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Point type differentiation of bile-regurgitational gastritis

2012年01月31日

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Point type differentiation of bile-regurgitational gastritis

 

 

 

ZangHaiYang xinyi municipal hospital in jiangsu province

 

 

 

China's traditional Chinese medicine reported

 

 

 

        Of bile-regurgitational gastritis is due to flow into the duodenum, and its activities through the pylorus bile reflux to stomach, stimulate gastric mucosa and produce inflammation venereal change, is more common type of gastritis. Endoscopy is more gastric juice, a yellow, gastric mucosal hyperemia, edema, or show erosion. The main causes for the stomach stomach after resection with most conservative treatment, and the pylorus dysfunction and chronic biliary disease caused by such as, clinical to approach the pain, pantothenic acid noisy, vomiting and bitterness for ZhuZheng. Of motherland medicine "weiwantong, pantothenic acid, new card" category. The author disease diagnosis and treatment of Chinese medicine clinical experience better effects and clinical syndrome differentiation often divide the following four type.

 

        Liver with stomach type mainly for new approach the full, pain, LianJi two threat, pantothenic acid noisy, when the beefing, belch is frequency, feel with objects such as obstruction of the throat. Tongue light moss white, pulse string. Put to appropriate ShuGan qi, and stomach drop inverse. Can choose ShuGan was scattered and spin the generation Zhe tonga decreases. The fumatory 9 g, ZhiKe 12 grams, root of herbaceous peony 9 g, britannica 30 grams (packet Fried), the generation ZheShi 10 grams, poria cocos 15 grams, ginger, 9 g, liquorice 6 grams. If the fire biaoben huanji, irritable, dry mouth bitter, red tongue, moss yellow, pulse string number, and 9 g, gd mountain dandelion 15 grams, coptis chinensis franch 6 g, 3 g WuZhuYu; Pain or even a play c $the hu 12 grams, JinLingZi 6 g, turmeric 12 grams; Constipation increase the yellow 9 g (after), semen raphani 15 grams.

 

        Gas stagnation and blood stasis mainly for approach the pain, the pain has his place, or a stinging, after what food pain, hiccups pantothenic acid or see vomiting blood having blood in one's stool, tongue qualitative dark purple, pulse acerbity. Put to appropriate for activating blood circulation and eliminating stasis, regulating the pain. Can choose ShiXiao scattered and salvia miltiorrhiza drink to add and subtract. Pu yellow 12 grams (packet Fried), five spirit fat 12 grams (packet Fried), danshen 30 grams, sandalwood 6 g, sand benevolence 12 grams (after), notoginseng powder 3 g (a blunt), white and 15 grams. If see god fatigue strength add dangshen 15 grams, prince Edward and 20 grams; Be agitated, dry mouth thirsty, red tongue, pulse number six grams of rhizoma coptidis, stone dendrobium 15 g.

 

        Hot and humid in type resistance mainly for new approach the full, searing pain, nausea do not want to eat, dry mouth bitter, bad breath, XiongGe annoyed, red tongue, moss HuangHou greasy, pulse string slippery. Put to appropriate heat of wet, and stomach drop inverse. Can choose WenDan tonga coptis chinensis franch subtraction. 9 g coptis chinensis franch, dried tangerine or orange peel to 9 g, 6 grams sprouting, 9 grams of frutus, poria cocos 15 grams, bamboo 9 g radha, white Kou benevolence 6 grams, the dandelion 15 grams, jersey 12 g diarrhea. If NaCha, food add less JiaoGu, malt all 15 grams, JiNaJin 15 g; Wan abdominal distension full discomfort and aromatherapy 9 g, citron 9 g, 9 grams of frutus; Yin deficiency adds the stone dendrobium 12 grams, dwarf lilyturf 12 grams.

 

        Yin deficiency of spleen and stomach type mainly for burn approach the faint, hunger and do not want to eat, after food full bilge, mouth dry, dry throat stool stem node, red tongue less tianjin, moss light strip, pulse count. Nourish "Yin" appropriate to the spleen, benefit stomach pain. Can choose always Fried and herbaceous licorice tonga decreases. Straight ladybell 30 grams, dwarf lilyturf 15 grams, raw land 9 g, sichuan melia japonica son 6 grams, herbaceous 12 grams, ebony 9 g, berganottin 12 grams, with 9 g incense, ZhiKe 9 g, roasted liquorice 6 grams. If acid deficiency adds the papaya 15 g; With qi and prince and 30 grams of; Burn is heavy and JinLingZi 6 g, yuan hu 12 grams; Noisy pantothenic acid and rhizoma coptidis 6 grams, WuZhuYu 3 g.

 

        Gas deficiency type mainly for weiwantong potential and love with new discomfort, when when bulge away, languid, defecate is not moved, tongue light moss thin, pulse slow and weak. Put to appropriate spleen yiqi, and stomach pain. Can choose astragalus chienchung tonga decreases. 30 grams of astragalus, cassia twig 9 g, root of herbaceous peony 18 grams, poria cocos 15 grams, Fried white atractylodes 15 grams, 6 grams combination (after), malt 15 grams, ginger, 9 g, big jujube six COINS, roasted liquorice 9 g. If see limbs not warm, warm and cold evil or dry ginger 15 grams, cassia twig 9 g, Tongue quality dim and salvia miltiorrhiza 15 g, frankincense, myrrh, each 12 grams; Defecate pond thin add cohosh 3 g, 3 g radix, Fried white atractylodes 15 g.

 

        Of bile-regurgitational gastritis choose the treatment of the application to be flexible, along with the card to add and subtract, the author for clinical experience symptoms characteristics choose some drugs, can obviously improve the curative effects, such as GanYan mouth dry adds the stone dendrobium 12 grams, dwarf lilyturf 12 grams; Weiwantong c $what hu 12 grams, JinLingZi 6 g, Wan abdominal distension full adds the aromatherapy 9 g, citron 9 g, Noisy pantothenic acid adds the six grams of rhizoma coptidis, WuZhuYu 3 g; Defecate pond thin adds the cohosh 3 g, 3 g radix, Fried white atractylodes 15 g; Constipation increase the yellow 9 g (after), 15 g semen raphani; Defecate color black or blood will add sanqi (panax notoginseng) powder 3 g (a blunt), white and 15 g; Limbs not temperature, and the evil cold like the warm and dry ginger 15 grams, cassia twig and g.