When people mention chronic atrophic gastritis, they often “talk about atrophy” because in the 1980s, the World Health Organization convened a meeting of experts to classify chronic atrophic gastritis as a “precancerous state of the stomach”, so many people suffering from atrophic gastritis, their This “compulsive” mental stress often leads to depression, anxiety, insomnia, fatigue, not thinking about eating, and even feeling that the stomach seems to have ” The discomfort caused by mental factors has somehow exceeded the symptoms of chronic atrophic gastritis. This does not contribute to the recovery of chronic atrophic gastritis or to one’s own health. Therefore, it is necessary to talk about the prognosis of chronic atrophic gastritis and its treatment and care for those patients with chronic atrophic gastritis. The question of whether chronic atrophic gastritis will definitely develop into gastric cancer is a concern for almost all patients. Theoretically, chronic gastritis needs to go through the steps of chronic inflammation → atrophy → intestinalization → heterogeneous hyperplasia to develop into gastric cancer, but according to statistics, its cancer rate is only 0.5%-1%, and even in this 0.5%-1% of the possible cancer rate, it is mostly related to the failure to get good treatment, failure to carry out diet and spiritual adjustment, and failure to reduce and control the adverse factors that stimulate the stomach. Nowadays, with the continuous research on the disease by Chinese and Western medicine, there are more and more reports of reversal of atrophy and intestinalization, and the cancer rate will be greatly reduced by active treatment and prevention as well as good diet and spiritual care. Therefore, chronic atrophic gastritis ≠ cancer over time. So, what should patients with chronic atrophic gastritis pay attention to? One is to do a good follow-up of dynamic observation. It is generally believed that atrophic gastritis without intestinalization and heterogeneous hyperplasia can be followed up by endoscopy and pathology once in 1-2 years; atrophic gastritis with moderate to severe atrophy with intestinalization on biopsy can be followed up once in a year or so; those with mild heterogeneous hyperplasia can be shortened to once in 6-12 months according to endoscopic and clinical conditions; those with severe heterogeneous hyperplasia need immediate review of gastroscopy and pathology, and if necessary, surgical treatment or endoscopic local Treatment. This can control the development of disease transmission in the bud. The second is to actively pursue a combination of therapies aimed at relieving symptoms and improving gastric mucosal histology (including inflammation, atrophy, and intestinalization). ①For Hp (Helicobacter pylori) positive gastric mucosa atrophy and erosion, it is recommended to eradicate Hp. ②For those with major symptoms such as epigastric fullness, nausea or vomiting, prokinetic drugs such as domperidone, trimethoprim maleate, mosapride, itopride hydrochloride, etc. are available. ③Gastric mucosal damage and/or symptoms are obvious with gastric mucosal protective agents, such as aluminum thioglycollate, rebapent, and teprenone. ④In cases with bile reflux, prokinetic drugs and/or gastric mucosal protectors with bile acid binding effect can be applied. ⑤ For those with gastric mucosal erosion and/or symptoms such as acid reflux and epigastric pain, antacids, H-receptor antagonists or proton pump inhibitors (PPI) can be used according to the severity of the disease or symptoms. However, they should be used according to the severity of the disease or symptoms, and should not be used for a long time. (6) For those with poor sleep or obvious psychiatric factors, antidepressants and sedatives can be combined with treatment or psychotherapy. Active comprehensive treatment can link the condition and control the development of the disease. Third, the use of traditional Chinese medicine treatment. Recent studies have shown that Chinese herbal medicine has achieved significant advantages in the treatment of chronic atrophic gastritis. In the process of undertaking the project of “Optimization of Clinical Treatment Plan for Chronic Atrophic Gastritis” of the National 11th Five-Year Plan, we treated more than 300 patients with chronic atrophic gastritis with a course of 2 months and 2 consecutive courses of treatment using the compound formula classified by TCM. In the course of the project, we treated more than 300 patients with chronic atrophic gastritis with a course of 2 months and 2 consecutive courses, and about 75% of the patients got effective control or reversal, which achieved very good results. Fourth, good dietary regimen. Eat less and do not eat nitrate-containing pickled products, smoked and fried food, forbidden to eat moldy food, avoid drinking strong tea, strong alcohol, coffee and other stimulating food, avoid overeating. Eat more fresh vegetables, fruits and foods rich in vitamins A, C, E and selenium, folic acid, allicin, tea polyphenols and lean meat, poultry, fish, milk and other foods with high protein content and low fat content, and properly consider using yams, monkey mushrooms, lentils, angelica, lamb and other medicinal meals. In the Nei Jing, it is said that “food and meat, fruits and vegetables, food and nourishment,” that is, food and nourishment in Chinese medicine, is very beneficial to the recovery of atrophic gastritis. The actual fact is that you can find a lot of people who are not able to get a good deal on this. Many people, because of their “knowledge”, “fear of cancer” and long time mental stress, often appear to have insomnia, anxiety, suspicion and other mental symptoms, which can not change the reality, but will reduce the effectiveness of treatment. For this reason, it is very important to maintain a positive spirit, eliminate stress, make life regular and participate in outdoor health activities for the recovery of the disease. Therefore, patients with chronic atrophic gastritis should not be equated with “cancer over time”. As long as they have a good and relaxed psychological and mental attitude, actively treat and take care of their health, and do a good diet, mental and living regimen and beneficial health activities, they can be controlled and recovered completely. The Department of Gastroenterology of our hospital has a special clinic for chronic atrophic gastritis, which has accumulated rich clinical experience in providing consultation and combined Chinese and Western medicine treatment and health care services for patients with chronic atrophic gastritis throughout the year.