Ans:
Various treatments for chronic gastritis
Chronic gastritis refers to the clinical manifestation of gastric fullness, pain, eruption and dyspepsia and other major symptoms. It is often caused by dietary disorders and has a high incidence rate, and the clinically used effective partial and experimental prescription is mainly as follows.
[Square one]
500 grams of cloud beans, 250 grams of jujube, 150 grams of brown sugar, sugar cinnamon. Cloud beans soaked in water, put in a pot with the right amount of water, cook until rotten, to be cooled and wrapped in a clean cloth rubbed into mud, standby; the red dates washed with water after the removal of the core, boiled, add 150 grams of brown sugar while hot, sugar cinnamon right amount, mixing and pressing into the mud cooled ready for use; and then spread the cloud bean mud in the board, with the kitchen knife hand wiped into a long slice as thick as the top of the spread mixed with a layer of jujube mud, longitudinally rolled up, vertical cut into the direction of the The "back" shaped rolled block, can be eaten.
This formula replenishes the spleen and benefits the stomach, and is suitable for chronic gastritis caused by weakness of the spleen and stomach.
[Square 2]
Japonica rice 100 grams, ginger 9 grams. Soak the round-grained rice in water, wrap it in 5 - 6 layers of hemp paper, burn it into charcoal, and grind it into fine powder; decoct water with ginger, and take 6 - 9 grams of round-grained rice charcoal powder, 1 time in the morning and 1 time in the evening. After taking the medicine for 1 week to the flow of food, avoid eating cold and greasy food.
This formula replenishes the middle and stomach, suitable for chronic gastritis.
[Square 3]
Lotus seeds, glutinous rice 50 grams each, 1 spoon brown sugar.
The lotus seeds soaked in boiling water, peeled and removed the heart, people in the pot with water to cook for 30 minutes and then add round-grained rice to boil, slow fire stew until the rice is rotten lotus crispy, breakfast service.
This formula warms the stomach and dispels cold, and is suitable for chronic gastritis caused by cold.
[Square four]
Codonopsis pilosula 10 grams, atractylodes macrocephala 9 grams, Poria 12 grams, roasted licorice 6 grams, pericarp 9 grams, Guangmu Xiang 5 grams, 4 grams of sand nuts. Water decoction, 1 dose per day, divided into 2 times.
This formula strengthens the spleen and stomach, suitable for chronic gastritis.
[Square 5]
Bupleurum Chinense 10 grams, 6 grams of sweetener, 9 grams of green plum blossom, 15 grams of Buddha's hand, Citrus aurantium dulcis, 6 grams of Chenpi, 10 grams of Paeonia lactiflora, 6 grams of licorice. Water decoction, 1 dose per day, 2 times.
This formula dredges the liver and harmonizes the stomach, and is suitable for chronic gastritis caused by liver-stomach disharmony.
[Formula 6]
Sha Shen 10 grams, Ophiopogon 15 grams, 12 grams of bamboo, dendrobium, lily 10 grams, yam, lentil 12 grams, white peony 9 grams, neem 12 grams. Water decoction, 1 dose per day, 2 times.
This formula benefits the stomach and nourishes yin, and is suitable for chronic gastritis caused by insufficient stomach yin.
[Fang 7]
Chenpi 10 grams, 9 grams of green peels, neem 6 grams, 9 grams of dandelion, 6 grams of gardenia, 5 grams of Huanglian, 9 grams of dandelion, white peony, 10 grams of yuan huosuo; decoction with water, 1 dose per day, 3 times a day.
This formula clears stomach and liver, suitable for chronic gastritis caused by liver and stomach heat.
[Square 8]
Salvia divinorum 10 grams, red peony 9 grams, 6 grams of Wu Lingyi, 9 grams of Pu Huang, sandalwood, sandalwood, 6 grams of adenosine, neem 9 grams. Water decoction, 1 dose per day, divided into 2 times.
This formula activates blood and moves qi, and is suitable for chronic gastritis caused by qi stagnation and blood stasis.
[Square 9]
Bamboo Ru 12 grams, 30 grams of rehmannia, 15 grams of dandelion, 10 grams of Citrus aurantium and dendrobium, 15 grams of maitake, 6 grams of mint, 12 grams of white peony, 6 grams of licorice. Water decoction of 300 milliliters, morning and evening divided into 2 times before meals warm service, weekly service 5 doses.
This formula Shandong old Chinese medicine Yao Ziyang formula. Function of Qi and pain, light and cool moist, suitable for chronic superficial gastritis.
[Square ten]
Malt, grain buds 30 grams each, chicken gold, yam 15 grams each, 10 grams of ginseng, licorice 8 grams. The former medicine plus water over the surface of the medicine l inch (refers to - general medicine pot) soaked for 1 hour, and then placed on the fire to simmer a boil, followed by boiling for 5 minutes can be, should not be decocted for a long time. One dose a day, twice a day, one hour before meals. This formula is the experienced formula of Zhao Rong, a famous old Chinese medicine practitioner in Fujian. It has good curative effect on chronic gastritis.
[Square 11]
Bupleurum Chinense 6 grams, fried scutellaria, fried atractylodes macrocephala, fragrant lentils, fried white peony 9 grams each, roasted licorice 3 grams, Su peduncle 6 grams, the system of Xiangshu, roasted Yanhu 9 grams, 15 grams of Augustus zhazha, fried hexagrams, Xiangguzhaiba 6 grams each. Water decoction, divided into 2 times, 1 hour after meals warm.
This formula for the Shanghai famous old Chinese medicine Zhang Jingren formula, function of regulating the liver and stomach, spleen and center, suitable for chronic gastritis.
[Square 12]
Codonopsis pilosula, fried atractylodes macrocephala, 10 grams each, gunpowder ginger, Huanglian, wood incense, 5 grams each, 10 grams of Qinpi, 5 grams of plums, 3 grams of roasted licorice. Decocted with water, take in 3 times. It can also be made into pills according to the proportion, 5-10 grams each time, taken 3 times a day.
This formula is the Sichuan traditional Chinese medicine Peng Shu prescription. It can benefit the qi, transport the spleen, dry dampness and fix the intestines, and is suitable for enteritis.
[Square 13]
Ham 250 grams, ginger, green onions, pepper, salt. Wash the ham meat, cut into thin slices in a bowl, add ginger, scallions, a little bit of water, placed on the steamer basket with a high fire steaming until cooked. Peppercorns crushed, the iron pot is hot, put people peppercorns stir-fry, then add salt, continue to stir-fry until the peppercorns overflowing with flavor, salt particles can be scattered. When taking, dip the ham into the pepper salt and eat with meals. This formula warms the stomach and regulates qi. It is suitable for people who often go up against the cold in the middle jiao and beat er, and can be supplemented with the treatment of cold stomach pain.
Chronic gastritis is a chronic, non-specific, inflammatory or atrophic lesion that occurs as a result of frequent attacks on the gastric mucosa by various pathogenic factors. The syndrome is generally divided into four types: chronic superficial gastritis, chronic atrophic gastritis and gastric atrophy, chronic erosive gastritis and chronic hypertrophic gastritis according to the observation of gastroscopic morphology and histopathology.
The etiology of chronic gastritis is often related to the following factors. ① Long-term eating or taking *** sexual food, drugs. ② Bacterial infection. ③ central nervous system dysfunction, so that the gastric mucosa of the low protective function and nutritional disorders, resulting in chronic inflammation. ④ Bile reflux, which can destroy the gastric mucosal barrier and cause inflammation. Immune factors may be an important cause of atrophic gastritis. This disease belongs to the categories of "stomach pain", "stomach plumpness", "acid reflux" and "vomiting" in traditional Chinese medicine. [Clinical manifestations]
Upper abdominal discomfort or pain after eating, or irregular paroxysmal or persistent epigastric pain. In addition to pain, it may be accompanied by loss of appetite, nausea, bloating and warmth. Chronic atrophic gastritis may be accompanied by fatigue, plumpness, anemia, diarrhea, tongue inflammation, and brittle nails in addition to the above symptoms. There is usually a slight pressure pain in the upper abdomen, and atrophic gastritis can have lethargy, pale skin and mucous membrane and smooth tongue.
[Diagnosis]
1. Clinically relevant symptoms and signs.
2. The diagnosis can be confirmed by relying on gastroscopy and biopsy of pathologic tissue. Gastric fluid analysis, Campylobacter pylori examination, gastric secretion function measurement, X-ray examination, the antibody test can be used as a reference for the diagnosis of this disease, should be excluded peptic ulcer, gastric cancer, and chronic liver, biliary and pancreatic diseases.
[Treatment]
1. Western medicine
(1) general treatment: dietary therapy is a necessary therapeutic measure for chronic gastritis, the diet should be easy to digest, to avoid *** sex, eating should be chewed and swallowed slowly in order to achieve the purpose of less ***, easy to digest. Stop taking *** drugs, quit smoking and alcohol, treatment of oropharyngeal chronic infection is also a necessary therapeutic measure.
(2) symptomatic treatment: abdominal pain can be given anticholinergic drugs, such as atropine 0.3mg, 3 times a day, or Pruphylaxine 15mg, 3 times a day; acid reflux, gastric acid secretion of high alkaline drugs, such as aluminum hydroxide gel lOml or calcium carbonate 0.5g, 3 times a day; dyspepsia, lack of gastric acid secretion can be taken to 1% dilute salt 3 ~ 5mi, 3 times a day, or pepsin combination lOml, 3 times a day.
Pepsin, or pepsin combination lOml, 3 times a day; anemia can be oral iron and intramuscular injection of vitamin B12; gastroscopy with bile reflux can be used gastrointestinal (mitochondria) lOmg, 3 times a day.
(3) Antimicrobial therapy: for those with focal infection or positive H. pylori test. Gentamicin 20,000 u, 4 times a day; streptomycin 0.25 g, 4 times a day; dysentery 0.1 g, 3 times a day; metronidazole 0.25 g, 3 times a day; furazolidone 0.1 g, 3 times a day. Choose one or two of them to take.
(4) other treatments: autoimmune-related low acid chronic gastritis, glucocorticoid therapy, such as prednisone 5mg, 3 times a day or dexamethasone 0.75mg, 3 times a day, but should be used with caution under close observation, suspected of peptic ulcers should be disabled. Low-acid chronic gastritis can be aggravated by bacterial reproduction, and can be treated with antimicrobial drugs for a short period of time.
2. Traditional Chinese medicine
(1) Spleen and stomach dampness and heat: gastric distension and pain obvious, warmth, noisy, sticky mouth, or mouth moss bad breath, bowel movement, chest tightness and plagued, poor nutrition, distension and pain aggravated by food, tongue slightly red, moss yellow and thick and greasy, pulse strings and slippery. Treatment: clearing heat and draining turbidity, harmonizing the stomach and eliminating lumps. Prescription: Cangzhu 10 grams, Houpu 10 grams, Huo Xiang 10 grams, wood incense 10 grams, sandalwood 3 grams, 3 grams of sandalwood, 5 grams of nutmeg, 10 grams of half-summer, 10 grams of Chenpi, 3 grams of licorice.
(2) Liver and stomach heat: burning pain in the stomach and epigastric region, the pain is urgent, and even the two hypochondriacs, irritability, acid noisy, dry and bitter mouth, red tongue with yellow fur, and the pulse is stringy. Treatment: dredge the liver and harmonize the stomach, relieve heat and relieve pain. Prescription: Mudanpi 10 grams, gardenia 10 grams, gentian herb 6 grams, Qingpi 10 grams, Zhebeimu 10 grams, white peony 10 grams, neem 6 grams, Huanglian 6 grams, dandelion 12 grams, Wu Juju 2 grams. Proprietary Chinese medicine: Niu Huang Qing Stomach Pill.
(3) Liver and stomach qi stagnation: stomach and epigastric distention and fullness of attacking and supporting pain, pain connecting the two hypochondriacs, chest tightness and belching, good taiyi, vomiting, sometimes acidic or bitter water, upset and easy to be angry, bowel movement is not smooth, or loose stools or constipation, the tongue is light red, the moss is thin yellow or white, the pulse is stringy. Treatment: dredge the liver and regulate qi, harmonize the stomach and relieve pain. Prescription: Chai Hu 10g, Prepared Xiang Fu 10g, Citrus Aurantium 10g, Rhizoma Ligustici Chuanxiong 10g, Dabai Pi 10g, Chen Pi 10g, Bai Shao 10g, Sha Ren 3g, Glycyrrhiza Uralensis 6g. Proprietary Chinese medicines: Shu Liver and Stomach Pill, Zuo Jin Wan.
(4) Yin deficiency of the spleen and stomach: hidden burning pain in the stomach and epigastrium, thirst and thirst for drink, dry mouth and throat, noisy burning in the stomach, dry stools, little food, dullness, fatigue, little or thin yellow moss, thin or fine pulse. Treatment: Nourish Yin and benefit the stomach. Herbal Formula: Bei Sha Shen 10g, Maimendong 10g, Dendrobium 10g, Jade Bamboo 10g, Radix Rehmanniae Praeparata 10g, Tamarindus indica 6g, Lentinus edodes 10g, Radix et Rhizoma Pinelliae 10g, Radix et Rhizoma Glycyrrhiza Glabra 6g, Fructus Jujubae 2pcs. Proprietary Chinese medicine: Mai Wei Di Huang Wan.
(5) gastric blood: stomach and epigastric stabbing pain or pain in a fixed place, aggravated by pressing, not cured for a long time, stool color black, dark red or purple tongue, bruises, pulse stringy and astringent. Treatment: activate blood circulation, dissolve silt and relieve pain. Prescription: 10 grams of fried Wu Ling Yi, 10 grams of Angelica sinensis, 6 grams of Rhizoma Ligustici Chuanxiong, 5 grams of Panax quinquefolii, 10 grams of Chaihu, 6 grams of Paeonia lactiflora, 6 grams of Wuyao, 6 grams of Yuanhu, 6 grams of Glycyrrhiza Uralensis, 6 grams of Xiangsuan, 10 grams of Safflower, 6 grams of Citrus sinensis.
(6) Spleen and stomach cold: vague pain in the stomach and epigastric region, continuous, like warmth, like to press, food will be reduced, vomiting water, less, fatigue and fatigue, lack of frustration in the hands and feet, loose stools, pale tongue, thin white moss, weak pulse. Treatment: benefit qi and warmth, strengthen the spleen and stomach. Formula: Astragalus 12g, Gui Zhi 6g, Paeonia lactiflora 10g, Glycyrrhiza glabra 6g, 3 slices of ginger, 3 jujubes, 30g of caramel. Proprietary Chinese medicine: Radix Rehmanniae Pill.
[Prevention and Nurturing]
The patient should keep the spirit happy, avoid mental ***, pay attention to the regularity of life. Avoid eating cold and spicy things, do not abuse alcohol, do not overeat, eat more easily digested soft food with nutritional value, eat more fresh vegetables and fruits.