Abstract

Background: Peptic ulcer disease (PUD) is a common chronic disease, easily relapsing and with many dangerous complications. According to Traditional Medicine, the symptoms described in peptic ulcer disease belong to the category of “gastric upset”. To contribute to helping doctors better orient their examinations and effectively combine treatments for this condition, we conducted this study with the goals: Survey of the frequency of some clinical symptoms and side effects according to traditional medicine and study of some factors related to the side effects of gastric and duodenal ulcers at Hue University of Medicine and Pharmacy Hospital.

Objectives and Methods: includes 142 patients diagnosed with peptic ulcers at the Department of General Internal Medicine Endocrinology - Musculoskeletal and Endoscopy Center - Gastroenterology of Hue University of Medicine and Pharmacy Hospital. Research method: Cross - sectional description.

Results: The average age is 57.5 ± 16.83 years old, the age group from 51 to 70 years old accounted for the highest proportion. Patients with duodenal ulcers account for the highest rate at 51.2%, followed by gastric ulcers at 34.5% and the lowest rate at both stomach and duodenum at 13.4%. The most common ulcer location in the stomach is the antrum, accounting for 69.1%, followed by the greater curvature with 11.8%, the lesser curvature with 10.3%, the antrum pyloric with 5.9%, and the pyloric accounts for the lowest rate of 2.9%. About the tongue: red tongue 38.7%, white coating 59.2%, thick coating 51.4%, dry coating 36.6% accounting for the highest proportion. Regarding the pulse: 59.8% floating pulses, 40.1% pretty rapid pulses, 80.8% forceful pulses accounts for the majority. The clinical types according to traditional medicine are: 43% of qi stagnation, 26.1% of blood stasis, 19.7% of fire stagnation and 11.3% of deficiency cold of the spleen and stomach pattern. The fire stagnation type has a disease duration of less than 6 months and the spleen stomach deficiency cold type has a disease duration of over 1 year higher than the other types (p < 0.05).

Conclusion: Through injury assessment, patients with duodenal ulcers are the most common. The two types of qi stagnation and blood stasis are the most common. The symptoms show that most patients have heat and evil in the body. There are significant relationships between clinical types and the duration of the disease, tongue color, tongue coating color and pulse frequency (p < 0.05).