1. Whether it is necessary to take medication after being found infected is still controversial, but most experts think it should vary from person to person. The general principle is that unless there are obvious indications for medication, medication is generally not necessary. The first reason is that the infection rate in the population is very high, involving a wide range, but few people really have symptoms. Therefore, it is unrealistic and difficult to eradicate infection by generally adopting sterilization treatment; Second, although Helicobacter pylori has a certain relationship with gastric cancer, if there are no other factors (mainly unhealthy lifestyle), the probability of gastric cancer caused by simple infection is very small. It seems unnecessary to take medicine for a long time in order to prevent gastric cancer in the future. Of course, not all infected people are left unattended. Generally speaking, anyone who has the following indications can take medicine reasonably under the guidance of a doctor and carry out eradication treatment: ① those who are diagnosed as peptic ulcer, regardless of bleeding and other complications, are best treated with medicine; Especially in patients with active peptic ulcer and severe infection (the severity is often indicated by "+"), eradication therapy should be taken in time; ② Patients diagnosed as active chronic gastritis, especially those with atrophic changes or atypical hyperplasia of gastric mucosa; ③ Family history of gastric cancer. I or my first-degree relatives have had gastric cancer and recovered after surgical resection. If Helicobacter pylori infection persists in the above categories of people, the risk of secondary gastric cancer will increase obviously in the future, so it is more appropriate to advocate drug eradication treatment.

2. Although there are many medication schemes, they are generally a so-called triple therapy consisting of a proton pump inhibitor or a bismuth agent plus two antibiotics. The details are as follows: ① Proton pump inhibitors (commonly used Losec and Dacron). ② Bismuth (commonly used colloidal bismuth subcitrate, etc.). ③ Antibiotics (clarithromycin, amoxicillin, metronidazole or furazolidone).

Choose one of the above items (1 ~ 2) and add two of the three antibiotics to form triple therapy, with continuous treatment 1~2 weeks as a course of treatment. Although the treatment plan is prescribed by the doctor, the patient should actively cooperate to get twice the result with half the effort. For example, pay attention to whether there are any adverse reactions such as vomiting, nausea, rash and abdominal discomfort during treatment; Tell the doctor to adjust the medicine immediately if there is any; Another example is to adhere to a good lifestyle during treatment, and not to take other drugs by yourself, so as not to affect the eradication effect; In addition, you should return to the clinic about one month after the end of a course of treatment, and the doctor will decide whether it is necessary to have a reexamination. According to most clinical reports, most of them have been cured by the above drugs, and the recurrence rate is not high; A small number of eradication failures should analyze the causes of failure with doctors, take re-eradication treatment or fine-tune drug varieties (to avoid drug resistance). Generally, most of the patients who failed the initial eradication treatment can be cured successfully.

3. Advantages of Chinese medicine in treating Helicobacter pylori. Recently, many experts pointed out that although the triple therapy or quadruple therapy of western medicine has a good effect, some patients are allergic to western medicine or resistant to antibiotics, which greatly reduces the curative effect; If Chinese medicine is used for treatment, although the onset time may be slower than that of western medicine and the course of treatment is longer than that of western medicine, its advantages are also very prominent. For example, there is no drug resistance, few side effects, good compliance and low treatment cost, which ensures the conditions for patients to adhere to treatment.

4. Traditional Chinese medicine proved to have the effect of killing Helicobacter pylori. According to the introduction of Chinese medicine, the following Chinese medicines are sensitive to Helicobacter pylori and have different degrees of efficacy: rhubarb, garlic, codonopsis pilosula, Poria, Radix Paeoniae Alba, licorice, Dendrobium, Lycium barbarum, dried tangerine peel, Magnolia officinalis, Polygonum cuspidatum, Jiang Banxia, Radix Aucklandiae, Fructus Amomi, Fructus Citri Sarcodactylis, Rhizoma Corydalis, Fructus Aurantii, Fructus Aurantii Immaturus, Radix Salviae Miltiorrhizae, Radix Notoginseng, Mume, Radix Arnebiae, Fructus Evodiae Of course, the above traditional Chinese medicines can only be said to be useful for killing Helicobacter pylori, but as for the treatment of a certain patient, it is necessary for a senior Chinese medicine practitioner to treat it based on syndrome differentiation and choose a medicine formula to ensure the curative effect.