Chen Yuming old Chinese medicine treatment of chronic gastritis experience
[Abstract] Chen Yuming old Chinese medicine treatment of chronic gastritis, the clinical classification and the performance of the combination of gastroscopy, advocates, and the stomach is expensive to transport as a complement, not be paranoid for a law, but should be cold and heat transfer levels, complement consumption and facilities, orderly movements, blood simultaneously to achieve a balance of yin and yang, the sick to the effect is complex.
[Keywords: ] Chen Yuming, chronic gastritis, Syndromes
Chronic gastritis is a Chinese medicine "Stomachache","fullness", the endoscopic and pathological diagnosis can be clearly lesion (antrum, gastric body, fundus, etc. , the degree lesions (superficial, atrophic, acute and chronic , mild,moderate and severe, activities, rest, etc. and dysplasia,metaplasia (intestinal metaplasia, mild, moderate and severe degree. I practice traditional Chinese medicine hospital Chen Yuming fifty years old, especially good at diagnosis and treatment of stomach diseases, now the experiences in the treatment of chronic gastritis are presented below.
1 Qi stagnation
Main symptoms: epigastric pain and pain channeling the two threats, belching frequency for, noisy, pantothenic acid,plays disease: inflammation, acute gastric, bile reflux, pink tongue, thin white fur, pulse string. Syndromes identified:the main disease two, basically conforms tongue and pulse, or main symptoms of a disease a plus times, tongue and pulse good agreement. Treatment: Imitation CHSGS. bergamot film, the Soviet Union stems, plum, Cyperus rotundus, fried white peony root, dandelion , fried Citrus aurantium, turmeric, raw abalone, such as the stagnation of heat by cremation, the main symptoms: epigastric burning pain, mouth pain, bad breath,poor stool or constipation, secondary disease: acute gastric mucosal active inflammation, congestive significant erosion,red or dark red tongue, thin yellow or greasy fur, slippery pulse string. syndromes identified: two main symptoms, tongue and pulse basic compliance with, or have a primary disease and secondary disease, the basic line with tongue and pulse.Governance Recipe Coptis above, light Zhuru, melon kernels,
snake tongue grass.
Deficiency type 2 Deficiency Type: Main symptoms:epigastric pain, stomach pain hi by hi warm, food after abdominal nausea, poor appetite Eat, loose stools or diarrhea,weakness in limbs, fatigue, time symptoms: gastric Red phase and white-based, thin mucus And more, pink tongue, thin white fur, or indentation, the pulse was fine. syndrome to determine: (1 the three main symptoms, tongue and pulse basic compliance, (2 with primary and secondary disease symptoms two one, tongue and pulse good agreement. Treatment: Astragalus Decoction Jianzhong. Astragalus, Codonopsis, Atractylodes fried, Poria, Ginger Breit, Bao Jiang, Bi Stubbs, fried white peony, bergamot films, woody. Yin Type: Main symptoms:epigastric burning pain, dry mouth, dry stool, sub-syndrome:gastric red and white sheet, mucosal thinning, mucosal dryness, mucus little red tongue Shaojin, or crack , pulse small or thin string. syndrome to determine: (1 with primary disease two and a tongue and pulse, (2 with primary and secondary symptoms of a disease two, tongue and pulse good agreement. Treatment: Imitation Radix Ophiopogon soup .littoralis, Ophiopogon japonicus, peony, plum, licorice, reed rhizome, plum, dandelion. Stasis and permit: Main symptoms: epigastric pain, pain has given place, refused to press, stomach pain unhealed course of time, positive fecal occult blood or black stools, plays disease: mucosal congestion and swelling, accompanied by bleeding or bleeding,tongue dark red or dark purple, or petechiae, pulse string astringent. syndromes identified: two with the main symptoms,tongue and pulse basic compliance with, or have a primary disease and secondary disease, the basic line with tongue and pulse. Treatment: Original Recipe Participation notoginseng,Curcuma, white and, red peony, Oujie. - severe atrophy,intestinal metaplasia is with white British, Tri, soil Fuling,iron and old Link, Curcuma, in order to prevent malignant transformation. Poxue generally considered cured Curcuma Jun stasis more effective than, in fact, its placid nature. the treatment of chronic gastritis, and with the number of antipyretic, dandelion most appropriate, less heat and bitter cold, and the role of a stomach.
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3 Treatment experience
Shen teacher advocates treatment for your stomach to transport the fill. Because of the Central Standing Committee emerged in clinical phase and the syndrome, such as cold and heat mixed, both the actual situation is, lift out of order,qi stagnation, so the treatment can not be paranoid a law, but should be cold and heat transfer levels, complement consumption and facilities, lift, orderly and blood simultaneously to achieve a balance of yin and yang, the sick to the effect is complex.
Flat cold and heat: chronic gastritis, mixed cold and heat syndromes per see, as in the past aversion to the eating habits of pregnant hot, cold food every thing that
Weiwanxiashu fullness, you see the mouth pain, dry mouth,yellow greasy tongue coating thermal imaging, or oral ulcers.In this regard, Shen teachers often choose BanxiaxiexinTang change with the disease. predecessors called it a "Acrid bitter drop" of power, Acrid who Breit, the Xin Jiang to open the hot, bitter drop by berberine, baicalin the bitter cold of the dynasties of. can also be left Kanemaru, take Coptis and Evodia, a hot one cold, cold person Masaharu, with heat from the rule, therefore effect relative economic standing.
Complement consumption and Shi: The syndrome of chronic gastritis, there are many who see both the actual situation.If Qi is known as the hungry, less gas weakness of the spleen and stomach qi deficiency, there epigastric swelling of the liver plug, fresh air of stagnation after the pain . simply is not conducive to consumer inflation tonic pain, and stubbornly stagnant broken gas line in the air is not conducive to recovery, the clinical teacher, Shen, ginger, licorice with Magnolia Pinellia Ginseng rule, both prescription Magnolia,Ginger, Pinellia cured evil in addition to stagnation gas,there are ginseng, licorice fill in the complex in the gas,the treatment of fullness of the virtual stagnation of the prescription. In addition, Six Gentlemen Decoction, Xiangsha Liujunzi are blending soup consumption in the meeting of the prescription, but In the application, depending on the number of actual situation, or make elimination half, or three make seven away, do not delay fill, elimination without consumption.
Blood of both: upper abdominal pain, fullness is a common disease and syndrome of chronic gastritis, the pain is mainly due to blood stasis, the so-called "Qi stagnation is swelling,
blood stasis is pain", but not necessarily, Qi stagnation can also be students pain, blood stasis may also increase inflation. only more stagnation and liver were uncomfortable with the flank view, will appear belching, burp, etc. All the pain of blood stasis, teachers often take Danshen Yin Shen rule. side Salvia take blood circulation, combined with sandalwood, Amomum qi pain, gas Blood Circulation live, Wei Qi had been taken, the pain from the mitigation, such as the Jin Ling Liu Zi Powder Hejian, side to take sub-Liver Qi Jinling ,Yan Hu stasis, qi and blood circulation for the pain of the prescription. who have given at the epigastric pain with those who see the dark purple tongue as the preferred prescription.
Clinical to the attention of four issues: (1 must be clearly the nature of syndrome should be the premise of this method,(2 syndrome dose how much depends on the actual situation,cold and heat, lifting the varies inside, (more than 3episodes of chronic gastritis and seasonal variation related to addition and subtraction according to six air changes, and (4 episodes of chronic gastritis and diet section on, it can be added with the card coke xanthan, betel nuts, Gallus gallus domesticus, rhubarb, radish seed and other help digestion.
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