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How is chronic gastritis treated?
OverviewChronic gastritis generally does not have mucosal erosion, so it is often called chronic non-erosive gastritis. Clinically, it is divided into two categories: chronic gastric sinusitis and chronic gastric body inflammation. Most of them have no obvious symptoms, and some of them have the manifestations of digestive malaise, including epigastric fullness and discomfort especially after meals, irregular epigastric vague pain, belching, paradoxical acidity, vomiting, etc. Type A gastritis may present with obvious anorexia and weight loss, and may be accompanied by anemia.

This disease can be referred to the Chinese medicine "gastric pain", "noisy", "acid swallowing", "vomiting" and so on. This disease can be referred to the Chinese medicine "gastric pain", "noisy", "acid swallowing", "vomiting" and other disease diagnosis and treatment. This disease and addiction to alcohol, strong tea, spicy, dietary uncertainty, hunger and satiety uneven, emotional depression, thinking too much overwork, external evil internal invasion, after the disease injury to the stomach and vegetative spleen and stomach weakness related to the lesion of the internal organs in the spleen and stomach, there are also involved in the liver and kidneys. Initial disease in the gas, the disease into the blood; the initial disease is more solid, the disease is more false or both false and solid. The pathogenesis of the disease is the loss of healthy transportation of the spleen, the loss of gastric healing and descending, the blockage of the middle Jiao, and the mixture of deficiency and solidity. Clinically, insufficiency of the spleen and stomach, stagnation of qi, blood stasis, dampness and heat are common. In the treatment, most of the evidence to the classification of the treatment, the symptoms of more or less different, each focus, in addition to the visceral deficiency, different real evil, to supplement or attack or attack and supplement both, should also be based on the functional characteristics of the spleen and stomach for the corresponding treatment, but also pay attention to dietary taboos, consolidation of therapeutic effect.

Treatment of 1. Liver and stomach qi stagnation certificate main symptom stomach and epigastric distension pain or attacking the back of the coercion, belching frequently, thin white moss, pulse string. Square 1 Chaihu Shun Liver San Source "Jingyue Quanshu" composition Chaihu 6 grams, Citrus aurantium 6 grams, white peony 10 grams, 6 grams of fragrant adenosine, 6 grams of Rhizoma Ligustici Chuanxiong, 3 grams of licorice.

Effects Dispersing the liver and regulating qi.

Use: Decoction with water, 3 times a day, 40 ml each time.

The formula uses Chai Hu to clear the liver and relieve depression as the principal medicine; Xiang Fu regulates qi and clears the liver, helping Chai Hu to clear the liver and relieve depression; Chuan Xiong promotes qi and activates blood circulation and relieves pain, helping Chai Hu to clear the menstrual stagnation, and the two medicines are combined together to increase their qi promoting and relieving pain, and they are the ministers. Chenpi and Citrus aurantium regulate Qi and promote stagnation; Paeonia lactiflora and Glycyrrhiza glabra nourish Blood and soften the Liver to relieve pain. Glycyrrhiza glabra regulates all medicines and is also used to make medicines. The combination of all the drugs, *** play the liver and qi, blood and pain.

Pressure if the pain is more serious, can be added neem, Yanhuoso line qi pain; belching more frequent can be added to the Shenxiang, spinning flower down the gas. You can also add tulip gold, green peel, wood incense, etc. to strengthen the effect of qi relief. The actual texture is white, and the pulse is tight. Square one Liangxianwan plus flavor source "Liangfangjixian" composition of high Liang Jiang, Xiangxuzi, etc., for the end of the rice drinking soup, add a spoonful of ginger juice, a pinch of salt, for the water pills, each time to take 6 grams.

Effects Dispersing cold and relieving pain.

How to use: Take with boiling water. Or take a decoction with water, one dose daily.

Formula DescriptionThis formula is a basic formula for the treatment of cold evils in the stomach, which leads to stagnation of cold and Qi. In this formula, gao liang ginger warms the stomach and disperses cold, and xiang fu moves qi and relieves pain.

Pressing the word cold, can add Chen Pi, Wu Zhu Zhu to strengthen the power of dispersal of cold qi; also see the chest and epigastric plagued, no food, belching or vomiting, can add Citrus aurantium, Shen Qu, half-summers, ginger and so on. Formula 2 Zhengqi Tianxiang San source "Chinese medicine internal medicine" seventh edition.

Composition Wu Yao 10 grams, Chen Pi 10 grams, dry ginger 6 grams, 6 grams of wood incense, Angelica sinensis 10 grams, licorice 6 grams.

Effects Dispersing cold and relieving pain.

How to use: Grind the above medicines into fine powder, 6 grams each time, or decoct with water, one dose daily.

The formula of Wu Yao, Mu Xiang and Chen Pi regulates Qi and relieves pain; Angelica sinensis nourishes Blood and opens the channels; Licorice eases the pain and relieves the urgency; Gan Ginger warms the middle Jiao and disperses cold.

Pressure cold evil heavy, pain is intense, hands and feet against the cold, the pulse is thin add epimedium, cinnamon; liver meridian cold condensation stagnation of qi (abdominal constriction and cold pain) add wu zhu, fennel; abdominal cold pain, and constipation add epimedium, rhubarb.

3. Stomach heat blazing evidence of the main symptoms of gastric pain urgent or fullness and distension, noisy spitting acid, upset, bitter or sticky mouth. The tongue is red, the moss is yellow or greasy, and the pulse is countless. Formula 1 Clear Stomach San Source "Spleen and Stomach Theory" Composition Huanglian 6 grams, Angelica sinensis 3 grams, raw rhizoma 10 grams, danpi 5 grams, ascending flax 12 grams.

Effects Relieving heat and harmonizing the stomach.

How to use: Grind finely, decoct with water, remove dregs and take with cold water.

The formula uses the bitter and cold Huanglian as the ruler, directly diarrhea the fire of the stomach. Ascending hemp for the minister, clearing heat and detoxification, ascending and can be dispersed, can be declared to the depression of the fire, "fire depression hair" meaning, and Huanglian with the diarrhea of the fire without the disadvantages of cool curb, ascending hemp to Huanglian, the fire without the risk of ascending flames. Stomach heat will also be damaged yin and blood, so the raw land to cool blood and nourish yin; Dampi cool blood and clear heat, all for the subject medicine. Angelica sinensis nourishes Blood and harmonizes Blood, as an adjuvant. Ascending hemp to induce menstruation as a make. The combination of all medicines, *** play the effect of stomach cool blood.

According to the constipation, add rhubarb, manganese nitrate in order to guide the heat downward; if the thirst to drink cold, it is appropriate to go to Angelica sinensis, plus XuanShen, smallpox pollen in order to nourish the yin and promote fluid; and the wind and fire toothache, can be added to wind, mint in order to ease the wind; bleeding gums, plus leucaena leucotomosae, XianHe Caoqi cool blood to stop bleeding.

4. Food stagnation gastrointestinal evidence of the main symptoms of gastrointestinal distension, belching and swallowing acid or vomiting undigested food, vomiting pain relief. The moss is thick and greasy, and the pulse is smooth or solid. Square one Baohe pill source "Danxi Xinfa" composition of 180 grams of dregs, 60 grams of Shenqu, 90 grams of half-summer, Poria 90 grams, Chen Pi, forsythia, Lai Chi Zi 30 grams of each, *** research finely powdered, paste pills, each time you take 5 to 10 grams.

Effects eliminate food stagnation.

Use boiling water or fried malt soup, or according to the original proportion of one-tenth of the dosage, as a soup decoction.

The formula includes hawthorn, which is good at eliminating the stagnation of meat, food and grease; Shenqu, which is good at eliminating food and strengthening the spleen, and can dissolve the stagnation of wine, food and stale food; Laixianzi, which is good at eliminating food and lowering qi, and can dissolve the stagnation of phlegm of wheat; Hanxia and Chenpi, which can move qi and dissolve stagnation and harmonize the stomach to stop vomiting; Poria, which strengthens the spleen to promote water retention and harmonize the middle to stop diarrhea; and Lianciao, which can dissipate the stagnation of food and remove the heat.

According to the heavier accumulation of food, epigastric distension and fullness with Hovenia Conduction Stagnation Pill; food accumulation and heat plus Huang Lian; and spleen deficiency plus atractylodes, lentils. Formula 2 Hovenia Citrus Conducting Stagnation Pill from the Treatise on Spleen and Stomach consists of 9 grams of rhubarb, 9 grams of Hovenia Citri Reticulatae, 10 grams of Shenqu, 8 grams of Yunling, 6 grams of Scutellariae, 6 grams of Chuanlian, 8 grams of Atractylodes Macrocephalae, 6 grams of Zedoary.

Effects Eliminating food and inducing stagnation.

How to useSoaked in water, take one dose daily.

The patient's damp-heat food stagnation, internal obstruction of the stomach and intestines, leading to stagnation and congestion of Qi, so the epigastric distension and pain; food stagnation does not go away, damp-heat downstream, so there is diarrhea or dysentery; in addition, the heat congestion of Qi obstruction, so constipation occurs. In the formula, rhubarb is used to attack the accumulation of heat; Hovenia vulgaris is used to eliminate the accumulation of gas to remove distension; Shenqu is used to eliminate food and dampness; Scutellaria baicalensis and Chuanlian are used to clear away heat and dry dampness to stop dysentery; Yunling and Zedoaria are used to promote drainage and seepage of dampness to stop dysentery; Atractylodis Macrocephalae is used to strengthen the spleen to stop diarrhea.

If there is much abdominal tension, add Citrus aurantium dulcis, sand nuts and betel nut to move Qi and eliminate stagnation; if there is also accumulation of worms, add Juniperus communis, Cephalotaxus tigrinus and betel nut to drive away worms; if there is also deficiency of the spleen, add Atractylodes macrocephala to strengthen the spleen.

5. The main symptom of gastric stasis and obstruction of gastric collaterals is severe gastric pain, which is like a pinprick or a knife cut, and the pain has a fixed place, and refuses to be pressed, or the color of the stool is black. The tongue is purplish, and the pulse is astringent. Formula 1 ① Lost Smile San combined ② Danshen Drink plus and minus Source ① "Taiping Huimin and Dosage Bureau Square" ② "Medical Zong Jinjian" composition of 15 grams of Wuling Lipid, 15 grams of Pu Huang, 30 grams of Salvia Miltiorrhiza, 5 grams of sandalwood, 5 grams of sandalwood.

Effects Activating blood circulation and removing blood stasis.

Use: Decoction with water, one dose daily.

Dan Shen, Pu Huang, Wu Ling Yi activate blood circulation, eliminate blood stasis and relieve pain; Sandalwood and Sandalwood move Qi and harmonize the stomach; Panax Ginseng activates blood circulation and stops bleeding; Rhubarb cleanses the intestines and stomach and regulates Qi.

If the pain is severe, frankincense and myrrh can be added to activate Blood circulation and relieve pain. Formula 2 Shaofu Yuyu Tang is composed of 10 grams of Angelica sinensis, 12 grams of red peony, 10 grams of Wu Lingyi, 10 grams of Yuanhu, 10 grams of dried ginger, 6 grams of fennel, 12 grams of peach kernel, 10 grams of safflower, and 12 grams of black cohosh.

Effects Activating blood circulation and removing blood stasis.

UsageTake with water, one dose daily.

In the formula, Angelica sinensis, Radix Paeoniae Alba, peach kernel, safflower, and Wu Ling Zhi invigorate blood circulation and remove blood stasis; dry ginger and cumin warm the menstruation and promote Yang circulation; and Yuan Hu and Wu Yao promote Qi circulation and remove blood stasis to relieve pain.

In case of severe stomach pain, add Yanhusuo, Muxiang, Uljin, Citrus aurantium, Bacopa monnieri; in case of qi deficiency without blood circulation (lack of warmth of the limbs, pale tongue and weak pulse), add Codonopsis pilosulae, Astragalus membranaceus, Xianhecao; in case of black stool, add Panax ginseng powder, Bletilla powder, in case of yin deficiency (dry mouth and pharynx, glossy tongue with no moss, and thin pulse), add Radix et Rhizoma Shengdi, Maitake Dioli.

6. Stomach yin deficiency deficiency symptoms stomach pain, burning discomfort, noisy like hunger, less food, dry mouth, dry stools. The tongue is red with little fluid, and the pulse is fine. Formula 1 ① Consistent Decoction ② Paeonia lactiflora and licorice soup plus subtractions Source ① "Liuzhou Medical Story" ② "Typhoid Fever Treatise" Composition of Salvia divinorum 10 grams, maitake 10 grams, angelica sinensis 10 grams, raw rhizome 20 grams, wolfberry 10 grams, neem 5 grams, 12 grams of white peony, licorice 6 grams.

Effects Nourishing Yin and benefiting the stomach.

UsageTake with water, one dose daily.

Formula ExplanationSalsify, Ophiopogon, Radix et Rhizoma Dioscoreae, Fructus Lycii nourishes yin and benefits the stomach; Radix Angelicae Sinensis nourishes the liver and activates the blood and has the property of unblocking the flow of blood; Neem Ziziphi, Radix Paeoniae Alba spares the liver and regulates the flow of qi, and relieves pain in the stomachShongzhi, Radix et Rhizoma Glycyrrhizae, eases pain.

According to the dry stool, add yuan ginseng, wine army. Formula 2 Mai Men Dong Tang Source "The Essentials of the Golden Chamber" Composition 12 grams of Radix Panax Ginseng, 15 grams of Mai Men Dong, 15 grams of round-grained rice, 10 grams of Bamboo Roots, 10 grams of Dendrobium, 10 grams of Mulberry Leaves, 6 grams of Faxia.

Effects Nourishing Yin and benefiting the stomach.

UsageTake with water, one dose daily.

The formula emphasizes the use of Maimendong (麦門冬) which is sweet, cold, clear and moist, and enters the lung and stomach meridians to nourish yin and promote the production of fluids and moisturize dryness, in order to clear the deficiency of heat as the monarchical medicine. The subject to ginseng, licorice, round-grained rice, jujube benefit stomach gas, nourish stomach yin, the gas is abundant, then the fluid can return to the lungs. Lung and stomach qi reversal, so with a small amount of half-summers to lower the reversal of qi, phlegm and saliva, although pungent and warm nature, but with a large number of mai men dong with its dryness is restrained, and mai men dong to get half-summers nourishment is not greasy, the opposite of each other. Licorice can moisten the lungs and throat, and harmonize all medicines. To make. Medicine only six flavors, the main from the order, Run down appropriate, raw stomach yin and moistening lung dry, under the rebellious gas and stop turbid saliva, but also fill the earth to generate gold, false fill the mother's method.

By the way, if you also see burning pain in the stomach and epigastrium, noisy and acidic, you can add Cornus officinalis, Huanglian, Guangmuxiang; stomach and epigastrium vaguely distended pain, you can add green calyx plum, Buddha's hand.

7. Spleen and stomach cold syndrome, the main symptom of stomach pain, the empty stomach, food is slow, like heat, like to press, vomiting water, tiredness, fatigue, hands and feet are not warm, stools more loose. The tongue is pale, and the pulse is dull and fine. Formula 1 Astragalus Jianzhong Tang from "The Essentials of the Golden Chamber" consists of 20 grams of Astragalus, 18 grams of Paeonia lactiflora, 10 grams of Gui Zhi, 10 grams of ginger, 30 grams of caramelized sugar, and 4 jujubes.

Effects Warming the middle and strengthening the spleen.

UsageDecoction with water, add caramel to dissolve and take warmly, one dose per day.

The formula of Astragalus Jianzhong Tang adds Astragalus to Xiao Jianzhong Tang to enhance the power of qi to build up the center, and the yang is born and the yin grows, so all the deficiencies are eliminated by themselves.

By the way, if the deficiency of qi is obvious, the use of astragalus should be emphasized, and add ginseng to enhance the effect of qi tonic; fear of cold, cold limbs, it is advisable to add epimedium to warm the yang and dispel the cold; palpitations and restlessness, pulse is thin and weak, add ripened glutinous rice, shouwu, jujube nuts, etc., to replenish the blood and nourish the heart. Formula 2 Lizhong Pill from "Treatise on Typhoid Fever" consists of 9 grams of ginseng, 9 grams of dried ginger, 9 grams of roasted licorice, 9 grams of atractylodes macrocephala.

Effects Warming the middle Jiao and strengthening the spleen.

Use honey pill, take 2-3 times a day, 9 grams each time, warm water; or as a soup, the dosage according to the original proportion of the formula, decoct the juice, divided into two warm. After serving, drink hot porridge in appropriate amount, and add clothes and covers.

Dry ginger in the formula is very hot, directly into the spleen and stomach, for the warming of the middle, cold, invigorate the spleen yang of the key drugs, as the king's medicine; ginseng is sweet and slightly warm, replenish qi and strengthen the spleen to promote the transportation and transformation of the subject's medicines. Ginseng is sweet and slightly warm, tonifying Qi, strengthening the spleen and promoting transportation. Rhizoma Atractylodis Macrocephalae is bitter and warm, strengthens the spleen and dries dampness, with ginseng to restore the spleen's transportation and elevation, as an adjuvant. Hot licorice is sweet and warm, tonifying the middle, easing the pain, and all medicines, as an enzyme. The four drugs together, **** play the warmth of the cold, replenish the spleen's qi.

Pressing the acidic, plus Cornus officinalis, corrugated seeds; vomiting more water, plus dry ginger, Chen Pi, half-summer, Poria; cold heavy pain, vomiting cold limbs, plus Jianzhong Tang or Lizhong Pill.