Etiology and pathogenesis
Understanding of western medicine
The cause of disease
It is generally believed that helicobacter pylori infection and immune factors are the main factors. Drinking, improper diet, mental factors, drugs that can damage gastric mucosa (such as aspirin and indomethacin) and bile reflux are the inducing factors.
pathology
The inflammation of superficial gastritis is limited to the superficial layer of gastric pits and the lamina propria of mucosa. Epithelial cell degeneration, epithelial hyperplasia of pits and infiltration of lamina propria cells cause mucosal congestion, edema and exudation. Mostly in the antrum of stomach, sometimes accompanied by a small amount of erosion and bleeding. Some patients have more erosive lesions in the antrum of the stomach, or are accompanied by verrucous processes, which is called chronic erosive or verrucous gastritis.
Atrophic gastritis, inflammation goes deep into the lamina propria of mucosa, leading to atrophy of lamina propria, thinning of mucosa, flattening or even disappearance of mucosal folds, often accompanied by intestinal metaplasia and atypical hyperplasia.
The dysfunction of pyloric sphincter in some patients leads to the reflux of duodenal contents into the stomach, and bile reflux gastritis is caused by bile reflux.
Chronic gastritis is often complicated with gallstones or chronic ulcerative colitis.
Traditional Chinese medicine knowledge
Spleen and stomach weakness is its internal cause, and improper diet, emotional damage and excessive work and rest are its inducing factors.
Poor diet, stagnation, depression stagnation; Anger, liver failure, stomach and wrist qi stagnation; Overworking will consume qi and blood, and excessive comfort will lead to discomfort of qi.
Spleen and stomach weakness, combined with the above factors, leads to poor qi movement, stagnation of stomach qi and abnormal ascending and descending, which is the basic pathogenesis of this disease.
Symptom differentiation
Most chronic gastritis has no obvious symptoms, and some patients have symptoms such as fullness and discomfort in the upper abdomen, dull pain in the stomach, belching and noisy, anorexia and nausea. General gastritis can be seen anorexia, weight loss, or anemia; Gastric antrum gastritis or gallstones, especially those with more bile reflux, can cause acute erosion and obvious pain, murmur and burning sensation. In severe cases, a small amount of upper gastrointestinal bleeding may occur, such as hematemesis and melena.
Chronic gastritis belongs to the categories of stomachache, fullness, belching, noise and so on in Chinese medicine books.
After years of exploration, I have summarized the syndrome types of spleen and stomach weakness, stagnation of stomach qi and disharmony between liver and stomach, which may be combined with excess fire in liver and gallbladder and damp-heat in intestines and fu organs.
Traditional therapy in China
Mainly to strengthen the stomach, digestion, soothing the liver, regulating qi, harmonizing the stomach and reducing adverse reactions.
Modified Zhishi Xiao Pi Pill is the main method.
Zhishi Xiao Pi Pill was created by doctors in Jin and Yuan Dynasties. It "cures guilty conscience, bad food, laziness and tiredness, and stimulates appetite." The original prescription was pills. After years of exploration, I use this recipe to make soup or concentrate into pill powder to treat chronic gastritis, and the effect is good.
Fructus Aurantii Immaturus, Rhizoma Coptidis, Rhizoma Zingiberis Recens and Rhizoma Pinelliae
Magnolia officinalis, Ginseng Radix and Radix Glycyrrhizae Preparata
Atractylodes macrocephala and poria cocos malt
Dosage, addition and subtraction and decoction: depending on the severity of the disease, the length of the course, individual differences and dialectical results.
Indications: Chronic superficial gastritis, atrophic gastritis, erosive gastritis and bile reflux gastritis, with symptoms of stomach pain, abdominal distension, fullness, belching, noisy, pantothenic acid, nausea, loss of appetite, etc., can be treated with this recipe.
For patients with deficiency cold, Rhizoma Coptidis is reduced and Fructus Amomi and Fructus Evodiae are added; For patients with disharmony between liver and stomach, Chaihu Shugan powder is combined; Jin Lingzi powder and Scutellaria baicalensis Georgi are added for patients with liver fire invading the stomach; If the stomach qi obviously goes up, add Su terrier, if the liver and gallbladder are very hot, add Bupleurum and Scutellaria baicalensis; Damp-heat of intestine and fu-organs plus radix aucklandiae; Dose can be increased or decreased according to deficiency of cold and heat.
general knowledge of health care
(1) Eat reasonably to prevent stagnation from hurting the spleen and stomach; (2) Quit smoking and drinking, avoid overeating spicy food, so as not to repeatedly stimulate gastric mucosa; (3) Keep a good mood and avoid emotional stimulation; (4) Combining work and rest to coordinate gastrointestinal function.
Note: Please choose treatment under the guidance of Chinese medicine.