Condition

Dyspepsia

Dyspepsia is persistent or recurrent discomfort in the upper abdomen, often described as indigestion.


Overview

Aetiology

Dyspepsia can arise from a range of causes, including excess gastric acid, impaired gastric motility, and heightened sensitivity of the stomach and upper gut. Common contributors are Helicobacter pylori infection, peptic ulcer disease, gastro-esophageal reflux, certain medications such as NSAIDs, and dietary or lifestyle factors. In many cases no structural cause is found, and the condition is termed functional dyspepsia.


Presentation

Symptoms

Symptoms include upper abdominal pain or burning, early fullness during meals, uncomfortable fullness after eating, bloating, belching, and nausea.


Assessment

Differential Diagnosis

Conditions to consider include gastro-esophageal reflux disease, peptic ulcer disease, gastritis, gallstones, and, less commonly, gastric malignancy.


Formula for Dyspepsia

Herb der dose/week

Gentiana lutea 1:2 10 mL

Foeniculum vulgare 1:2 20 mL

The Herbs

Materia Medica (42)

Herbs traditionally or clinically used for dyspepsia.

Abuta

Cissampelos pareira

Menispermaceae
AnalgesicAntifertilityAnti-InflammatoryAntilithic +13

Bael

Aegle marmelos

Rutaceae
AntispermatogenicAstringentAnti-DiarrhoealAntimicrobial +10

Burdock

Arctium lappa

Asteraceae
AlterativeBitterHepaticNutritive +4

Cashew

Anacardium occidentale

Anacardiaceae
AntidiabeticAnti-InflammatoryAntimicrobialAnticancer +6

Catnip

Nepeta cataria

Lamiaceae
SedativeCarminativeDiaphoreticNervine +4

Cayenne

Capsicum annuum

Solanaceae
StimulantAnalgesicCarminativeRubefacient +2

Clove

Syzygium aromaticum

Myrtaceae
AnalgesicAntimicrobialAntibacterialAntifungal +5

Codonopsis

Codonopsis pilosula

Campanulaceae
AdaptogenNootropicHypolipidemicNutritive +3

Damiana

Turnera diffusa

Turneraceae
Aromatase InhibitorAphrodisiacAntimicrobialAnticancer +4

Fennel

Foeniculum vulgare

Apiaceae
CarminativeAppetite StimulantAppetite SuppressantAntispasmodic +7

Feverfew

Tanacetum parthenium

Asteraceae
Anti-InflammatoryVasodilatorEmmenagogueAnthelmintic +1

Frankincense

Boswellia serrata

Burseraceae
AntioxidantAnti-InflammatoryAntimicrobialVulnerary +3

Gentian

Gentiana lutea

Gentianaceae
BitterDigestiveSialagogueCholagogue +2

German Chamomile

Matricaria chamomilla

Asteraceae
Anti-InflammatoryAntispasmodicAntiallergicAntibacterial +7

Ginger

Zingiber officinale

Zingiberaceae
CarminativeAntiemeticAntispasmodicCirculatory Stimulant +10

Globe Artichoke

Cynara scolymus

Asteraceae
AntioxidantBitterCholereticCholagogue +6

Greater Celandine

Chelidonium majus

Papaveraceae
AnalgesicAntispasmodicAlterativeHepatoprotective +10

Lemongrass

Cymbopogon citratus

Poaceae
CarminativeNervineAntimicrobialDiaphoretic +2

Magnolia

Magnolia officinalis

Magnoliaceae
AntioxidantAnxiolyticAntibacterialAntispasmodic +1

Marjoram

Origanum majorana

Lamiaceae
CarminativeNervineAntispasmodicExpectorant +2

Meadowsweet

Filipendula ulmaria

Rosaceae
Xanthine Oxidase InhibitorAnti-InflammatoryAnalgesicAntiulcer +4

Milk Thistle

Silybum marianum

Asteraceae
HepatoprotectiveAntioxidantCholereticCholagogue +7

Nigella

Nigella sativa

Ranunculaceae
SpermatogenicAnti-InflammatoryAntioxidantAntiallergic +7

Peppermint

Mentha × piperita

Lamiaceae
AntiemeticAntimicrobialAntispasmodicCarminative +2

Rosemary

Rosmarinus officinalis

Lamiaceae
AntidepressantAntimicrobialAntispasmodicNootropic +4

Tea

Camellia sinensis

Theaceae
AntioxidantDiureticNeuroprotectiveStimulant +12

Yarrow

Achillea millefolium

Asteraceae
BitterAntioxidantEmmenagogueDiaphoretic +11