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Chronic Gastritis

1. Overview and Causes
2. Symptoms
3. TCM Effectiveness and Evaluation
4. Common Syndromes and Treatments in TCM
  a. Stagnation of the Stomach-Qi..
  b. Stagnation of the Liver-Qi attacking the..
  c. Insufficiency-cold in the Spleen and Stomach
  d. Deficiency of the Stomach Yin due to..
5. Healing by Other Therapies
  a. Qigong and other
  b. Medicated diet
  c. Life style
6. Psychological Adaptation


1. Overview and Causes

Chronic gastritis is a chronic gastric lesion, pathologically characterized by nonspecific chronic inflammation of the gastric mucosa. Chronic gastritis can be divided into two categories, primary and secondary. The former is further categorized into superficial, atrophic and hypertrophic types; the latter often complicates gastroduodenal ulcer and gastric cancer.

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2. Symptoms

(a) Chronic upper abdominal pain, fullness and discomfort, belching and acid regurgitation which often occur after meals.
(b) Gastrofiberscope: Is most contributive in confirming diagnosis.

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3. TCM Effectiveness and Evaluation

By treating chronic gastritis with TCM’s treatment approach, not only can get better effects than use of other treatments, but also avoid re-occurrence and no side effects. It takes about two or four weeks as a treatment cycle.

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4. Common Syndromes and Treatments in TCM

This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below.

Syndrome (a)
Stagnation of the Stomach-Qi

Epigastric distension and fullness of pain, loss of appetite, indigestion, or diarrhea, white coating of the tongue, and slippery pulse.

To treat by Herbal medicine
Therapeutic principle: Regulating the stomach-Qi to relieve distension and fullness.

Prescription/Formula: Pinellia tuber(Banxia)9g; Dried ginger(Ganjiang)9g; scutellaria root(Huangqin) 9g; coptis rhizome(Huanglian) 6g; dangshen 12g; Licorice root(Gancao) 9g; Chinese-date(Dazao) 12 pieces.

  

To treat by Acupuncture and Moxibustion


  

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Syndrome (b)
Stagnation of the Liver-Qi attacking the Stomach

Epigastric distension, pain, fullness, oppression and discomfort which is aggravated after meals, frequent belching which may be aggravated by emotional upset, thin and white coating of the tongue, and deep taut pulse.

To treat by Herbal medicine
Therapeutic principle: Relieving hyperactive liver-Qi and regulating the stomach.

Prescription/Formula: Bupleurum root(Chaihu)10g; Cyperus tuver(Xiangfu)10g; White peony root(Baishaoyao)10g; Bitter orange (Zhike) 10g; Sichuan chinaberry(Chuanlianzi) 10g; Corydalis tuber(Yuanhu) 10g; Tangerine peel(Chenpi)10g; Perilla stem(Sugeng) 10g; Licorice root(Gancao) 6g.

  

To treat by Acupuncture and Moxibustion
Prescription: Neiguan(PC6), Zhongwan(RN12), Zusanli(ST36), Yanglingquan(GB34), Taichong(LR3), Qimen(LR14)

  

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Syndrome (c)
Insufficiency-cold in the Spleen and Stomach

Dull pain in the stomach, vomiting of watery fluid, perferencefor warmth and press, aggravation from cold, fatigue, loose stools, pale tongue, deep thready and weak pulse.

To treat by Herbal medicine
Therapeutic principle: Warning middle-jiao and dispelling pathogenic cold.

Prescription/Formula: Astragalus root(Huangqi) 30g, Cinnamon twig (Guizhi)9g, White peony root (Baishaoyao)18g, Baked ginger(Ganjiang)6g, Aucklandia root(Muxiang)9g, Amomum Fruit (Sharen)10g, Chinese-date(Dazao) 5 pieces, Prepared licorice root(Zhigancao) 6g.

  

To treat by Acupuncture and Moxibustion
Prescription: Neiguan(PC6), Zhongwan(RN12), Zusanli(ST36), Pishu(BL20),Weishu(BL21), Gongsui(SP4).

  

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Syndrome (d)
Deficiency of the Stomach Yin duo to Stomach Heat

Dull pain in the stomach with burning sensation which is aggravated in the afternoon or on empty stomach and is relieved after meal. dry mouth and throat, or thirst, poor appetite, dry stool, red tongue with yellowish and dry coating, wiry, thready and rapid pulse.

To treat by Herbal medicine
Therapeutic principle: Clearing away Heat from the stomach and nourishing Yin of the stomach.

Prescription/Formula: Glenia root (Shashen)10g, Ophiopogon root(Meidong)10g, Fragrant solomonseal (Yuzhu)10g White peony root (Baishaoyao)10g, Scoptis rhizome (Huanglian)10g, Scutellaria root(Huangqin) 10g, Tangerine peel (Chenpi)10g, Dandelion Herb(Pugongyin)20g, Licorice root(Gancao) 6g.

  

To treat by Acupuncture and Moxibustion
 Prescription: Pt. Liver, Pt. Stomach, Pt. Subcortex, Pt. Sympathetic Nerve.

  

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5. Healing by Other Therapies

(a) Qigong and other therapies

For effect of Qigong on the Digestive System, click here.

Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements.

The following types of Qigong may help:

For the information of different types of Qigong ,just click a link above.

This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them.


(b) Medicated diet
1. Poria (Fuling) 15g, Coix Seed (Yiyiren) 15g, rice 60g, put 4 cups of water then soak for 20 minutes, have it boiled for 30 minutes to make rice gruel, eat once a day for 4 weeks.
(c) Life style
1. Don't eat raw, cold, special food and deep-fried food.
2. Take regular meals on time, avoid excessive food and/or drink at one meal.
3. Avoid mental stress and overstrain.
4. Don't take any medications which has side effect to irritate gastric mucosa.
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6. Psychological Adaptation to a Chronic and Severe Illness
One encounters different health problems in the course of one's life. Some problems are acute yet minor and often improve by themselves or yield to simple self-management. Severe and acute conditions often necessitate the help of health professionals who may provide fast relief with specific interventions. However, when the condition is chronic, the management required is quite different.

Please click the following button to learn "Psychological Adaptation to a Chronic and Severe Illness".

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Acknowledgments:
Healthphone.com greatly acknowledges the support and dedication of our
Healing Centre Panel, without whom this section would not be possible.

We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.