Acute gastritis can be divided into four types: simple, corrosive, infectious and suppurative:
Simple gastritis is the most common, which is mostly caused by eating food contaminated by bacteria and their toxins, overeating or taking drugs that damage gastric mucosa (such as salicylate, indomethacin, adrenocortical steroids, reserpine and anticancer drugs). ). The patient has an acute onset, and the symptoms are abdominal pain, nausea, vomiting and diarrhea. In severe cases, he has fever, dehydration, electrolyte disorder and even shock. Because it is often accompanied by enteritis and diarrhea, it is also called acute gastroenteritis.
Corrosive gastritis: taking strong acid, strong alkali or other corrosive agents by mistake can cause gastric mucosal erosion, which can cause gastric perforation and acute peritonitis in severe cases.
Infectious gastritis: A variety of systemic acute infections can lead to blood-borne infectious gastritis, such as typhoid fever and pneumonia, often accompanied by gastritis of different degrees.
Suppurative gastritis: It is often caused by suppurative bacteria when the body's resistance drops obviously. Symptoms are very serious, including upper abdominal pain, chills, high fever and other symptoms. This type is rare.
Chronic gastritis refers to chronic inflammatory lesions of gastric mucosa caused by different reasons. This disease is common, with a long course and persistent or recurrent symptoms.
According to gastroscopy and pathological findings, there are three kinds of superficial gastritis, atrophic gastritis and hypertrophic gastritis. Recently, some scholars have divided chronic gastritis into gastritis and gastric antrum gastritis.
Gastritis of stomach body: The lesions of gastric mucosa are mostly atrophic and diffuse, confined to the stomach body without involving the antrum. The gastric acid secretion function is seriously hindered, the serum gastrin level is increased, and the serum anti-wall cell antibody is mostly positive, which may lead to vitamin B 12 absorption disorder and pernicious anemia.
Gastrosinusitis (also known as antritis) mainly involves the mucosa of gastric antrum, which is mostly manifested as atrophic lesions or superficial inflammatory lesions confined to gastric antrum. At the same time, the gastric mucosa can also be accompanied by focal mild atrophic lesions, with mild gastric acid secretion dysfunction, low serum gastrin level and negative serum anti-wall cell antibody, which generally does not cause pernicious anemia.
At present, it is believed that gastritis may be closely related to immunity, while antral gastritis is closely related to external stimuli such as smoking, drinking or bile reflux. In China, the incidence of gastric antrum gastritis is significantly higher than that of gastric body gastritis.
Chronic gastritis is mainly manifested as loss of appetite, epigastric discomfort or dull pain, belching, pantothenic acid, nausea and vomiting. And it is persistent or recurrent. In the process of treating chronic gastritis, we should take different kinds of drugs (such as pepsin mixture, low acidity multi-enzyme tablets; Use spasmolytic agents such as propofol to relieve pain; In addition, there are gastric mucosal protective drugs such as gastrin ketone. ), diet is very important.
[Dietary principles] 1. Acute gastritis: when accompanied by diarrhea and vomiting symptoms, due to excessive water loss, a lot of water should be added. In order to give the stomach and intestines a full rest, we should give priority to liquid food, supplemented by soft food with less residue, less greasy and easy to digest, and at the same time, we can eat more meals in small quantities.
If you suffer from enteritis or diarrhea at the same time, you should also use less or no flatulent coarse fiber foods such as sucrose, lettuce and fruit in your diet.
2. Diet of chronic gastritis: We should pay attention to supplementing foods rich in protein and vitamins, and at the same time, we should make the foods soft, few and frequent, and give more foods that benefit qi and blood, such as animal viscera, pig blood, eggs, beef and mutton, ginseng and Chinese medicine, and fresh vegetables. Can prevent and treat anemia.
If the patient's stomach acid is too low, you can eat more acidic fruits, yogurt, or vinegar as seasoning, and use broth or concentrated gravy to stimulate appetite and promote gastric juice secretion. However, animal fats that hinder gastric acid secretion should be used less.
If the patient has hyperacidity, he should stop using broth, gravy and some acidic foods.
3. Patients with acute and chronic gastritis should avoid smoking and drinking.
While paying attention to the principle of diet, the specific catering should be mastered according to the condition at that time. For patients with acute gastritis, according to the factors that cause the disease, it is necessary to stop using food related to the disease, such as food deterioration and bacterial pollution. You shouldn't eat any more. It is advisable to eat some light foods with the function of clearing stomach heat, such as chrysanthemum brain soup, Malantou, purslane and so on. , contribute to the recovery of the disease.
Chronic gastritis diet, pay attention to the following points:
1. The food is soft and easy to digest, and should be rich in protein and vitamins A, B 1, B2 and C, with sufficient calories.
2. Do not eat irritating foods, such as strong tea, coffee, wine, thick soup, spices, coarse fiber foods (coarse grains, leeks, bean sprouts, celery, etc. Don't eat food that is too hot or too cold. Eat less sour food (sweet potatoes, sweets, etc.). ) and gas-producing foods (raw onions, white radishes). However, if the patient's stomach acid is low, acidic foods such as hawthorn and sour plum soup can still be eaten, while radish and scallion should still be eaten when flatulence often occurs after eating in the upper abdomen. Traditional Chinese medicine believes that these foods have the functions of promoting digestion, guiding stagnation, regulating qi and regulating stomach.
3. People with hyperacidity should not eat sweets, but eat some pasta; People with low stomach acid should eat more meat soup and gravy.
4. You can eat nutritious milk and soybean milk. If you are complicated with anemia, you can eat blood-enriching foods, such as animal viscera, eggs, green fresh vegetables and so on.
5. Eat a small amount of meals (4~5 times a day) to avoid excessive expansion of the gastric antrum.
6. You can eat some royal jelly or ginseng royal jelly. Patients with stomach cold can eat general ginseng royal jelly. For people with insufficient stomach yin and body fluid, you can choose American ginseng royal jelly, usually 1~2 times a day. It can be taken in the morning or afternoon.
[treatment prescription] 1. 250 grams of milk, 30 grams of yam and 30 grams of flour. Method: Dice yam, add water and simmer until the soup is thick, then add milk, add batter and boil. Usage: The above dosage is 1 time, 1~2 times a day, taken on an empty stomach. 1 month is the course of treatment. It is suitable for chronic gastritis, chronic enteritis, puerperal asthenia, and aging, and has the functions of invigorating spleen, regulating stomach, and invigorating spleen to stop diarrhea.
2. Bovine saliva, pig bile and honey each 1 cup. Methods: Beef saliva, pig bile and honey were mixed evenly and stewed with strong fire. Usage: 1 time, 1~2 times a day. This prescription is suitable for the treatment of acute gastritis and vomiting, and has the function of regulating stomach, lowering adverse flow and stopping vomiting.
3. 1 pork tripe, 100g hawthorn slices, 50g rock sugar. Method: Wash pork belly inside and outside, cut into pieces, and simmer with hawthorn slices in water. Pork belly is cooked, add rock sugar to dissolve, eat belly and drink soup. Usage: Take it 6-8 times, 3 times a day, and eat it on an empty stomach. Half a month is 1 course of treatment. It is suitable for treating atrophic gastritis and gastric acid deficiency, and has the effects of invigorating spleen, regulating stomach, promoting fluid production and quenching thirst.
4. 2 chicken gizzards and 20 pepper. Method: Wash the chicken gizzards inside and outside, add pepper, add a little salt, wrap several layers with wet paper, simmer and take out. Usage: Slice while it is hot, once 1, twice a day 1~2 times, for a total of 1 week. The product is suitable for treat chronic gastritis, chronic enteritis and dyspepsia in children, and has that effects of war middle warmer and dispelling cold.
5. Sheep kidney 1 pair, mutton 50g, dried ginger 10g. Method: Cut the sheep kidney in half, cut off the fascia, wash and slice, wash and slice the mutton, stew it with dried ginger in water, add a little salt and cook it before eating. Usage: the above amount is 1 per day, and it is eaten twice while it is hot. Half a month is 1 course of treatment. This product can warm and tonify spleen and stomach, dispel cold and relieve pain, and can be used to treat chronic gastritis, peptic ulcer and anemia caused by deficiency and cold of spleen and stomach.
6. Pork tripe 1, Radix Astragali150g, and Radix Codonopsis150g. Method: Wash and slice Radix Astragali and Radix Codonopsis, and wash pork belly. Wrap Shenqi in gauze, put it in pig's belly, tie it tightly with hemp thread, stew it with slow fire, remove the medicine bag when cooked, and serve it with soup while it is hot, divided into 4-6 times. Two pork bellies is 1 course of treatment. Can be used for treating chronic gastritis and gastroptosis.
7.3 Sorghum root, decocted and drunk, can stop stomach pain.
8. Japonica rice: Take rice 100g, soak it in water, wrap it with 5-6 layers of hemp paper, burn it into charcoal, grind it into fine powder, and take it once in the morning and evening, and take it with Jiang Shui before meals. Take it lightly 1 dose. In severe cases, take 3 doses continuously, and give priority to liquid diet within one week after taking the medicine, and do not eat cold, greasy and other things.
9. Jujube ginger: used for deficiency of the spleen and stomach, indigestion, fullness of the epigastrium, and pain after catching cold, 500 grams of jujube and 400 grams of ginger, three times a day, with more than 0 pieces of jujube 10 and 2 pieces of ginger 1 ~ 2 pieces each time. When eating, stew the original soup, 1 ~ 2 spoonfuls each time.
10. For the treatment of stomach cold and pain, raw pepper 10, 3 Chinese dates (peeled) and 5 sweet almonds (bitter almonds can be soaked in warm water for two days, changed with water five times in the middle, and peeled off to replace them), and the medicine is pounded into fine powder. How to take it: Add a small amount of warm water to the finely ground medicine, make it into a thin paste, and take it with boiled water. Adults take 1 dose every day, 1 time, 1 time. Weakness or children should be treated lightly.
1 1. Walnut Green Peel: Treating gastritis, stomach and duodenal ulcer pain. In the first ten days of June in the solar calendar, 3 kilograms of fresh walnuts with green skins were collected, crushed and put into a jar, 5 kilograms (60%) of distilled liquor was added, and walnuts and wine were dried in the sun for 20-30 days. After the wine and walnuts turn black from orange, filter with gauze, and add syrup1350ml to the filtrate, twice a day 1-2 times, or take it when it hurts.
12. Sea cucumber sausage: for stomachache. There is no limit to the number of sea cucumber sausages and yellow wine. Roast the sea cucumber sausage and serve it with yellow wine. After taking it, you will see a slight sweat.
13. Egg skin (shell): for stomachache and sour water. 20 egg skins, dried and ground into fine flour, 3g each time; White water is delivered twice a day.
14. Treatment of stomach cold: grind longan seeds (burned with shells) into fine powder and serve them with hot wine.
15. dried ginger: for treating wind-cold stomachache, dry ginger is ground into powder, 2-3g each time, 2-3 times a day.
16. Litchi meat: 5 pieces of litchi meat, 1 small cup of boiled wine, effective in treating qi deficiency and stomach cold.
17. maltose: epigastric pain, maltose 1~2 tablespoons, taken with warm water.
18. Sparrow meat: spleen and stomach deficiency and cold, use 1 sparrow and 9 grams of rock sugar, stew, each time 1.
19. Dog meat: for spleen and stomach deficiency and cold, 250g of Liu and Li meat, porridge with rice, salt and black beans, often eat 1~2 meals.
20. Persimmon: Treat spleen deficiency and reduce food intake. Persimmon/kloc-0.5 kg, ghee 500 g, honey 250 g, fried evenly with crispy honey, boiled persimmons for more than ten times, and eaten on an empty stomach 3-5 times a day, which is effective.
2 1. Treat stomachache. Tender taro, sliced, mixed with sugar, served with rice in the morning and evening, often served effectively.
22. Yangmei: Treat stomachache, purple Yangmei, soak in bittern, and eat one when it hurts. To treat flatulence, bayberry is salted for later use, and the longer the time, the better. Take a few pills and boil them.
23. To treat chronic stomachache caused by blood stasis in the upper abdomen, you can take leek juice, each time 10 ~ 20 ml.
24. Bitter gourd: cure stomach gas pain, bitter gourd is calcined into the end, and boiled water is taken.
25. Less stomach acid and obvious abdominal distension after meals. Generally, chewing 2~3 slices of hawthorn (fresh) after meals can help digestion, strengthen the stomach and eliminate fullness.
26. Fresh potato100g, ginger10g, 30 ml of fruit juice and fresh orange juice, mixed evenly, and taken in a hot water cup for 30 ml every day, which is suitable for neuropathic stomachache and vomiting.
27. 60 grams of japonica rice and 5 grams of Amomum villosum. Boil porridge with water in japonica rice. After the porridge is ready, mix the powder of Amomum villosum, and then 1~2 boil. Take it in the morning and evening, and it is effective for deficiency-cold stomachache.
28. 3~5 slices of fresh ginger, appropriate amount of brown sugar, soaked in boiling water and drunk while it is hot. It is suitable for stomachache caused by cold.
29. 3~4 sections of green onions, 3~5 slices of ginger, and appropriate amount of white pepper noodles are brewed with boiling water; Or put onions and ginger on the fire for a while, add a little salt to taste, add pepper noodles and drink soup while it is hot. It is suitable for stomachache caused by cold feeling.
30. Japonica rice 1.0g, beef floss 25g (or other floss). Cook rice porridge in the usual way, add meat floss and mix well. Eat while it's hot. It is suitable for stomachache caused by deficiency and cold of spleen and stomach.
3 1. 20g of bergamot, 0g of japonica rice100g, add proper amount of water and cook into porridge. After the porridge is ready, add rock sugar and bergamot soup, and simmer. Take it twice a day. This prescription has a good effect on chronic gastritis and stomachache.
32. Raw hawthorn slices 15g, fried malt 20g. Soak in boiling water. After boiling, add appropriate amount of sugar, drink frequently, and don't drink tea. It is suitable for stomachache caused by deficiency and cold of spleen and stomach.