Biliary reflux gastritis is relatively common in clinical practice. Biliary reflux gastritis is an inflammatory lesion that occurs when bile discharged from the gallbladder into the duodenum mixes with other intestinal fluids, passes through the pylorus, refluxes to the stomach, and irritates the gastric mucosa. The etiology of bile reflux gastritis is mainly after major gastrectomy with gastrojejunostomy, as well as pyloric malfunction and chronic biliary diseases. Clinical symptoms Stomach fullness or discomfort, often aggravated after meals, or stomach pain, or cold stomach, may be accompanied by abdominal distension, belching, acid reflux, heartburn, nausea, vomiting, gastric vibratory sounds, bowel sounds, poor bowel movements, loss of appetite and wasting; severe cases may also have gastric bleeding, manifested as vomiting blood or passing black stools (tarry stools) and positive fecal occult blood test. Gastroscopy: The gastric juice can be seen directly, grass-green, the gastric mucosa is congested, edematous, or erosion; the pyloric portal is open, and bile refluxes from the duodenum to the stomach through the pylorus (click to see gastroscopy images). Pathological biopsy suggests gastritis. 2. Gastric aspirate determination: Gastric tube is inserted to aspirate fasting and postprandial gastric juice, and the bile acid content is measured. 3, isotope determination: intravenous injection of 2mCi99mTc-butyliminodiacetic acid, every 5 minutes to observe the liver and biliary tract for a total of 1 h. 1 hour patient drink 100ml of water containing 0.3mCi99mTc to accurately determine the location of the stomach. Subsequently, the liver, gallbladder and gastric region were examined every 15 minutes for 2 hours to determine the gastrointestinal reflux index. The normal value is 8.6±6.0; it increases to 86.3±7.1 in those with reflux gastritis. 99mTc-labeled solution can also be injected into the duodenum or upper jejunum, and then the gastric isotope content is traced to understand the degree of gastrointestinal reflux. Treatment 1, Western medicine treatment: gastrokinetic drugs: such drugs can increase the peristalsis of the gastrointestinal tract, inhibit bile reflux into the stomach, commonly used are: morpholine, mosapride. thus protecting the gastric mucosa; Gifted, which has the effect of protecting the gastric mucosa and promoting the healing of inflammation. 2, Chinese medicine treatment: Dr. Hu after long-term clinical practice on the treatment of bile reflux gastritis, Chinese medicine identification of bile reflux gastritis, mostly belongs to the spleen and stomach elevation imbalance, water and drink stagnation of the stomach, and liver qi stagnation. The results of this identification of the symptoms of the prescription, the effect is more ideal. 3, diet conditioning: diet should be light, do not eat greasy food, so as not to stimulate increased bile secretion, aggravate the reflux and the condition. The actual fact is that you will be able to get a lot more than just a couple of hours of work. Avoid drinking strong tea, strong wine, strong coffee and eating spicy, too cold, too hot and rough food. 4. Remove certain aggravating factors, including quitting smoking and alcohol, avoiding mental tension, keeping your mood relaxed, and not taking or cautiously taking drugs that irritate the gastric mucosa, such as aspirin, anti-inflammatory pain, painkillers and pau d’arco.