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A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation

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To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating patients with functional abdominal pain syndrome (FAPS) in comparison with Pinaverium Bromide (Dicetel, PBD), and to assess a possible cause for FAPS.


Eighty patients with FAPS were randomly and equally assigned to the TCSOM group and PBD group according to the random number table. All patients in the TCSOM group were treated with a maximum of 5 times of spinal manipulations. Patients in the PBD group were instructed to take 50 mg 3 times a day, consistently for 2 weeks. The symptoms of pre- and post-treatment were assessed on a visual analog scale (VAS) pain score. A symptom improvement rating (SIR) was implemented to evaluate the effects of the treatments.


The symptoms of 27 cases of the TCSOM group were relieved soon after the first TCSOM treatment and 9 cases were significantly improved. The VAS pain scores in the TCSOM group were significantly lower than those in the PBD group after 2 weeks treatment. According to the SIR based on VAS, the TCSOM group included 30 cases with excellent results, 7 cases with good, and 3 cases with poor. Adverse events to the treatment were not reported. Based on VAS, the PBD group reported 8 cases with excellent results, 10 cases with good and 22 cases with poor. There was a significant difference between the two groups (P<0.01).


The displacement of intervertebral discs and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of FAPS. TCSOM is an effective treatment for FAPS.

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  1. Drossman DA. The functional gastrointestinal disorders and the Rome III process. Gastroerterology 2006;130:1377–1390.

    Article  Google Scholar 

  2. Clouse RE, Mayer EA, Aziz Q, Drossman DA, Dumitrascu DL, Mönnikes H, et al. Functional abdominal pain syndrome. Gastroerterology 2006;130:1492–1497.

    Article  Google Scholar 

  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders–DSM-II. Washington, DC: American Psychiatric Association; 1994.

    Google Scholar 

  4. Koloski NA, Talley NJ, Boyce PM. Epidemiology and health care seeking in the functional GI disorders: a populationbased study. Am J Gastroenterol 2002;97:2290–2299.

    Article  PubMed  Google Scholar 

  5. Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 1993;38:1569–1580.

    CAS  PubMed  Google Scholar 

  6. Qu L, Xing L, Wanda N, Chen H, Gao S. Irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation. J Tradit Chin Med 2012;32:565–570.

    Article  PubMed  Google Scholar 

  7. O’Neill S, Manniche C, Graven-Nielsen T, Arendt-Nielsen L. Generalized deep-tissue hyperalgesia in patients with chronic low-back pain. Eur J Pain 2007;11:415–420.

    Article  PubMed  Google Scholar 

  8. De Gowin RL, Brown DD, eds. DeGowin’s diagnostic examination. 7th ed. Beijing: McGraw-Hill Companies, Inc.; 2000:855–888.

    Google Scholar 

  9. Jin H, ed. Chinese Tuina. 1st ed. Shanghai: Publishing House of Shanghai University of Traditional Chinese Medcine; 2002:179–196.

  10. Francis CY, Morris J, Whorwell PJ. The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress. Aliment Pharmacol Ther 1997;1:395–402.

    Article  Google Scholar 

  11. Jørgensen LS, Fossgreen J. Back pain and spinal pathology in patients with functional upper abdominal pain. Scand J Gastroenterol 1990;25:1235–1241.

    Article  PubMed  Google Scholar 

  12. EI Rufaie OE, AI Sabosy MA, Bener A, Abuzeid MS. Somatized mental disorder among primary care Arab patients: III. Prevalence and clinical and sociodemographic characteristics. J Psychosom Res 1999;46:549–555.

    Article  PubMed  Google Scholar 

  13. Jin G, Liu Y, Deng C. Back-Shu point and Front-Mu point clinical application. J Acupunct Moxib (Chin) 1992;2:42.

    Google Scholar 

  14. Cheng D, ed. Chinese acupuncture and moxibustion. Beijing: People’s Medical Publishing House; 1957:201.

  15. Qu LX. Relationship between irritable bowel syndrome and unstable thoracolumbar vertebrae. China J Orthop Trauma (Chin) 2009;22:456–457.

    Google Scholar 

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Correspondence to Liu-xin Qu.

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Supported by the Scientic and Technologic Project of Jiangsu Administration of Traditional Chinese Medicine (No. LZ09085, LZ13243)

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Qu, Lx., Xing, Ly., Wanda, N. et al. A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation. Chin. J. Integr. Med. 24, 140–146 (2018).

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