How to choose medication for chronic gastritis?

  1, acid suppressant is suitable for those who have middle and upper abdominal pain or gastric mucous membrane erosion, can choose cimetidine, ranitidine. And some alkaline drugs in the stomach and gastric acid neutralization, also has a better effect, such as aluminum hydroxide.  2, gastric mucosa protective agents, like aluminum thiosulfate, bismuth potassium subcitrate, these drugs can be evenly distributed in the gastric mucosa, so that it is protected from the attack of gastric acid. Superficial gastritis can be used.  3, such as confirmed H. pylori infection, can be used to kill the bacteria of antibiotics, such as hydroxybenzyl penicillin, methotrexate, dysentery, clarithromycin, etc..  4, where the spleen, and stomach, and the flow of Qi, gangrene, depression, in addition to the full function of the Chinese medicine, are suitable for the prevention and treatment of chronic superficial gastritis, and good results. The most common Chinese medicines are Baohe Pill, Yueju Pill, Xiang Sha Liujun Pill, Xiang Sha Yanggong Pill, Shuhe Pill, Qi Stagnation and Gastroparesis Punch, Liangfen Pill, Wen Gastric Shu Capsule, Yanggong Shu Punch, Yin Deficiency and Gastroparesis Punch, Sanjiu Gastrodia, Monkey Mushroom Tablet, Shuhe Liver and Stomach Pill, Mu Xiang Shun Qi Pill, Tonic Zhong Yi Qi Pill, Compound Tian Qi Gastroparesis Capsule, Gastric Su Punch, and so on. They can be used under the guidance of doctors.  5, chronic atrophic gastritis can take pepsin combination, 10 mg each time, 3 times a day orally; or gastric lexin, 1 time 1 bag; or Dela punch, 1 time 1 bag, 3-4 times a day orally.  Chronic atrophic gastritis belongs to the category of gastroparesis in Chinese medicine, which can be treated by the method of benefiting Qi, activating Blood and promoting circulation, with emphasis on strengthening the spleen and regulating Qi with yam, atractylodes and foxglove. Reference prescription: Astragalus membranaceus 20g, Radix Paeoniae Alba, Radix Angelicae Sinensis, Peach kernel, Safflower, Rhizoma Chuanxiong 6g each, Radix Paeoniae Alba 10g, Atractylodes Macrocephalae 10g, Rhizoma Yam 15g, Radix Bupleurum 6g. After 20 doses, the pain in the stomach and epigastrium could be gradually reduced, the spirit turned better, the food intake increased, and the bruises on the tongue gradually receded. After that, add 6 grams of Jiu Xiang Worm and 10 grams of fried White Peony, and take 20 doses, all symptoms can be eliminated. Gastroscopy often suggests a shift to chronic superficial gastritis.  6, nausea, belching can be used for obvious nausea, gastric complex, 10 mg each time, 3 times a day orally, or morpholine, 10 mg once, 3 times a day orally.  7.When there is bile reflux (bile reflux gastritis), use gastric reassurance, or morpholine, biliary amine. Biliary amine 3-4 grams each time, 4 times a day, 1 hour after meals and before bedtime; can also apply dysentery, 0.1 grams each time, 3 times a day orally; or metronidazole, 0.2 grams each time, 3 times a day orally; or Lizudra, 1 bag each time, 3-4 times a day before meals on an empty stomach. For epigastric pain, use 654-2, 10 mg per dose, 3 times a day orally; or probenecid, 15 mg per dose, 3 times a day orally. In case of heartburn or acid reflux, use aluminum thioglycollate, 1.0 g each time, 3 times a day orally; or cimetidine, 0.2 g each time, 3 times a day orally; liver and stomach gas pain tablets, stomach relief, etc. can also be used.