Atrophic gastritis specific medicine

Atrophic gastritis is a disease that is relatively harmful nowadays. The occurrence of atrophic gastritis will cause patients to feel stomach pain, nausea, and vomiting, which is quite harmful. Patients with atrophic gastritis usually hope to find some specific medicines to quickly cure their condition, but it also depends on the pathological factors and the type of disease. The main choice is to combine Chinese and Western medicine to regulate, suppress pain, and repair the stomach and intestines.

Treatment method: Atrophic gastritis is characterized by prolonged illness and long-term indigestion. The main symptoms are abdominal distension, which becomes more obvious if a little more food is eaten, a bland taste in the mouth, dull pain and discomfort in the epigastric region, fatigue, weight loss, poor appetite, anemia, etc., which fall into the categories of "fullness in the stomach[1]" and "epigastric pain" in traditional Chinese medicine. The cause of chronic atrophic gastritis has not yet been fully elucidated. It is generally believed to be related to immune factors, bile reflux, biological factors, drug factors and the influence of related diseases. Traditional Chinese medicine believes that it is related to emotional disorders, improper diet, weak spleen and stomach, and congenital deficiencies.

TCM treatment of atrophic gastritis

Tibetan medicine treatment

For stomach heat: When the stomach is hot, the digestion function is too hyperactive, which may cause noise in the stomach, rapid digestion and hunger. When the heat is strong, the body fluids are consumed, resulting in internal accumulation of dryness and heat, and the stomach loses its harmony and descending function. Symptoms may include bitter taste in the mouth, thirst and constipation. In severe cases, it may deplete yin fluid and cause stomach yin deficiency. Gastric fire inflammation can cause gastric qi to rise, and symptoms such as nausea, vomiting of sour, bitter and yellow water may occur. Stomach fire goes up along the meridians and causes toothache, gingival swelling, or nosebleed. The heat burns the stomach's veins, causing blood to overflow and cause hematemesis.

Plateau Tibetan medicine recommends the following medications for stomach heat:

[Tibetan medicine name] Xianlu 25-flavor Mabao pill

[Indications] Acute and chronic gastritis, chronic superficial gastritis, chronic atrophic gastritis, chronic erosive gastritis, antral gastritis, gastric ulcer, duodenal ulcer, gastroenteritis, colitis, etc. For stomach cold: Stomach cold refers to the symptoms of stagnation of yin and cold in the stomach caused by spleen yang deficiency, excessive eating of raw and cold food, or direct invasion of cold evil. Symptoms include epigastric pain, which is relieved by warmth, vomiting of clear saliva, bland mouth, preference for hot drinks, indigestion, and a pale tongue with a slippery white coating. The treatment is suitable for warming the stomach and dispelling cold.

Plateau Tibetan medicine recommends the following medications for stomach cold:

【Tibetan medicine name】: Xianlu Pazhu Pills

[Properties] Brown-grey water pills with slight odour, pungent and sour taste.

[Indications]: Acute and chronic gastritis, chronic superficial gastritis, chronic atrophic gastritis, gastroptosis, reflux esophagitis, chronic erosive gastritis, antral gastritis, gastric ulcer, duodenal ulcer, gastric perforation, gastric tumor, gastrointestinal stromal tumor, etc. Western medicine treatment of atrophic gastritis

(1) General treatment: Patients with chronic atrophic gastritis, regardless of the cause, should quit smoking and drinking, avoid using drugs that damage the gastric mucosa such as aspirin, indomethacin, erythromycin, etc., have a regular diet, avoid overheated, salty, and spicy foods, and actively treat chronic oral, nasal, and pharyngeal infections.

(2) Weak acid treatment: Patients with low or no acid as confirmed by pentagastrin test can take appropriate amount of rice vinegar, 1-2 spoons each time, 3 times a day; or 0.5-10 ml of 10% dilute hydrochloric acid, before or during meals, and take pepsin mixture at the same time, 10 ml each time, 3 times a day; multienzyme tablets (DPP) or pancreatic enzyme tablets can also be used for treatment to improve the symptoms of indigestion.

(3) Anti-Helicobacter pylori treatment: In chronic atrophic gastritis, gastric acid is reduced or lacking, and bacteria multiply in the stomach, especially Helicobacter pylori, with a high detection rate. The use of antibiotics has a certain effect on improving the symptoms of chronic atrophic gastritis. The treatment methods commonly used to eliminate Helicobacter pylori are: tripotassium bismuth dihydrate (TDB, De-NOL), 120 mg each time, 4 times a day, taken for 4 to 6 weeks; amoxicillin capsules, 0.5 g each time, 4 times a day; furazolidone (Furazolidone) 100 mg, 3 to 4 times a day. These drugs can not only eliminate Helicobacter pylori, but also help to reduce and eliminate the accompanying active gastritis. Other drugs that have therapeutic effects on Helicobacter pylori include gentamicin, berberine, metronidazole, tetracycline, and norfloxacin.