手痒回一下 如果要用西医的诊断来套这些症状 其实就是 Functional Dyspepsia, dysmotility-like subtype 翻译成中文叫做「似蠕动不良性功能性消化不良」 这个疾病的定义： 在过去的12个月内，有12个星期有上腹部不适或胀气的症状 而且检查不出任何器质上的病变（顶多做胃镜有极轻微的胃部发炎） 症状也不会因为排便而改善，也不是大肠激躁症。 常见的症状有： 1.上腹部不舒服，有些人甚至不舒服到胸口来 2.胀气，因此腹部有膨胀感或有暧气（俗称打嗝）的情形 3.食慾不佳、容易有饱足感，吃一点点东西就吃不下了 4.严重时恶心想吐 5.常常跟生活中的压力以及焦虑有关（因为肠胃道受到血清素第三型与第四型的影响） 治疗就是给一些促进肠胃蠕动或排除肠胃道内气体的药物 改变饮食习惯 然後想办法处理掉压力与焦虑 所以那文章才会建议有这样的情况要就诊身心科 当然不少容易焦虑的人会有咬紧牙跟等等紧绷的动作 但西医不认为这个病是「咬牙」造成的 （不然找个人做实验，给他3000元叫他咬牙切齿100次，看看会不会得这个病好了） 下面是相关的原文定义，有兴趣的人自己看看 ROME II Diagnostic Criteria for Functional Gastroduodenal Disorders The diagnosis of a Functional Gastroduodenal Disorder always presumes the absence of a structural or biochemical explanation for the symptoms. B1. Functional Dyspepsia At least 12 weeks, which need not be consecutive, in the preceding 12 months of: Persistent or recurrent symptoms (pain or discomfort centered in the upper abdomen); No evidence of organic disease (including at upper endoscopy) that is likely to explain the symptoms; and No evidence that dyspepsia is exclusively relieved by defecation or associated with the onset of a change in stool frequency or stool form (i.e., not irritable bowel). B1a. Ulcer-like Dyspepsia Pain centered in the upper abdomen is the predominant (most bother-some) symptom. B1b. Dysmotility-like Dyspepsia An unpleasant or troublesome nonpainful sensation (discomfort) centered in the upper abdomen is the predominant symptom; this sensation may be characterized by or associated with upper abdominal fullness, early satiety, bloating, or nausea. B1c. Unspecified (Nonspecific) Dyspepsia Symptomatic patients whose symptoms do not fulfill the criteria for ulcer-like or dysmotility-like dyspepsia. 或是看看这个网页： http://www.medicinenet.com/dyspepsia/article.htm What is dyspepsia? What are the symptoms of dyspepsia? What causes dyspepsia? What is the course of dyspepsia? What are the complications of dyspepsia? How is dyspepsia diagnosed? Exclusion of other diseases Exclusion of non-functional gastrointestinal disease Exclusion of acid-related gastrointestinal diseases Exclusion of non-gastrointestinal disease Psychiatric evaluation Specific tests of gastrointestinal function Esophageal motility study Gastric emptying study and electrogastrogram (EGG) Barostatic study Small intestinal transit study Antro-duodenal motility study Gallbladder emptying study How is dyspepsia treated? Education Diet Psychotropic drugs Psychological treatments Promotility drugs Smooth muscle relaxants What is a reasonable approach to the diagnosis and treatment of dyspepsia? What is in the future for dyspepsia? Dyspepsia At A Glance --

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