Chronic superficial gastritis (CSG) is a common disease of the digestive system and is a type of chronic gastritis. The disease is a chronic superficial inflammation of the gastric mucosa, which can be caused by acidity, alcoholism, strong coffee, bile reflux, or H. pylori infection. Patients may have varying degrees of dyspepsia, epigastric discomfort and vague pain after eating, which may be accompanied by belching, nausea, acidity, and occasionally vomiting, generally with mild symptoms, and in some cases without obvious symptoms, which can be detected during gastroscopy. Every person, from the day they are born, uses their stomach to digest food and some harmful substances such as alcohol, drugs, cigarettes, etc. Therefore, gastroscopic findings of chronic superficial gastritis are all too common, and it is conservatively estimated that more than 90% of patients undergoing gastroscopy are “diagnosed” with CSG. This brings up the question of why many patients feel Stomach discomfort, dyspepsia, vague stomach pain, belching, acid reflux and other manifestations are treated according to chronic superficial gastritis with poor results or even ineffective, and some patients have a history of more than 10 years! For this situation, there are some issues that have not been considered as follows: 1. Helicobacter pylori infection: Helicobacter pylori (Hp) was discovered by two Australian scholars, Warren and Marshall, in 1983, for which both won the Nobel Prize in Medicine in 2005, Hp can cause chronic gastritis if the patient has If the patient has Hp infection and the physician is not aware of the problem, it is impossible to control the patient’s symptoms without eradicating Hp. 2, functional dyspepsia (functional dyspepsia, FD): for the common functional gastrointestinal disease, the prevalence is high, some reports believe that the disease accounts for 1/4 of the gastroenterology outpatients. 3, the patient’s mind is extremely stressed, often leading to insomnia, depression, irritability and anxiety, seriously affecting the quality of life and work of patients! Its etiology and pathogenesis have not been fully elucidated so far, but it is believed that its development may be related to a variety of factors such as gastrointestinal dysfunction, excessive visceral perception, psychosomatic disorders, abnormal gastric acid secretion and H. pylori (Helicobacter py lori, Hp) infection. With the increase of people’s life and work pressure and the acceleration of the pace of life, the incidence of FD is significantly increasing trend, the treatment is usually: small doses of antidepressants + symptomatic treatment, if treated according to the stomach disease, the effect is not good is to be expected! 3, liver, biliary, pancreatic diseases: various causes of acute and chronic hepatitis, cholecystitis, chronic pancreatitis and other diseases can also cause: indigestion, loss of appetite, belching, upper abdominal discomfort and other so-called “chronic superficial gastritis” manifestations, so in clinical work, require the brain inside the string! The medical history will be careful and comprehensive, so as not to miss the diagnosis, misdiagnosis! 4. Local manifestations of systemic diseases: e.g. thyroid disease, hypothyroidism caused by various causes; diabetes-induced gastrointestinal vegetative neuropathy, such as diabetic gastroparesis; connective tissue diseases, commonly known as rheumatic and rheumatoid diseases, such as systemic lupus erythematosus and rheumatoid arthritis involving the gastrointestinal tract! 5, often take drugs that are damaging to the stomach: such as painkillers, aspirin, non-steroidal anti-inflammatory drugs: anti-inflammatory pain, ibuprofen, etc.. These drugs can not only lead to chronic superficial gastritis, and can even lead to gastric bleeding.