Chronic gastritis: liver spleen and stomach

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Yu Wentao was founded in Hebei Medical University, Chinese Academy of traditional Chinese medicine in the name of Yang Muxiang chronic gastr

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Yu Wentao was founded in Hebei Medical University, Chinese Academy of traditional Chinese medicine in the name of Yang Muxiang chronic gastritis clinical common disease, frequently occurring disease. In recent years, with the popularization of gastroscope diagnosis and the progress of pathological research, the number of confirmed cases of chronic gastritis is increasing gradually. According to the statistics, chronic gastritis accounts for 80% ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ of chronic gastritis, which is gradually increasing. As a result of superficial gastritis can be gradually developed into atrophic gastritis, and even the occurrence of cancer, a serious threat to the health of patients, in recent years, caused by the high attention of Chinese and Western medicine. Etiology and pathogenesis of chronic gastritis belongs to traditional Chinese medicine "stomach pain", "noisy", "spit acid" and so on, especially in stomach pain. The etiology of this disease is mainly exogenous pathogenic cold injury, diet, emotional upset, weakness of the spleen and stomach. "Q - lifting pain on the article" said: "the guest in the stomach, the original film, blood shall be scattered, small collateral anxious, so the pain." The main receiving the stomach, digesting food, and the gas to drop to shun, liver is just dirty, likes of, catharsis, worries angry, emotional upset, liver qi, liver qi stagnation, Hengni make stomach, so stomach and stomach, block to stomach. So the Qing Shen Jinao in "miscellaneous origin of rhino candle said:" the origin of "stomach, stomach pain, stomach disease also do evil....... Only Ganqi multiplication for especially in wood of violence, and is also g." Liver long, and the heat of the fire, heat invading the stomach, leading to liver stomach heat and pain. If the liver Qi poor, blood stasis, and blood stasis pain. Liver and gallbladder intestine, all belongs to the wood, the liver is not comfortable, can lead to bladder dysfunction, Tongjiang arrhythmia, retrograde stomach, liver Qi block, stomach pain can also occur. "Four gas" Lingshu said: "the evil in the bile, inverse in the stomach." In addition, the stomach deficiency, loss of temperature raising and the pain. Stomach yin deficiency, stomach lose, also caused stomach pain. Yang Muxiang believes that although the stomach can be caused by improper diet, worry angry, cold evil guest stomach, spleen and stomach and other reasons, and to make gastric diseases particularly rare, as ye Tianshi said: "Jue Yin Shun by Yangming stomach soil long injury, liver wood more cross". The disease in the stomach, liver and spleen and other organs dysfunction was closely related to the cause of disease, early by pathogenic factors, diet, emotional trauma and other factors, is evil; long illness often and weak stomach, inclusion of card. Liver qi stagnation, spleen and stomach disharmony as its main pathogenesis. Treatment prescription Zhongjing said: "liver disease, liver spleen transfer knowledge," spleen ", although the card is the incoordination between liver and stomach, but soothing liver and tonifying spleen and stomach, and so on, liver qi, spleen and stomach is the main treatment. By "Chaifu drink". Medicine composition: Bupleurum 10 grams, 10 grams of Rhizoma Cyperi, Kawa Ko 10 grams, 15 grams of fried Atractylodes, Poria 15 grams, 15 grams of licorice root, Magnolia 10 grams, 10 grams of dried tangerine peel, bitter orange 10 grams, 10 grams of Jiang Banxia. Calcitization: Chaihu Shugan Lidan, qi stagnation, to remove the source of the disease, as monarch drug; Cyperus, Kawa Ko Qi and relieve pain, and enhance the capacity of Chaihu Shugan Jieyu, so Chen medicine; fried Atractylodes, Poria, licorice Spleen Qi, combined with liver Qi agents, in order to help the earth to reduce the wood the effect of the adjuvant; magnolia bark, tangerine peel, Fructus aurantii and stomach qi; Pinellia Jiangni vomiting, four a total of medicine, the medicine combined, played a total of liver qi, invigorating spleen and stomach. Modern pharmacological studies show that Bupleurum has significant anti-inflammatory and analgesic effects of Rhizoma Cyperi, Kawa Ko; can inhibit gastrointestinal spasm, and promote bile excretion, has choleretic effect; Atractylodes, Poria can enhance immunity, regulating gastrointestinal autonomic nerve, promote gastrointestinal smooth muscle movement; licorice can promote gastric mucous secretion, improve the hexose content in the stomach mucosal amino - enhance the gastric mucosal barrier of mucus; tangerine peel, Fructus aurantii can promote gastric emptying, regulating gastrointestinal motility; Pinellia can reduce the total acidity of gastric juice and pepsin activity, protect the gastric mucosa. Clinical application: the ancient "general pain" treatment of pain Dafa, advocate the use of cold dispelling, promoting digestion, regulating qi, dispelling heat, blood stasis, dehumidification and nourishing yin and stomach, invigorating yang and other treatment, Yang Muxiang believes that the stomach to liver stomach disharmony syndrome has different rare, cold and heat mixed stasis, the treatment of this we must firmly grasp the "six disease to use", "stomach to and reduced to" physiological characteristics, by the method of regulating qi, so that air to pass down, and to clear fire, nourishing yin and removing blood stasis, dispelling cold, and other treatment, with disease. If the liver qi stagnation, with epigastric pain, good Taixi, add 10 grams of bergamot citron, 10 grams, 10 grams of 10 grams of turmeric, turmeric, liver qi; if the heat is heavy, accompanied by dry mouth, red tongue, add Sichuan Coptis 10 grams, 10 grams gardenia, Qingrexiehuo if the accumulation of heat; gastrointestinal obstruction of Fu Qi, accompanied by bad breath constipation, add hemp seed 10 grams, 10 grams of Yu Li Ren, laxative; if the blood stasis with epigastric pain, especially in the night, add 10 grams of 6 grams of Rhizoma Corydalis, sandalwood, promoting blood circulation and relieving pain; if stomach weakness, indigestion, stomach. With putrid fullness, poor appetite, add jiaosanxian each 15 grams, or 10 grams, Jianwei; if the liver stomach, stomach disharmony, with pantothenic acid heartburn, add 10 grams of Rhizoma Coptidis, Evodia 6 grams, or 10 grams, 15 grams cuttlefish bone; if stomach disharmony and the stomach Shangni, accompanied by belching Hiccup, add 6 grams of clove, persimmon 10 grams, raw loquat leaf 15 grams, 10 grams of Inula (Bao Jian); if the stagnation of spleen and stomach block, loss of movement, accompanied by chest stuffiness, poor appetite, tongue thick and greasy, with loading stem 10 grams, 10 grams of the Perrin Terrier. Agastache stem 10 grams; spleen and stomach, and emaciation, thin stool, add fried lentils 10 grams, fried yam 15 grams, 15 grams of Coix seed.

The medical records of a European, female, 68 years old, married, in Shijiazhuang City, teachers. May 13, 2008 first visit. Patients suffering from intermittent epigastric pain for 4 years, every greasy diet induced, with morning nausea, dry mouth, sticky mouth, belching, upset, stool, pale tongue, yellow greasy moss, pulse string. Check: abdominal palpation was flat, soft, mild tenderness, Murphy in negative, Maxwell no tenderness and rebound tenderness. Electronic Gastroscope: chronic superficial gastritis, duodenal ulcer. Helicobacter pylori: positive. Diagnosis of chronic superficial gastritis and duodenal ulcer. Diagnosis of Chinese medicine: stomachache. Syndromes of liver stagnation and spleen deficiency, damp, stomach disharmony. Treatment with Shuganjianpi, qingrehuashi, heweijiangni. Treated by Chaifu decoction. Recipe: Bupleurum 10 grams, 10 grams of Rhizoma Cyperi, Kawa Ko 10 grams, 10 grams of citrus aurantium, Magnolia 10 grams, 15 grams of fried Atractylodes, Jiang Banxia 10 grams, 10 grams of dried tangerine peel, Poria 15 grams, 15 grams of licorice root, Radix 10 grams, 10 grams of Amomum villosum (after), Coptis 10 grams, 15 grams of dandelion. Students of loquat leaf 15 grams, 10 grams of Jiang Zhu Ru, clove 3 grams, 10 grams of Diospyros kaki. A total of 7 agents, 1 daily agent, water decoction, early two hours after dinner. Two diagnosis: in May 20, 2008, after the administration of dry mouth, nausea still decreasing, epigastric pain, sticky mouth, stool, pale tongue, yellow moss slightly greasy, pulse string. With the above perilla leaf 10 grams, 10 grams of lotus stem, agastache stem 10 grams, after serving 14 agent, with Decoction method. Three diagnosis: in June 4, 2008, after the administration of nausea, belching disappeared, dry mouth, mouth sticky relieve, occasional stomach pain, stool was smooth, pale tongue, yellow moss, pulse string. Above the reduction of clove, Diospyros kaki, Hu C 15 grams, after serving 14 agent. Methods: in June 20, 2008, after the administration of abdominal distension, stomachache were reduced, stool, pale red tongue, yellow white Xiangjian, pulse string. Top 14 doses. Five diagnosis: July 4, 2008, after the administration of all the symptoms disappeared, defecate unobstructed, once a day, pale tongue, white coating, pulse strings. Taking Xiangshayangwei rehabilitation, and ask a diet, eat less greasy fat and sweet. According to the chronic gastritis based on endoscopic manifestations can be divided into chronic superficial gastritis and chronic atrophic gastritis two types, according to the different pathogenic factors can be divided into Helicobacter pylori associated gastritis, bile reflux gastritis and other types of gastric and duodenal ulcer patients are often associated with chronic gastritis, the different types of clinical manifestations, also there are differences. For patients with improper diet, damage the spleen and stomach, spleen and stomach disharmony, so epigastric pain, belching and nausea; liver fire, see the mouth, upset; damp, so see sticky mouth, stool; yellow greasy, pulse string for the stagnation of liver qi, syndrome of damp heat accumulation. In this case, chronic superficial gastritis with duodenal ulcer and Helicobacter pylori positive. Belong to the syndrome of liver stagnation and spleen deficiency, dampness, stomach disharmony. The basic prescription of Chaifu drink Shuganjianpi, Heweijiangni; wood incense, Amomum, wet Xingpi; with Jiang Zhuru, loquat leaf, clove, Diospyros kaki, Heweijiangni; and coptis root, dandelion, qingrezaoshi. Yang Muxiang believes that Coptis, dandelion has a good anti Helicobacter pylori role, through the clear heat, can kill the bacteria, eliminate pathogenic factors. Therefore, Yang Muxiang for patients with positive Helicobacter pylori gastritis, the use of Coptis, dandelion. Two diagnosis SHIXIE omitted, but there is still pain, add perilla, lotus stem, patchouli stem, the three is one of the commonly used medicine group, Yang Muxiang believes, "stem" (plant stem) characteristics of drugs with "access for gas", can be aromatic Huazhuo, into the spleen and stomach, longer than aromatic dampness, Qi wide, of fullness in the stomach has a good effect, especially in the most suitable for damp heat block. It is often used in the treatment of spleen and stomach, Qi is not smooth, dampness resistance, so that the chest stuffiness, food is not satisfied, belching, vomiting. Considering the wet sticky condition easy, lingering, so the disease is relieved by Xiangshayangwei Jianpiqushi aftermath, and will not eat greasy diet, fat and sweet things, to prevent recurrence. Yang Muxiang pointed out that chronic gastritis conditioning machine, should proceed with the treatment of Yu Gan, spleen, stomach. The function of the liver, liver Qi reached, then follow, stagnation is riddled with problems, especially for the disharmony of liver and stomach syndrome, liver Qi is more important. Temper to ascend, the main stomach drop, rise and fall, Qi can coordinate access, if splenism, regardless of the actual situation, will cause stomach disharmony and disease. The treatment with Chaifu decoction, but specific to different types of clinical manifestations of chronic gastritis, there are differences of cold and heat, Bianzhengshizhi are different, clinical should be careful to distinguish, flexible use.

This article reprinted from http://user.qzone.qq.com/371390315/blog/1400074518

 

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