Preview

South Russian Journal of Therapeutic Practice

Advanced search

Potential of herbal medicine in treatment of patients with functional dyspepsia

https://doi.org/10.21886/2712-8156-2025-6-3-88-95

Abstract

   Objective: to evaluate the dynamics of the main symptoms of functional dyspepsia (FD) in patients treated with a drug based on extracts of chamomile flowers, calendula and yarrow herb.

   Materials and methods: the study involved 40 patients with mixt clinical manifestations of FD aged from 18 to 53 years: 33 men and 7 women. The patients divided into groups: with a predominance of epigastric pain syndrome (EPS) or with postprandial distress syndrome (PDS). Treatment with a drug based on an alcoholic extract of chamomile flowers, calendula flowers and yarrow herb carried out for 10 days. The effectiveness of treatment assessed using the “7×7” questionnaire. The patient’s quality of life related to his health studied using a visual analogue scale (VAS, EQ-VAS). Psycho-emotional status assessed before the start of treatment using the 4DSQ questionnaire.

   Results: after treatment, 79.2 % of patients with EPS and 68.8 % of patients with a prevalence of PDS noted an improvement in their well-being (in dynamics 13 [10.25; 18.75] and 12 [9.25; 15.75] points, p < 0,001), which was expressed in a decrease in the intensity and frequency of pain sensation in the stomach. The number of patients with severe disorders of well-being decreased by 10 times (p = 0.007). The quality of life increased in 57.5 % of the study participants. The improvement in well-being was not associated with the psycho-emotional state of patients before the start of treatment. The dynamics of postprandial disorders was not reliable.

   Conclusion: the use of a medicinal product containing extracts of chamomile flowers, calendula and yarrow herbs may be an alternative treatment for pain symptoms in patients with FD.

About the Authors

T. V. Zhestkova
Ryazan State Medical University n. a. academician I.P. Pavlov, St.
Russian Federation

Tatyana V. Zhestkova, Cand. Sci. (Med.), Associate Professor

Department of Propaedeutic Internal Diseases

Ryazan



E. N. Fedyaeva
Ryazan State Medical University n. a. academician I.P. Pavlov, St.
Russian Federation

Evgeniya N. Fedyaeva, Head of the Department

Scientific and Clinical Center for Hematology, Oncology and Immunology; Department of Clinical Laboratory Diagnostics

Ryazan



L. S. Borisova
City Clinical Hospital No. 4
Russian Federation

Lyudmila S. Borisova, Gastroenterologist

Gastroenterology Department

Ryazan



T. N. Nazarova
City Clinical Hospital No. 4
Russian Federation

Tatyana N. Nazarova, Gastroenterologist

Gastroenterology Department

Ryazan



References

1. Ivashkin V.T., Mayev I.V., Sheptulin A.A., Lapina T.L., Trukhmanov A.S., Kartavenko I.M., et al. Diagnosis and treatment of the functional dyspepsia: clinical guidelines of the Russian Gastroenterological Association. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2017;27(1):50-61. (In Russ.) DOI: 10.22416/1382-4376-2017-27-1-50-61

2. Malfertheiner P, Schulz C. Peptic Ulcer: Chapter Closed? Dig Dis. 2020:1-5. DOI: 10.1159/000505367. Epub ahead of print.

3. Sperber AD, Bangdiwala SI, Drossman DA, Ghoshal UC, Simren M, Tack J, et al. Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study. Gastroenterology. 2021;160(1):99-114.e3. DOI: 10.1053/j.gastro.2020.04.014

4. Kovács DB, Szekely A, Hubai AG, Palsson O. Prevalence, epidemiology and associated healthcare burden of Rome IV irritable bowel syndrome and functional dyspepsia in the adult population of Gibraltar. BMJ Open Gastroenterol. 2022;9(1):e000979. DOI: 10.1136/bmjgast-2022-000979

5. Black CJ, Drossman DA, Talley NJ, Ruddy J, Ford AC. Functional gastrointestinal disorders: advances in understanding and management. Lancet. 2020;396(10263):1664-1674. DOI: 10.1016/S0140-6736(20)32115-2

6. Khomeriki N.M., Khomeriki S.G. Is an optimization of the use of proton pump inhibitors feasible in the real world medical practice? Almanac of Clinical Medicine. 2022;50(6):357-366. DOI: 10.18786/2072-0505-2022-50-051

7. Kim YS, Kim JW, Ha NY, Kim J, Ryu HS. Herbal Therapies in Functional Gastrointestinal Disorders : A Narrative Review and Clinical Implication. Front Psychiatry. 2020;11:601. DOI: 10.3389/fpsyt.2020.00601

8. Maev IV, Andreev DN, Zaborovsky AV, Lobanova EG. Functional gastrointestinal diseases: mechanisms of development and principles of multitarget therapy. Meditsinskiy sovet = Medical Council. 2022;(7):8-14. (In Russ.) DOI: 10.21518/2079-701X-2022-16-7-8-14

9. Broeders BWLCM, Carbone F, Balsiger LM, Schol J, Raymenants K, Huang I, et al. Review article: Functional dyspepsia-a gastric disorder, a duodenal disorder or a combination of both? Aliment Pharmacol Ther. 2023;57(8):851-860. DOI: 10.1111/apt.17414

10. Sayuk GS, Gyawali CP. Functional Dyspepsia: Diagnostic and Therapeutic Approaches. Drugs. 2020;80(13):1319-1336. DOI: 10.1007/s40265-020-01362-4

11. Oshima T. Functional Dyspepsia: Current Understanding and Future Perspective. Digestion. 2024;105(1):26-33. DOI: 10.1159/000532082

12. Ivashkin V, Sheptulin A, Shifrin O, Poluektova E, Pavlov C, Ivashkin K, et al. Clinical validation of the “7 × 7” questionnaire for patients with functional gastrointestinal disorders. J Gastroenterol Hepatol. 2019;34(6):1042-1048. DOI: 10.1111/jgh.14546

13. Butov M.A., Shebbi R., Zhestkova T.V. Possibilities of Pathogenetic Therapy in Patients with Functional Pathology of the Digestive System. Science of the young (Eruditio Juvenium). 2023;11(2):169–177. (In Russ.) DOI: 10.23888/HMJ2023112169-177

14. Aleksandrova E.A., Khabibullina A.R., Aistov A.V., Garipova F.G., Gerry Ch.J., Davitadze A.P., et al. Russian population health-related quality of life indicators calculated using the EQ-5D-3L questionnaire. Sibirskiy nauchnyy meditsinskiy zhurnal = Siberian Scientific Medical Journal. 2020;40(3):99–107. (In Russ.) DOI: 10.15372/SSMJ20200314

15. Smulevich A.B., Iakhno N.N., Terluin B., Zakharova E.K., Reĭkhart D.V., Andriushchenko A.V., et al. The Four-Dimensional Symptom Questionnaire (4DSQ) to Assess Distress, Depression, Anxiety and Somatization in Autonomic and Borderline Psychosomatic Disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2014;114(11):67‑73. (In Russ.)

16. Kudryashov E.A., Zabolotskikh T.B., Skibitsky V.V., Sukhomlinova K.S., Gopkalo P.S., Kudryashova Yu.A. Comparative assessment of adherence in pregnant and non-pregnant women of reproductive age. South Russian Journal of Therapeutic Practice. 2024;5(4):99-110. (In Russ.) DOI: 10.21886/2712-8156-2024-5-4-99-110

17. Duboc H, Latrache S, Nebunu N, Coffin B. The Role of Diet in Functional Dyspepsia Management. Front Psychiatry. 2020;11:23. DOI: 10.3389/fpsyt.2020.00023

18. Parisio C, Lucarini E, Micheli L, Toti A, Di Cesare Mannelli L, Antonini G, et al. Researching New Therapeutic Approaches for Abdominal Visceral Pain Treatment: Preclinical Effects of an Assembled System of Molecules of Vegetal Origin. Nutrients. 2019;12(1):22. DOI: 10.3390/nu12010022

19. Rozov R.A., Trezubov V.N., Vagner V.D., Urakov A.L., Reshetnikov A.P. Experimentally Justified Choice of Optimal Antiseptic Solution for Hygienic Care of Oral Cavity and Dentures. I.P. Pavlov Russian Medical Biological Herald. 2022;30(4):539-546. (In Russ.) DOI: 10.17816/PAVLOVJ108653

20. Anheyer D, Frawley J, Koch AK, Lauche R, Langhorst J, Dobos G, et al. Herbal Medicines for Gastrointestinal Disorders in Children and Adolescents : A Systematic Review. Pediatrics. 2017;139(6):e20170062. DOI: 10.1542/peds.2017-0062

21. Borrelli F, Romano B, Fasolino I, Tagliatatela-Scafati O, Aprea G, Capasso R, et al. Prokinetic effect of a standardized yarrow (Achillea millefolium) extract and its constituent choline: studies in the mouse and human stomach. Neurogastroenterol Motil. 2012;24(2):164-71, e90. DOI: 10.1111/j.1365-2982.2011.01827.x

22. Bottoni M, Martinelli G, Maranta N, Sabato E, Milani F, Colombo L, et al. From Primary Data to Ethnopharmacological Investigations on Achillea erba-rotta subsp. moschata (Wulfen) I.Richardson as a Remedy against Gastric Ailments in Valmalenco (Italy). Plants (Basel). 2024;13(4):539. DOI: 10.3390/plants13040539

23. Kmail A. Mitigating digestive disorders: Action mechanisms of Mediterranean herbal active compounds. Open Life Sci. 2024;19(1):20220857. DOI: 10.1515/biol-2022-0857

24. Tung YT, Wu MF, Lee MC, Wu JH, Huang CC, Huang WC. Antifatigue Activity and Exercise Performance of Phenolic-Rich Extracts from Calendula officinalis, Ribes nigrum, and Vaccinium myrtillus. Nutrients. 2019;11(8):1715. DOI: 10.3390/nu11081715

25. López Vallejos M.J., Huber L.B., Vaculik P.A., Rosende R.O., Lozina L.A. Caracterización fitoquímica de extractos de Caléndula officinalis. Revista ION. 2023;36(1):91–99. DOI: 10.18273/revion.v36n1-2023007

26. Afanasyeva P.V., Kurkina A.V., Kurkin V.A., Lyamin A.V., Zhestkov A.V. Determination of antimicrobial activity of extracts of calendula officinalis flowers. Pharmacy & Pharmacology. 2016;4(2(15)):60-70. (In Russ.) DOI: 10.19163/2307-9266-2016-4-2(15)-60-70

27. Efimenko N.V., Kaisinova A.S., Bolatchieva L.H., Gusova B.A., Khapaeva F.M, Gaidamaka I.I., et al. Life quality of patients suffering from irritable bowel syndrome after a course of spa treatment. RESORT MEDICINE. 2019;4:18-26. (In Russ.). eLIBRARY ID: 43040960 EDN: FTJOCQ


Review

For citations:


Zhestkova T.V., Fedyaeva E.N., Borisova L.S., Nazarova T.N. Potential of herbal medicine in treatment of patients with functional dyspepsia. South Russian Journal of Therapeutic Practice. 2025;6(3):88-95. (In Russ.) https://doi.org/10.21886/2712-8156-2025-6-3-88-95

Views: 52


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2712-8156 (Print)