背景及目的：虹膜學是把身體中組織弱點顯示在虹膜上的科學，虹膜是人體的縮影，可以反映出人體全息的原理，觀察虹膜徵兆的動態變化，它可以顯示在器官或組織上的病理變化，且是一種非侵入性、簡易又快速的評估工具，可以達到早期警示之功效。功能性胃腸道疾病是慢性、反覆發作的胃腸道症狀，在臨床上十分常見，本研究的目的在探討虹膜徵兆、生活型態與功能性胃腸道疾病之相關性。 材料及方法：本研究採橫斷式調查方式，使用羅馬III準則診斷問卷及虹膜檢測儀測量。研究調查時間自2015年9月至2016年1月，採立意取樣在台灣南部某醫院招募105名成人進行研究。將拍攝的虹膜影像圖檔標示腸環、胃環特徵後定量分析所得結果，與羅馬III標準診斷問卷病症分類連同受試者基本資料輸入建檔，進行統計分析。 結果：本研究共101份有效問卷，有效回收率為96.2%。分析結果顯示，符合功能性消化不良者其右胃瑕點、左胃瑕點有顯著異常；而左胃瑕點異常也與噯氣及多重病症存在相關，代表此些種病症者胃部黏膜較脆弱且在產生變化；而符合功能性便祕者則左、右胃環都呈現緊縮，代表此二種病症者的胃部蠕動功能不穩定；而虹膜學在左1腸環部分對應降結腸，而符合功能性消化不良與噯氣者呈現擴張現象；而左4腸環部分對應橫結腸，而符合功能性腹脹者，在此也呈現擴張現象，代表此些病症因腸道無力、腸道蠕動功能減慢而引起。另外虹膜徵兆與性別、年齡、身體質量指數及生活型態有顯著相關；而不同的生活型態也與各功能性胃腸道疾病亦有顯著相關。 結論：我們的研究顯示，功能性胃腸道疾病之功能性胃十二指腸病及功能性腸病這兩大類病症與虹膜徵兆在統計學有顯著的差異，故虹膜徵兆作為功能性胃腸道疾病生理、病理變化上的依據有其參考意義，而生活型態是造成功能性胃腸道疾病的危險因子之一，也與虹膜徵兆有密切相關。這些結果顯示透過虹膜影像早期觀測到FGIDs的前兆，進而進行對自我消化功能認識及健康飲食的衛教，可協助患者調整飲食習慣及生活型態，應可避免功能性胃腸道疾病反覆發作或惡化。 Background and Purpose: Iridology is a science correlating iris morphology and the health condition of the human body. The iris is a microcosm of the human body. Through holographic principle, dynamic changes of the iris morphology can reflect pathological changes in the organ system. Functional gastrointestinal disorders(FGIDs) are chronic clinical conditions demonstrating a variety of symptoms. The purpose of the study was to correlate iris morphology with FGIDs. Materials and Methods: From Sept. 2015 to Jan. 2016, 105 adult patients diagnosed with FGIDs using the Rome III Diagnostic Questionnaire Guidelines were prospectively included from a hospital in southern Taiwan. All of the subjects received iris detector measurements. The intestinal loop and gastric ring characteristics were quantitatively analyzed. The correlation between the patients demographic data, the Rome III classification questionnaire, and the iridology findings were analyzed with repeated measures Chi-square test. Results: A total of 101 valid questionnaires were retrieved. The retrieval rate was 96.2%. Functional dyspepsia patients showed evidence of abnormalities in the right and left pupillary ruff. The left pupillary ruff abnormality is related to hiccough and multiple diseases, which indicates that the gastric mucosa was more vulnerable in these patients. The functional constipation patients showed gastric ring contraction on both sides, which means that the peristalsis function was not stable in these patients. The left first intestine ring representing the descending colon was dilated in functional dyspepsia and hiccough patients; The left 4th intestine ring representing transverse colon was dilated in functional abdominal bloating patients, signifying the loss of peristalsis power of the intestine. The iris morphology also showed significant correlation with age, sex, and many of the lifestyle factors, which were also correlated with FGIDs. Conclusions: Functional gastroduodenal disorders and functional bowel disorders showed significant changes in iris morphology, these signs were also correlated with patient’s lifestyle habits. Our study showed that iridology examination is useful in early detection of FGIDs. In addition, adjustment of lifestyle and food choices could also be used to prevent or treat FGIDs.
