Functional Dyspepsia (FD) is a common functional gastrointestinal disorder in internal medicine, characterized by a protracted course and high recurrence rate, significantly affecting patients’ quality of life. Western medical treatment primarily focuses on symptomatic relief, with limitations such as limited long-term efficacy and a high likelihood of adverse reactions. Traditional Chinese Medicine (TCM) herbal treatment for FD, based on syndrome differentiation and treatment, offers advantages of holistic regulation and fewer side effects. With the development of integrated traditional Chinese and Western medicine, the application of herbal medicine in FD treatment has gradually shifted from a single syndrome-based approach to a synergistic model of “herbal medicine + conventional Western medical regimen”. This review summarizes the application of herbal medicine under the guidance of TCM theory, the practice of herbal medicine in integrated traditional Chinese and Western medical settings, and the grading and evaluation of evidence-based medicine. Through analysis, the aim is to further promote the standardized and evidence-based application of herbal medicine in the integrated
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