How long does it take for a duodenal ulcer to heal?

Duodenal ulcer is a very common disease at present. Duodenal ulcer has a regular onset. Inflammation appears first and then slowly leads to ulcer. After the onset of the disease, patients need to pay attention to adjust their work and rest schedule in life, avoid excessive fatigue and mental stress, and cooperate with reasonable Chinese medicine conditioning. Common medicines include many types. In normal times, you must pay attention to regular anti-inflammatory and inhibit viral attacks.

Treatment methods: Generally, treatment should include leading a regular life, combining work and rest, avoiding excessive fatigue and mental stress, eating on time, preventing excessive hunger and fullness, avoiding spicy, cold, overly salty food, strong tea, coffee and other irritating foods, and quitting bad habits such as smoking and drinking.

This method of traditional Chinese medicine treatment is the first choice for clinical treatment of superficial gastritis. It does not have the irritation to the gastric mucosa like Western medicine, and does not cause drug dependence. It regulates the internal organs simultaneously, such as taking Zangwei San. It is effective, green and safe, has no side effects, and can achieve the purpose of cure. It is a model of traditional Chinese medicine treatment.

Drug treatment ① H2 receptor antagonists: Commonly used drugs include cimetidine, ranitidine and famotidine.

Cimetidine is the weakest, famotidine is the strongest, and ranitidine is in between. These drugs should be appropriately reduced or used with caution in patients with severe liver or kidney dysfunction. In general, the daily dose can be taken once at night, with a dosage of 800 mg of cimetidine, 300 mg of ranitidine, and 40 mg of famotidine.

② Proton pump blockers: The commonly used drug is omeprazole, and the usual dose is 20~40mg/d. The advantage of this drug over H?2 receptor antagonists is that it can inhibit the growth of Helicobacter pylori.

③Antacids: It is an anti-ulcer drug with a long history. The colloidal aluminum-magnesium mixture (aluminum hydroxide and magnesium milk mixture) is still in use. It can neutralize gastric acid for 3 to 4 hours when taken between meals. It is usually given in small doses, 15 to 30 ml, 3 times/d.

Traditional Chinese medicine treats ulcers mostly for deficiency syndromes, with long-term illness and physical weakness, pain that is relieved by warm pressure, relief from pain after eating, loose stools with little appetite, fatigue, dull complexion, pale tongue, thick and greasy or slippery white tongue coating, and weak pulse. The treatment principle is to use gastrointestinal and mental regulating drugs that warm the middle and dispel cold, replenish qi and nourish yin, regulate the stomach and harmonize the middle, and nourish yin. The dosage is adjusted according to the symptoms in clinical practice. The syndromes are divided into cold syndrome, heat syndrome, qi and yin deficiency, qi collapse, etc.

1. Deficiency-cold syndrome: Insufficient congenital constitution, eating raw and cold food, overwork and fatigue damage the yang, resulting in disharmony of stomach qi and dull pain in the epigastric area, preference for warmth and pressure, reduced appetite, poor appetite, loose and sticky stools, belching and sour vomiting, cold hands and feet, enlarged tongue, white tongue coating and weak pulse. Treatment principles: warm the middle and dispel cold, and replenish deficiency with sweet and warm properties.

2. Deficiency-heat syndrome: usually weak body, long-term illness damages yin, or is addicted to spicy, fatty and sweet food, and alcohol, which damages stomach yin, causing burning and distending pain in the stomach, especially at dusk, noisy stomach, stuffy appetite, sour tongue, and more severe pain if spicy food is eaten, burning and distending, hot hands and feet, dry mouth but no desire to drink, dry or soft stools, bright red tongue on all sides, greasy or slippery tongue coating, deep and stringy pulse at the joints, small and weak pulse. Treatment principles: Nourish the stomach, regulate the middle, nourish yin and produce body fluid.

3. Qi and Yin deficiency syndrome: Long-term illness has not been cured, the condition lingers for a long time, Yang is deficient in the front and Yin is lost in the back. Symptoms include physical coldness with cold limbs and cold hands and feet, and internal heat, swelling and burning pain in the stomach. The patient likes warmth but hates cold. The pain in the stomach and abdomen is resistant to pressure. The patient has poor appetite, fatigue, thirst, dry throat, red eyes and yellow urine. The tongue is slightly fat, with a red texture and yellow coating, and the pulse is deep, weak and stringy at the left Guan point. Treatment principles: tonify Qi and nourish Yin, regulate the middle and harmonize the stomach.