Gastritis in Traditional Chinese Medicine

Gastritis is a very common stomach disease, especially chronic gastritis which is very difficult to treat and requires long-term treatment. Gastritis is not easy to treat. In addition to taking medication, it also requires long-term conditioning. Therefore, some patients are very concerned about the TCM theory of gastritis and hope to use TCM to better treat gastritis. Let’s take a look at the main methods of TCM in treating gastritis.

Diagnostic criteria for syndrome differentiation based on integrated traditional Chinese and western medicine

(1) Liver-stomach disharmony type:

Main symptoms: ① Pain and distension in the stomach or pain in the flanks. ② Frequent belching. ③Noisy and acidic.

Secondary symptoms: ①Acute active inflammation of gastric mucosa. ② Bile reflux.

Tongue and pulse: pale red tongue, thin white or thick white fur; stringy pulse.

Syndrome determination: ① Two of the main symptoms are present, and the tongue and pulse conditions are basically consistent. ② The patient has the main symptoms and one secondary symptom, and the tongue and pulse conditions are basically consistent. Any one of the above conditions can be confirmed.

(2) Weak spleen and stomach (including deficiency-cold) type:

Main symptoms: ① Dull pain in the stomach. ② Stomachache likes pressing and warming. ③ Feeling bloated and full after eating. ④Poor appetite and eat less. ⑤ Clear stool and diarrhea. ⑥ Fatigue and soreness of limbs.

Secondary symptoms: ① The gastric mucosa is red and white, with white being the main color. ②The mucus is thin and abundant. ③Low stomach acid.

Tongue and pulse: ① The tongue is pale red, with a thin white or white coating and teeth marks. ②The pulse is deep and fine.

Determination of syndrome type: ① The three main symptoms are present, and the tongue and pulse are basically consistent. ② The patient has two main symptoms and one secondary symptom, and the tongue and pulse are basically consistent. Any one of the above conditions can be confirmed.

(3) Spleen and stomach damp-heat type:

Main symptoms: ① Burning and distending pain in the stomach. ② Bitter taste and bad breath. ③Yellow urine. ④ Abdominal distension and fullness, thirst but no desire to drink.

Minor symptoms: acute, active inflammation of gastric mucosa, obvious congestion and erosion.

Tongue and pulse: red tongue with dark red edges and tip, thick or greasy yellow tongue coating. The pulse is slippery and tight.

Syndrome determination: ① Two of the main symptoms are present, and the tongue and pulse are basically consistent. ② The patient must have one main symptom and one secondary symptom, and the tongue and pulse are basically consistent. Any one of the above conditions can be confirmed.

(4) Insufficient stomach yin type:

Main symptoms: ① Burning pain in the stomach. ②Dry mouth and tongue. ③The stool is dry.

Secondary symptoms: ① The gastric mucosa is flaky with red and white, and the mucosa becomes thinner. ②The gastric mucosa is dry and contains less mucus. ③Low stomach acid.

Tongue and pulse condition: ① The tongue is red, dry or has cracks. ②The pulse is thin or stringy.

Syndrome determination: ① The presence of two main symptoms and consistent tongue and pulse findings. ② The patient has the main symptoms: neck and secondary symptoms, and the tongue and pulse are basically consistent. Any one of the above conditions can be confirmed.

(5) Stomach collateral blood stasis type:

Main symptoms: ① Pain in the stomach is localized and does not like to be pressed. ②The stomachache does not heal for a long time. ③The ambassador has positive occult blood or black blood in the stool.

Minor symptoms: congestion and swelling of the gastric mucosa, accompanied by ecchymosis or bleeding spots.

Tongue and pulse: ① The tongue is dark red, or dark purple, or has ecchymosis. ②The pulse is stringy and astringent.

Syndrome determination: ① Two of the main symptoms are present, and the tongue and pulse are basically consistent. ② The patient has 1 main symptom plus a secondary symptom; the tongue and pulse are basically consistent. Any one of the above conditions can be confirmed.