Advantages of combining Chinese and Western medicine to combat peptic ulcer recurrence

  Peptic ulcer (PU) is a common and frequent clinical disease. With the successive introduction of H2 receptor antagonists (H2RA) and proton pump inhibitors (PPI), the clarification of the correlation between Helicobacter pylori (Hp) and PU and the common application of anti-Hp therapy, the cure rate of PU has been significantly improved, and complications such as bleeding, perforation, obstruction and carcinoma have been reduced accordingly. However, the problem of PU recurrence has still not been solved. A large number of studies have shown that the combination of Chinese and Western methods to combat peptic ulcer recurrence has obvious advantages, and the measures are as follows: (1) for Hp-related ulcers according to the standard protocol to eradicate Hp is the first priority, and then continue to use H2RA or PPI to complete the entire anti-ulcer course, duodenal ulcer (DU) with a total course of PPI 2-4 weeks, colloidal bismuth 4-6 weeks, H2RA 4-6 weeks; gastric ulcer (GU) The total course of treatment with PPI 4-6 weeks, colloidal bismuth 6-8 weeks, H2RA 6-8 weeks. Inadequate drug variety, amount and treatment time can affect the healing effect. Determination of Hp eradication should be made at least 4 weeks after the end of Hp eradication treatment.  (2) For NSAID (non-steroidal anti-inflammatory drugs such as aspirin and fenbendazole) related ulcers, they should be discontinued immediately if the situation allows, and then treated with regular doses of regular courses of PPI or H2RA; for those who cannot discontinue NSAID, PPI should be used instead of H2RA treatment.  (3) For those who cannot discontinue NSAID and cannot eradicate Hp ulcers, or those who have eradicated Hp but have serious complications at an advanced age and have serious concomitant diseases, they need to be maintained with H2RA (PPI for NSAID-related ulcers) in regular half doses at bedtime for a long time to prevent recurrence.  (4) In addition to the above-mentioned western medicine treatment (except for those with complications), Chinese herbal medicine treatment can significantly accelerate the improvement of symptoms and ulcer healing, improve the quality of ulcer healing, and reduce recurrence.  In addition to this, paying attention to dietary hygiene, regular life, good mind and stable emotion, and quitting smoking and alcohol are the guidelines you should always adhere to for daily health care and wellness.