cochrane Library, China National Knowledge Infrastructure (CNKI), VIP Database, China Biology Medicine (SinoMed) Database, Wanfang Database, Traditional Medicine Research Data Expanded (TMRDE), and the Traditional Chinese Medical Literature Analysis and Retrieval System (TCMLARS). The evidence from the literature was critically appraised using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. The strength of the recommendations was ascertained through a consensus-building process involving TCM and allopathic medicine experts, methodologists, pharmacologists, nursing specialists, and health economists, leveraging their collective expertise and empirical knowledge. The guideline comprises a total of 43 evidence-informed recommendations that span a range of clinical aspects, including the pathogenesis according to TCM, diagnostic approaches, therapeutic interventions, efficacy assessments, and prognostic considerations.

Key words: Functional dyspepsia, Guideline, Traditional Chinese medicine

[1] Meng-ting Xiao, Sen-yan Wang, Xiao-ling Wu, Zi-yu Zhao, Hui-min Wang, Hui-min Liu, Xue-mei Qin, Xiao-jie Liu. Antidepressant mechanism of Xiaoyaosan: A perspective from energy metabolism of the brain and intestine. Journal of Integrative Medicine, 2025, 23(6): 706-720.
[2] Xin-ran Du, Meng-yi Wu, Mao-can Tao, Ying Lin, Chao-ying Gu, Min-feng Wu, Yi Cao, Da-can Chen, Wei Li, Hong-wei Wang, Ying Wang, Yi Wang, Han-zhi Lu, Xin Liu, Xiang-fei Su, Fu-lun Li. Clinical practice guidelines for the diagnosis and treatment of atopic dermatitis with integrative traditional Chinese and Western medicine. Journal of Integrative Medicine, 2025, 23(6): 641-653.
[3] Hong-xia Ni, Lin-hai Cao, Xiao-xiao Gong, Zi-yan Zang, Hui Chang. Traditional Chinese medicine for treatment of type 2 diabetes mellitus: Clinical evidence and pharmacological mechanisms. Journal of Integrative Medicine, 2025, 23(6): 605-622.
[4] Yue Jiang, Claire Chenwen Zhong, Betty Huan Wang, Shan-Shan Xu, Fai Fai Ho, Ming Hong Kwong, Leonard Ho, Joson Hao-Shen Zhou, K C Lam, Jian-Ping Liu, Bao-Ting Zhang, Vincent Chi Ho Chung. Methodological quality of systematic reviews on orally administered Chinese herbal medicine published in Chinese between 2021 and 2022: A cross-sectional study. Journal of Integrative Medicine, 2025, 23(5): 492-501.
[5] Yan Han, Yu Wang, Mo-yi Shi, Yu Liu, Xiao-dong Cheng, Yang Zhou. Integrating traditional Chinese medicine constitutions into insomnia management: Findings from a cross-sectional study. Journal of Integrative Medicine, 2025, 23(4): 382-389.
[6] Ya-ting Ai, Shi Zhou, Ming Wang, Tao-yun Zheng, Hui Hu, Yun-cui Wang, Yu-can Li, Xiao-tong Wang, Peng-jun Zhou. Development of a machine learning-based risk prediction model for mild cognitive impairment with spleen-kidney deficiency syndrome in the elderly. Journal of Integrative Medicine, 2025, 23(4): 390-397.
[7] Man Liao, Li-ting Zhang, Li-juan Bai, Rui-yun Wang, Yun Liu, Jing Han, Li-hua Liu, Ben-ling Qi. Xuebijing injection reduces COVID-19 patients’ mortality as influenced by the neutrophil to lymphocyte platelet ratio. Journal of Integrative Medicine, 2025, 23(3): 282-288.
[8] Cheng Zhang, Yi-sen Nie, Chuan-tao Zhang, Hong-jing Yang, Hao-ran Zhang, Wei Xiao, Guang-fu Cui, Jia Li, Shuang-jing Li, Qing-song Huang, Shi-yan Yan. An adaptive Bayesian randomized controlled trial of traditional Chinese medicine in progressive pulmonary fibrosis: Rationale and study design. Journal of Integrative Medicine, 2025, 23(2): 138-144.
[9] Shi-yun Yan. Thoughts on the construction of flagship hospitals of integrated traditional Chinese and Western medicine in China. Journal of Integrative Medicine, 2025, 23(1): 12-14.
[10] Ran Guo, Dian Zeng, Qi Zhao, Xin-yi Zhang, Xiao-ke Zhang, Yuan-li Liu. How are different traditional Chinese medicine modalities deployed by clinical practitioners in China? Findings from a national survey. Journal of Integrative Medicine, 2025, 23(1): 36-45.
[11] Xuan Yin, Zhu Jin, Feng Li, Li Huang, Yan-mei Hu, Bo-chang Zhu, Zu-qing Wang, Xi-ying Li, Jian-ping Li, Lixing Lao, Yi-qun Mi, Shi-fen Xu. Effectiveness and safety of adjunctive non-drug measures in improving respiratory symptoms among patients with severe COVID-19: A multicenter randomized controlled trial. Journal of Integrative Medicine, 2024, 22(6): 637-644.
[12] Yuan He, Xiao-xuan Qin, Ming-wei Liu, Wei Sun. Morin, a matrix metalloproteinase 9 inhibitor, attenuates endothelial-to-mesenchymal transition in atherosclerosis by downregulating Notch-1 signaling. Journal of Integrative Medicine, 2024, 22(6): 683-695.
[13] Qiong Zhang, Ying-yi Fan, Xue-qing Wu, Yan-dan Huo, Chun-hui Wang, Shi-bing Liang, Ting Wang, Rong Zhong, Xuan Wang, Bao-yong Lai, Xiao-hua Pei, Jian-ping Liu. Hongjin Xiaojie Capsule, a Chinese patent medicine, for treating moderate to severe cyclical breast pain: A single-blind randomized controlled trial. Journal of Integrative Medicine, 2024, 22(5): 552-560.
[14] Alexander L. Tournier, Leoni V. Bonamin, Susann Buchheim-Schmidt, Steven Cartwright, Christoph Dombrowsky, Paul Doesburg, Carla Holandino, Maria Olga Kokornaczyk, Everine B. van de Kraats, Jesús Antonio López-Carvallo, Papiya Nandy, José Manuel Mazón-Suástegui, Fateme Mirzajani, Bernard Poitevin, Claudia Scherr, Karin Thieves, Sandra Würtenberger, Stephan Baumgartner. Scientific guidelines for preclinical research on potentised preparations manufactured according to current pharmacopoeias—the PrePoP guidelines. Journal of Integrative Medicine, 2024, 22(5): 533-544.
[15] Hui-zhi Zhu, Cheng-yi Li, Liang-ji Liu, Jia-bing Tong, Zhi-hui Lan, Shu-guang Tian, Qiao Li, Xiang-li Tong, Ji-feng Wu, Zhen-gang Zhu, Su-yun Li, Jian-sheng Li. Efficacy and safety of Qingfei Huatan formula in the treatment of acute exacerbation of chronic obstructive pulmonary disease: A multi-centre, randomised, double-blind, placebo-controlled trial. Journal of Integrative Medicine, 2024, 22(5): 561-569.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Wei-xiong Liang. Problems-solving strategies in clinical treatment guideline for traditional Chinese medicine and integrative medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 1-4
[2] Zhao-guo Li. Discussion on English translation of commonly used sentences in traditional Chinese medicine: part one. Journal of Chinese Integrative Medicine, 2008, 6(1): 107-110
[3] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. An explanation on "guiding principles of clinical research on mild cognitive impairment (protocol)". Journal of Chinese Integrative Medicine, 2008, 6(1): 15-21
[4] Jin-rong Fu. Establishment of multivariate diagnosis and treatment system of modern gynecology of traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 22-24
[5] Hao Li, Ming-jiang Yao, Wen-ming Zhao, Jie Guan, Lin-lin Cai, Ling Cui. A randomized, controlled, double-blind trial of Huannao Yicong capsule in senile patients with mild cognitive impairment. Journal of Chinese Integrative Medicine, 2008, 6(1): 25-31
[6] Jun Hu, Jian-ping Liu. Non-invasive physical treatments for chronic/recurrent headache. Journal of Chinese Integrative Medicine, 2008, 6(1): 31
[7] Yi-ting He, Qing-lin Zha, Jian-ping Yu, Yong Tan, Cheng Lu, Ai-ping Lv. Principal factor analysis of symptoms of rheumatoid arthritis and their correlations with efficacy of traditional Chinese medicine and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 32-36
[8] Jun Cai, Hua Wang, Sheng Zhou, Bin Wu, Hua-rong Song, Zheng-rong Xuan. Effect of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation: A randomized controlled trial. Journal of Chinese Integrative Medicine, 2008, 6(1): 37-40
[9] Dong Yang, Yong-ping Du, Qing Shen, Wei Chen, Yan Yu, Guang-lei Chen. Expression of alpha-smooth muscle actin in renal tubulointerstitium in patients with kidney collateral stasis. Journal of Chinese Integrative Medicine, 2008, 6(1): 41-44
[10] Xue-mei Liu, Qi-fu Huang, Yun-ling Zhang, Jin-li Lou, Hong-sheng Liu, Hong Zheng. Effects of Tribulus terrestris L. saponion on apoptosis of cortical neurons induced by hypoxia-reoxygenation in rats. Journal of Chinese Integrative Medicine, 2008, 6(1): 45-50