The treatment of this disease is divided into western medicine treatment and traditional Chinese medicine treatment.
(1) western medicine treatment.
① General treatment: Diet therapy is a necessary treatment measure for chronic gastritis. Diet should be easy to digest and avoid irritation. Eating should be chewed slowly to achieve the goal of less irritation and easy digestion. It is also necessary to stop taking irritating drugs, quit smoking and alcohol, and treat chronic infection of oropharynx.
② Symptomatic treatment: anticholinergic drugs can be given for abdominal pain, such as atropine .3 mg, three times a day; Or 15 mg of propofol, three times a day. Acid reflux and high gastric acid secretion can be treated with alkaline drugs, such as 1 ml of aluminum hydroxide gel or .5 g of calcium carbonate, three times a day. People with dyspepsia and lack of gastric acid secretion can take 1% dilute acid salt 3 ~ 5 ml, three times a day, or pepsin mixture 1 ml, three times a day. Anemia can be treated with oral iron and intramuscular injection of vitamin B12. Metoclopramide (metoclopramide) 1 mg can be used for bile reflux under gastroscope, 3 times a day.
③ Antibacterial therapy: it is suitable for patients with focal infection or positive helicobacter pylori test. Streptomycin .25g, 4 times a day; Furazolidone .1g, 3 times a day; Metronidazole .25g, 3 times a day; Furazolidone .1g, 3 times a day. You can choose one or two of them to take.
(2) Chinese medicine treatment.
① Damp-heat of spleen and stomach: epigastric pain is obvious, belching, noisy, sticky in the mouth, or bitter mouth, bad breath, poor stool, chest tightness, anorexia, severe pain after eating, slightly red tongue, thick and greasy yellow fur, and slippery pulse. It is advisable to clear away heat and turbidity, regulate stomach and eliminate swelling.
prescription: Rhizoma atractylodis, cortex magnolia officinalis, Herba agastaches, radix aucklandiae, Rhizoma Pinelliae and pericarpium citri reticulatae each 1g, lignum santali Albi, fructus amomi and radix glycyrrhizae each 3g, and fructus amomi rotundus 5g.
② Heat accumulated in the liver and stomach: burning pain in the epigastric cavity, acute pain, irritability, acid and noisy, dry mouth and bitter taste, red tongue with yellow coating, and rapid pulse. Treatment should be soothing the liver and regulating the stomach, clearing away heat and relieving pain.
Chinese patent medicine: Niuhuang Qingwei Pill.
③ Stagnation of qi in liver and stomach: fullness in the stomach, pain in both sides, chest distress, belching, excessive breathing, vomiting, sometimes acid or bitter water, irritability, poor stool, loose stool or constipation, reddish tongue, thin yellow or white fur, and thready pulse. Treatment should be soothing the liver, regulating qi, regulating stomach and relieving pain.
Chinese patent medicines: Shugan Hewei Pill, Zuojin Pill.
④ Yin deficiency of spleen and stomach: dull burning pain in the epigastrium, thirst and thirst, dry mouth and throat, noisy and burning in the stomach, dry stool, anorexia, fatigue, scanty or thin yellow coating, and thready or thready pulse. Treatment should be nourishing yin and benefiting stomach.
Chinese patent medicine: Maiwei Dihuang Pill.
⑤ Blood stasis in stomach collaterals: The stomach cavity stings or hurts at a certain place, and it hurts very much when pressed for a long time, with dark stool, dark red or purple tongue, ecchymosis and astringent pulse. Treatment should promote blood circulation and dredge collaterals, remove blood stasis and relieve pain.
Prescription: parched Trogopterori, Radix Angelicae Sinensis, Carthami Flos, Radix Bupleuri 1g, Radix Notoginseng 5g, Radix Paeoniae Rubra, Radix Linderae, Rhizoma Corydalis, Radix Glycyrrhizae, Rhizoma Cyperi, Fructus Aurantii and Rhizoma Chuanxiong 6g.
⑥ deficiency and cold of the spleen and stomach: dull pain in the epigastrium, continuous, warm and pressing, eating less, vomiting with clear water, lack of appetite, listlessness, tepid hands and feet, thin stool, pale tongue, thin and white fur and thready pulse. Treatment: benefiting the middle warmer, strengthening the spleen and regulating the stomach.
Chinese patent medicine: Fuzi Lizhong Pill.