The pain in the stomach and epigastric region for 2 years, sulking, depression, chronic atrophic gastritis 3 years old, because of the pain in the stomach and epigastric region for 2 years, aggravated for 1 week".

Symptoms: stomach and epigastric distension pain discomfort, with poor appetite, occasional acid reflux, usually good at sulking, depressed, no bitter mouth, dry mouth, no nausea and vomiting, mental, sleep can be, two bowel movements, tongue red, moss white greasy, pulse stringy.

Previous history of chronic gastritis, no drug allergy.

Gastroscopy: chronic atrophic gastritis, gastric tissue biopsy: (gastric sinus) mild chronic superficial inflammation with intestinal epithelial hyperplasia (+).

Diagnosis: gastric pain, diagnosis: liver qi offending the stomach, dampness in the spleen, treatment should be to dredge the liver, spleen, qi and dampness as the key, the formula to Zisu Si Xiang San plus subtractions.

Medicinal: Astragalus 30g, Su peduncle 10g, 6g of wood incense, 20g of incense, Lei Xiang 10g, 10g of incense, 15g of raw huangdi, Maitong 109, fried two buds each 20g, 15g of chicken gold, 10g of roasted licorice, 10 dosages, 1 dose per day, decocted with water, served warm and divided after eating, 2 times / day.

Second diagnosis: The patient complained of slightly improved stomach pain, occasional bloating and acid reflux, heartburn, pale tongue, thin white moss, pulse fine string.

The original formula to go to the raw land, add 15g of ripe land, 15g of corrugated seeds, 10g of squid bone, 30g of yam, 10g of thick Park, 6g of sand nuts. 10 doses, according to the former method of taking.

Third diagnosis: all the symptoms are better than before, a diagnosis of the formula with atractylodis Macrocephalae 10g, 20g of Bodhi, Codonopsis 10g, following the service for 2 months, to consolidate.

After one year of follow-up, the patient's condition was stable, with no recurrence, and a repeat gastroscopy showed that the inflammation, atrophy, and intestinalization were reduced.

The patient is an elderly woman, the liver and kidney deficiency, usually love to sulk, depressed, mainly because of the emotional upset, gas depression, liver gas, wood and thieves, wood and thieves and earth, the liver and stomach and the pain, the stomach is not harmonious, the stomach is not descending, the stomach is upwardly reversed, so the regurgitation of acid.

Disease for a long time involved in the spleen, spleen deficiency is not normal transportation and transportation, water and dampness chaotic, damage to the spleen Yang, so the birth of phlegm, phlegm, long time to turn heat, heartburn feeling.

Ingenious use of the Zisu four-hyphenate San chemotherapy, which to Huangmao, Zisu stalks for the king's medicine, tonifying qi spleen, wood, incense, adder to move qi pain, lei incense aroma dampness spleen, fried two buds, chicken gold to help the digestive power,*** play the effect of qi and dampness

The patient's second diagnosis of acid reflux, heartburn, abdominal distension symptoms,

This is the first time I've ever seen a patient with a heart attack.

Case source: Prof. Quan Yihong used perilla and four Xiangsan to treat chronic atrophic gastritis

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