Chronic gastritis: liver spleen and stomach

Yu Wentao Cheng Li Hebei medical university institute of traditional Chinese medicine

Yang Muxiang studio of traditional Chinese medicine

China's traditional Chinese medicine to

        Chronic gastritis is the clinical common disease, frequently-occurring disease. In recent years, with the popularity of gastroscope diagnosis and pathologic histology research progress, the confirmed cases of chronic gastritis, according to the statistics, chronic gastritis make up about 80% ~ 90% of outpatient gastroscopy patients. Because can be gradually developed into atrophic gastritis, superficial gastritis even arise, a serious threat to patients with health, has drawn great attention of Chinese and western medicine in recent years.

        Etiology and pathogenesis

        Chronic gastritis belongs to the traditional Chinese medicine "stomach", "noisy" and "spit acid" category, especially in the stomach as the primary symptom. The cause of the disease are exogenous cold evil, eating wounds, found in modern, spleen and stomach weak, etc. The theory of element, ask for pain, "said:" cold between the stomach and membrane under the original blood may not be scattered, small winding guide, so pain." Stomach Lord acception, rotten food, its gas in and down to a suitable, liver is just dirty, article xi da, pathogenic factor, sorrow is hushed into anger, found in modern, liver pathogenesis, liver depression and qi stagnation, unreasonableness make stomach, so that stomach gas estrangement, stomach gas block, you can send to have a stomachache. So Shen Jinao in the qing dynasty in the origin of miscellaneous disease origin, rhinoceros candle stomach trouble, said: "the stomach pain, dry the diagnosis disease also.... only diseases with multiplication is especially, sexual violence with wood, and is also." Change the day for a long time, but also the fire hot, pathogenic heat makes the stomach, cause liver stomach wind-cold and pain. If liver pathogenesis, qi activity, blood stasis, but also the formation of blood stasis have a stomachache. The wood of the liver and gallbladder are diseases is not comfortable, can lead to bile pathogenesis, descending disorder, retrograde makes the stomach, liver stomach qi activity block, also can stomach. The pivot, the four bodies "yue:" evil in bile, inverse in the stomach." In addition, coke cold, lost temperature raise and stomach pain. Stomach Yin deficiency, moisten the loss, but also to have a stomachache.

        Yang Muxiang thinks, although stomach pains are available on the diet not festival, sorrow is hushed into anger, cold evil guest stomach, spleen and stomach weak wait for a variety of reasons, and make to move the stomach, particularly as Ye Tianshi puts it: "jue Yin shun by Yang Ming, stomach soil long injury, liver wood more horizontal". This disease in the stomach, the closest relations with zang-fu organs such as liver and spleen dysfunction, disease early more injury by invaded, diet, modern factors, such as more as the evil reality; Disease for a long time and often spleen and stomach weakness, factors of the majority. Diseases with stasis, spleen health, gastric estrangement is the main pathogenesis.

        Syndrome differentiation syndromes

        Zhongjing pointed out: "see liver disease, liver and spleen, ohlendorf spleen", although the move to make the stomach, but should be liver, spleen and stomach and adjustable, therefore to liver qi, spleen and stomach is the main treatment. Since the proposed "wood with drink."

        10 grams of syndromes: radix bupleuri, incense add 10 grams, sichuan fruit 10 grams, 15 grams, Fried atractylodes poria cocos 15 grams, 15 grams, main licorice magnolia officinalis 10 grams, 10 grams of dried tangerine peel, orange 10 grams, the ginger pinellia 10 grams.

        Square solution: radix bupleuri liver, bravery, facilitating XieYu, to remove the source of the disease, so as a gentleman medicine; Sweet, sichuan fruit facilitating pain relief, and enhancing radix bupleuri liver XieYu, so as the official medicine; Fried atractylodes, poria cocos, main licorice spleen yiqi, and liver qi wu agent of photograph, so as to achieve the effect of taking soil or wood, so as the adjuvant; Magnolia bark, dried tangerine or orange peel, orange spleen and stomach; Ginger pinellia inverse anti-nausea, SiYao altogether to make medicine, the medicine wu, altogether plays liver qi, spleen and stomach. Modern pharmacology study shows that radix bupleuri has significant anti-inflammatory and analgesic effect; Attached, inhibiting gastric convulsion, fruit can and promote excretion of bile, with function of protect liver, gallbladder; Atractylodes, poria cocos can strengthen immunity, regulate gastrointestinal plant nerve, promote gastrointestinal smooth muscle movement; Licorice can promote gastric mucus secretion, improve gastric mucosa amino sugar content, enhance gastric mucosa, mucus barrier; Dried tangerine or orange peel, orange, can promote gastric emptying, adjust gastrointestinal movement; This decoction can decrease the total gastric juice acidity and pepsin activity, protect the gastric mucosa.

        Add and subtract using: the ancient with the general principles of the "pain" to treat pain, promote xiaoshi, qi, drainage, cold heat, blood, desiccant and raise the treatment, such as Yin and stomach, invigorating explored Yang Muxiang thinks, stomach to liver stomach not see more, have a fever the actual situation in a word, stasis of different treatment of the disease must grasp for use with "fu", "the stomach and to shun" physiological characteristics, the method for regulating qi activity, to break down, and with the functions, nourishing Yin, blood circulation, replenishing qi, cold rule, along with the add and subtract. If diseases with stasis, companion see often pain, good heave a deep sigh, ZhuoJia bergamot 10 grams, 10 grams of citron, turmeric 10 grams, turmeric 10 grams, liver qi; See if wind-cold heavier, with dry mouth mouth, red tongue moss yellow, ZhuoJia sichuan coptis 10 grams, 10 grams of gardenia, clear heat purging fire; If the stomach heat, relieving gas impassability, companion see halitosis constipation, ZhuoJia cannabis 10 grams, 10 grams bunge cherry seed, runchang purge; If the blood stasis block, stabbing pain with see the diagnosis, especially the person that weigh at night ZhuoJia yuan hu 10 grams, sandalwood 6 grams, invigorate the circulation of the pain; If weak stomach gas, delay the diagnosis, companion see ay rotten full bilge, loss of appetite, ZhuoJia focal three cents each 15 grams, 10 grams chicken's gizzard-membrane, jianwei xiaoshi; If something make the stomach, the stomach enrages disaccord, companion see pantothenic acid heartburn, ZhuoJia coptis 10 grams, 6 grams of evodia rutaecarpa, chicken's gizzard-membrane, 10 grams, 15 grams of cuttlefish bone; If gastric estrangement, stomach on inverse gas, companion see belching hiccups, ZhuoJia clove 6 grams, stem 10 grams, loquat leaf 15 grams, inula spend 10 grams (packet Fried); If wet blue block, spleen and stomach, with chest often see the new frowsty, stay to eat less, thick greasy tongue coating, ZhuoJia lotus petiole 10 grams, perrin stem 10 grams, ageratum stem 10 grams; Spleen and stomach weakness, companion see form thin, thin, defecate pond ZhuoJia Fried lentils 10 grams, Fried yam 15 grams, 15 grams of Fried semen coicis.

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