This disease is common in young adults, but it is not uncommon in childhood. The average age of patients with gastric ulcer is about 10 years older than that of patients with duodenal ulcer. Clinically, duodenal ulcer is more common in gastric ulcer. This is mostly because the duodenal bulb or the back of the bulb is close to the pylorus, and the acidic chyme in the stomach has not been neutralized with the alkaline substances in the small intestine, so the duodenal bulb is more prone to ulcer.
Gastric ulcer is more common in the small curvature of the stomach and the anterior pyloric region, accompanied by gastritis; Duodenal ulcer is common, but it can be seen in the back of the bulb occasionally, which may be accompanied by duodenitis or gastritis. Those with gastric and duodenal ulcers are called compound ulcers.
The clinical manifestation of ulcer is mainly abdominal pain, which has three characteristics: chronic, periodic and rhythmic:
How slow is the onset? Generally, it ranges from several years to more than ten years or even decades.
The disease is easy to recur, mostly in late autumn and early spring, and can also be caused by sudden climate change, excessive fatigue or eating disorders. The attack period can range from weeks to months. If the disease develops gradually, the number of attacks increases, the attack time is prolonged and the remission time is shortened.
The pain of this disease is dull, burning or dull. Sometimes you can only feel discomfort in the upper abdomen or heart problems, which is not easy to distinguish from hunger. Sometimes after eating, vomiting or taking antacids. The pain can be temporarily relieved or disappeared. Pain is closely related to diet. The pain of gastric ulcer usually occurs from half an hour to 1 hour after meals, while the ulcer of duodenal bulb occurs from 3 to 4 hours after meals, sometimes at midnight. Therefore, patients with gastric ulcer are often afraid of eating, and the pain after eating is unbearable; Patients with duodenal ulcer often eat to relieve pain. Other symptoms, such as pantothenic acid, belching, increased saliva, etc.
The focus of ulcer disease is in the intima of stomach and duodenum, which is always stimulated by gastric juice and chyme. Its occurrence, development, severity and recovery of symptoms are closely related to diet. Therefore, patients with ulcer can not be treated with drugs alone, and a reasonable diet has a more positive effect on the prevention and treatment of this disease. 【 Dietary principles 】 Foods that have no adverse stimulation, can inhibit and neutralize gastric acid secretion, and are beneficial to symptom relief and ulcer healing should be selected.
1. Choose nutritious foods as much as possible, especially foods with high contents of protein, vitamin C, B 1 and A, to help repair damaged tissues and promote the healing of ulcer surface.
2. Avoid eating foods with too strong chemical and physical stimulation, such as concentrated gravy, broth, spices, strong tea, strong coffee, alcohol and other foods that are too sweet, too salty, too sour and too spicy, and foods that are hard or contain too much cellulose, such as coarse grains, whole beans, celery, leeks, kimchi, old cabbage and other indigestible foods.
In order to supplement nutrition and neutralize stomach acid, you can often eat milk and soybean milk. In order to slow down gastric peristalsis and gastric juice secretion, you can eat more cheese and cream. Milk can neutralize stomach acid and help stop bleeding.
4. Steaming, burning, boiling, stewing and stewing should be the main cooking methods; Dishes cooked by frying, frying, smoking, pickling, raw mixing and other methods are not easy to digest and stay in the stomach for a long time, which is easy to increase the burden on the gastrointestinal tract, so it is not suitable for multi-use.
5. In the diet system, it is necessary to adopt the method of regular quantitative and small meals, which can not only reduce the burden on the stomach, but also make the stomach often have the right amount of food to neutralize gastric acid and reduce the adverse stimulation to the focus. In addition, cold, hard and gas-producing foods should be eaten less or not. Overheated food will dilate blood vessels and easily lead to gastric bleeding. Chew slowly when eating, don't read books and newspapers, don't reprimand children when eating, and keep cheerful.
6. Because most patients with ulcers eat foods with little cellulose or no residue, in order to avoid constipation, they should often eat foods such as bananas and honey that moisten the intestines.
When ulcer has the following complications, pay more attention to the following points in diet.
1. When there is a small amount of bleeding, some liquid diets such as milk, soybean milk, rice soup and lotus root starch should be used appropriately, but it is not advisable to add more sugar to avoid causing hyperacidity, so you should eat more in a small amount. When the bleeding stops and the condition is stable, gradually switch to batter, gruel, custard and biscuits.
2. Massive bleeding (more than 60 ml at a time): fasting, intravenous infusion. Generally, a small amount of liquid diet can only be given 24 hours after bleeding, and the temperature should not be too high. When the condition is stable, you can gradually increase the amount of liquid and gradually use semi-liquid and soft food until you eat normally.
3. Incomplete pyloric obstruction: A small amount of light liquid diet can be given, but any irritating drinks are absolutely forbidden. If the disease develops to complete obstruction, it is necessary to completely fast and cooperate with intravenous rehydration and other treatment measures. Until the obstruction is relieved, we can gradually change from a small amount of liquid diet to a full amount of liquid, semi-liquid and soft food.
4. Acute perforation: All diets should be stopped immediately, and medical treatment and surgery should be carried out in time.
5. A small number of ulcer patients eat pasta, but the symptoms are aggravated. This is because the gastric mucosa of these patients is sensitive to alkaline stimulation, so eating pasta containing alkaline ingredients will also cause secondary gastric acid increase, thus aggravating symptoms such as abdominal burning pain. At this time, it is necessary to switch to porridge or soft rice.
[Dietotherapy prescription] 1. Wash fresh (unsweetened) potatoes (without peeling), chop them, mash them, wrap them in gauze, and juice them. Take 1~2 spoonfuls on an empty stomach every morning, and add appropriate amount of honey for 2~3 weeks. Avoid irritating food during taking the medicine.
2. Fresh Chinese cabbage (formerly known as cabbage) 1 cup (about 200 ~ 300ml) is mashed, and taken twice a day before meals, with a course of treatment of 1 day.
3. A proper amount of cuttlefish bone is ground into very fine powder and mixed with sugar water. 3g each time, 1 twice a day.
4. Take honey (100~ 150 ml) once on an empty stomach before eating, and 1 hour three times a day can reduce the total acidity of gastric juice, make red blood cells and white blood cells return to normal values, and have normal stools. After 2~3 weeks of continuous medication, the lesions on the ulcer wall can gradually disappear.
5. 250g of old ginger, 250g of red dates, 250g of pork suet and 250g of flour. Wash the old ginger, dry the water, stir-fry it with the pitted red dates and grind it into fine powder. Then mix it with flour and add some water to make a small cake. After steaming, you can eat it in two days. Has effect in warming middle energizer, invigorating spleen, relieving spasm and relieving pain. It is suitable for stomach and duodenal ulcer of deficiency-cold type, and it is effective when taken frequently.
6. 60 grams of dried ginger, 250 grams of red jujube meat, and 0/20 grams of Atractylodes macrocephala/KLOC are ground into powder, steamed into cakes, and eaten as snacks on an empty stomach once every two days. Has the effects of warming middle warmer, invigorating spleen, eliminating dampness and stopping diarrhea.
7. Maltose 1~2 tablespoons, taken in warm water, can relieve stomach pain.
8. 50 grams of hedgehog skin and dandelion each. Drying hedgehog skin, drying dandelion, and grinding into powder. Usage: When you have a stomachache, mix it with rice soup and powder 8. Usually take it 3 times a day, 5~8 grams each time, and take it with warm water. Hedgehog skin has the effects of promoting qi circulation, relieving pain, removing blood stasis and stopping bleeding. Clinically, it is often used for epigastric pain caused by disharmony between liver and stomach; Dandelion has obvious effect of clearing stomach and relieving pain. People often take dandelion powder to treat stomachache. Author's experience: It can be used instead of Rhizoma Coptidis in the treatment of removing bitterness, clearing stomach and stopping bleeding, which not only has the effect of Rhizoma Coptidis, but also can avoid excessive bitterness, cold and dampness. Brick kilns in Lin Yi also think that they have the function of "invigorating the spleen and regulating the stomach".
This prescription is mainly used for peptic ulcer, chronic gastritis and upper gastrointestinal bleeding, and has the effects of lowering qi and relieving pain, cooling blood and stopping bleeding.
9. 30 grams of sea cucumber intestines and 30 grams of squid bones. Method: Take sea cucumber intestines, bake them on a tile, grind them into fine powder with squid bones, put them into hollow capsules, so that each capsule weighs about 0.25 g, and dry and store them. Usage: 6 capsules in the morning and 6 capsules in the middle; Take 8 pills on an empty stomach before going to bed at night. 1 week is the course of treatment.
Sea cucumber sausage can treat gastric and duodenal ulcers and heal the ulcer surface. Cuttlefish bone is a good antacid, which can neutralize gastric acid, protect mucosa and stop bleeding. This prescription has protective film, astringent ulcer, hemostasis and acid control effects on gastric and duodenal ulcer, acid regurgitation or upper gastrointestinal bleeding. Cuttlefish bone contains calcium carbonate, which can produce acid.
10. Ink in the belly of cuttlefish: take the ink in the cuttlefish ink bag, dry it and grind it into powder, or grind it with vinegar, 3-5 times a day, twice a day. It is also used to treat stomach bleeding.
1 1. 3 pig gall, and a proper amount of raw soybeans. Method: Pour out half of fresh pig bile, put it into raw soybean, tie the mouth tightly, dry it in a cool and ventilated place, and grind it into powder. Usage: Take 6~8 grams three times a day with rice soup on an empty stomach. Half a month is 1 course of treatment.
12. Dog meat100g, dried ginger10g. Method: Slice dog meat, put it in a casserole, add dried ginger, onion, salt and oil to make soup, cook with slow fire, switch to strong fire, add dog meat slices while cooking, and cook for 2~3 times. Usage: The above dosage is 1 time. Drink it while it's hot, and the soup goes with the meat. 1 week is the course of treatment.
This product is mainly used to treat peptic ulcer and chronic gastritis due to deficiency-cold and has the functions of warming stomach, dispelling cold and relieving pain.
13. 30 ml of chicken blood, 5 g of notoginseng. Methods: Take healthy and disease-free cocks, pluck the feathers under the wings, expose the veins, draw 30 ml of blood with a sterile syringe, and mix them with Panax notoginseng evenly. Usage: once a day 1 time, take it with warm water on an empty stomach while it is hot. Three days is 1 course of treatment. Indications of upper gastrointestinal bleeding.
14. Gum porridge: 0/00g glutinous rice/kloc, 5g donkey-hide gelatin paste, and the porridge is cooked in the usual way. When the porridge is half cooked, add donkey-hide gelatin, stir while cooking, and eat porridge to thicken and gelatinize. Take it warm every morning and evening, and every 3 days is a course of treatment.
15. Sheep blood tofu: Practice: put fresh sheep blood into a bowl and condense it into pieces, then add water to the pot and cook it, and it becomes sheep blood tofu. Take it out and let it cool. Usage: Cut the sheep blood tofu into blocks and dip it in rice vinegar, 60 grams each time, 2~3 times a day. This product is mainly used for upper gastrointestinal bleeding, hemorrhoid bleeding, traumatic injury, etc. And has the effects of stopping bleeding and removing blood stasis.
16. 200 grams of pig blood tofu and 30 grams of puffball. Method: put pig blood in a bowl and coagulate it into pieces, put it in a pot and add water to cook it, take it out, cut it into pieces, fry it in a pot and grind it into fine powder with puffball. Usage: Take 5g of glutinous rice soup on an empty stomach three to five times a day.
17. Cabbage: Treating the pain of gastric ulcer. Take thick chinese cabbage juice (chinese cabbage juice) orally, one and a half cups at a time. Treatment 100 cases of patients with gastric ulcer, 60% patients' pain disappeared within 2~5 days after taking the medicine, and 90% patients' pain disappeared within 7 days after taking the medicine.
18. Pork belly: To treat gastric ulcer, wash the stomach of 1 pig, wrap it with 250g chopped ginger, tie it, and cook it in a clay pot with slow fire. Remove ginger, shred, mix with soy sauce and drink soup. Each pig's stomach can be eaten for 3~4 days, and 8~ 10 pigs can be eaten continuously.
19. Treatment of stomach cold and pain: pork tripe 1, ginger 120g, pork tripe 1 three meals a day, even eating more than 30 capsules, the effect is obvious.
20. Honey: To treat peptic ulcer, eat warm honey and stew for 3 times a day, 90 ml each time. If you have vomiting, take 30 ml each time, 1, three times a day. Treatment of gastric ulcer: honey 150g each time, stewed in hot water (without adding water), taken three times a day before meals. For peptic ulcer, honey is stewed and taken in 60 grams of air every morning twice a day.
23. Soybean oil: cure hematemesis. Soybean oil (both soybean oil and black soybean oil can be taken 9 grams each time), which is produced in warm seasons and taken warmly in severe winter.
24. green radish: cure vomiting blood. Use half a cup of green radish juice, grind it black with fragrant ink, and take it at a time.
25. Duck: Cure hematemesis. I keep vomiting blood. Remove hair and intestinal impurities with 1 white hair drakes to avoid falling into the water. Add 30 grams of egg white to the duck every day, seal your mouth and stew it thoroughly in casserole water without oil and salt.
26. Chickens: Treat stomach diseases, stomachaches and gastroptosis. Methods: 1 chick (hen is better), 3g of dried ginger, 3g of clove and 3g of Amomum villosum. Kill the chicken, remove the hair and wash it, and keep the heart, liver and lungs. Cut into small pieces, stew as usual, add dried ginger, clove and Amomum villosum (all ground into fine powder), and take it twice. Take 1 chicken every 3 days. Generally 1~5 chickens will have a good effect.
27. Malantou: Treating gastric ulcer, Malangen (fresh) 30 grams, decocted in water.
28. Ginger: For treating gastric or duodenal ulcer, 50 grams of fresh ginger, washed and chopped, fried in 300 ml of water for 30 minutes, 3 times a day, 2 days.
29. fig: gastric or duodenal ulcer, baked and ground with fig, 5 grams each time, 3 times a day.
30. Peanut oil: For patients with stomachache, hyperacidity and gastric and duodenal ulcer, after gargling every morning, eat 2~4 spoonfuls of peanut oil, take it half an hour before meals, and take it for a week.
3 1. Yellow croaker swim bladder glue: Yellow croaker swim bladder glue can be fried and refined into glue, and then baked into yellow beads, which are called swim bladder glue beads. It has the special effects of tonifying the true elements and harmonizing qi and blood, and is especially suitable for treating the symptoms of excessive blood deficiency and qi deficiency. Clinical indications are gastric ulcer, tuberculosis and other diseases.
32. Tea: gastric and duodenal ulcers, tea and sugar are equal, 200-500g each time, boiled in water for several times, precipitated to remove residues, and bottled for preservation. After 6- 12 days, the color is like old wine and the dough is like Luo pi, so you can take it. If you don't cook noodles, you can also take them after 7~ 14 days, every morning and evening 1 time, each time 1 spoon, and take them after steaming.
33. Bamboo shoots: have the effect of treating stomach heat and noise, and can be used as a dish to accompany meals.
34. Watermelon: Also clear stomach heat, you can drink more melon juice.
35. Sanqi Lotus Root Egg Soup: Treating stomach bleeding. 1 fresh lotus root, 5g notoginseng, 1 egg, and proper amount of salt. Wash lotus root, chop it up, twist it into lotus root juice (about 1 cup) with gauze, put notoginseng and eggs into a bowl and mix well. Add lotus root juice and water (a little) to the pot, bring to a boil, add notoginseng, egg paste and salt and mix well.
36. shepherd's purse porridge: 250 grams of fresh shepherd's purse, 0/00 grams of japonica rice/kloc, decocted in water, and eaten warm in the morning and evening.
37. Lotus root starch cake: it can cure stomach bleeding. 250g of lotus root starch, 250g of glutinous rice flour and 250g of sugar. Lotus root starch, glutinous rice flour, sugar and appropriate amount of water are kneaded into dough. Put the dough in a cage and steam 15 to 20 minutes.
38. Chestnut cake: It can cure stomach bleeding. 500 grams of chestnuts and 250 grams of sugar. Put chestnuts in a pot and boil them in water for 30 minutes. Take it out. Put it in a pot, cool it, peel it, put it in a bowl, steam it in a cage for 30 minutes, take it out, add sugar and press it into chestnut paste. Put the chestnut paste into an enamel dish and cut it into small pieces 4 cm long and 3 cm wide with a knife.
39. loofah drink: old loofah 1 segment, a little sugar. Wash the loofah, put it in a pot, add some water, boil it with strong fire, then simmer for 15 minutes, remove the residue and leave juice, add sugar and mix well.
40. Huaihua drink: Chen Huaihua 10 g, 30 g of japonica rice, and appropriate amount of brown sugar. Oven drying and pulverizing Flos Sophorae Immaturus, washing japonica rice, adding water into the pot, boiling with strong fire, turning to slow fire for 40 minutes, filtering to remove rice, and retaining soup. Add Sophora japonica rice flour and brown sugar into the rice soup and stir well.