Chronic atrophic gastritis, or (CAG) for short, is a common disease that is classified by the World Health Organization as a precancerous state of the stomach, especially if accompanied by intestinal epithelial metaplasia or atypical hyperplasia, which has a greater potential for cancer. It is slow in onset, persistent, difficult to cure, and tricky to treat. The name of atrophic gastritis does not exist in the literature of Chinese medicine, but belongs to the category of “gastric pain” and “abdominal distension” in Chinese medicine. The atrophic gastritis can be divided into three levels according to the degree of atrophy: mild: the superficial glands of the gastric sinus are focally atrophied and reduced, while the size of the curved glands are normal. Moderate: Both the sinus and the small curvature glands are atrophied and reduced, and the cut is more extensive than mild. Severe: most of the atrophy of the gastric sinus p reduced, only a few of the original glands remain, large p small curved and curved gland atrophy; or mucosa significantly thinner, the original glands completely atrophied p disappeared, and replaced by chemotactic glands. Western medicine treatment: 1, the protection of gastric mucosa drugs commonly used are colloidal bismuth subcitrate (CBS), aluminum thioglycollate, Simethicone, Metzolim-S, aluminum hydroxide gel, gastrin and cover gastric equal medical education ` education network collection. 2, adjusting the gastrointestinal motor function drugs epigastric fullness with gastric renformation or domperidone, etc.. If you have hiccups, bloating or reflux, you can use gastrodynamic drugs such as gastrofacial, morphine or cisapride (Prebios). 3, antibiotics if gastroscopy found positive H. pylori test, should take antibiotics, clarithromycin, hydroxybenzyl penicillin, gentamicin, furazolidone, streptomycin, kanamycin, tetracycline, shikimycin, etc., all have the effect of clearing HP, generally can choose two, often combined with gastric mucosal protective agents and acidulants. 4, the acid preparations commonly used drugs are cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, gastropin, aluminum hydroxide gel, cover stomach and so on. 5, epigastric pain is more serious can be oral atropine, prudence, belladonna tablets or 654-2 (25-10mg), to reduce gastric acid secretion and relieve abdominal pain symptoms. Chinese patent medicine: 二十五味大湯丸 【Functional Treatment】 Clearing heat and detoxifying, harmonizing with dragon, chibi, bacon, appetizing, healing ulcers and stopping bleeding. It is used for bleeding of gastrointestinal ulcers caused by “Mubu” disease, and also for old fever, tired body weight, pain in the stomach and liver area, loss of appetite, excessive menstruation, epistaxis medical education `education network collection. 【Treatment details】Treatment of gastric disease, gastric ulcer, chronic gastritis, superficial gastritis, erosive gastritis, and gastroenteritis. Treatment of atrophic gastritis, acid reflux caused by gastric disease, acid vomiting, heartburn, reflux gastritis and many symptoms of gastric disease. Treatment of chronic atrophic gastritis prescription Guaou 10g, Hexia 10g, Huanglian 6g, Hovenia 10g, Mu Xiang 10g, Yu Jin 10g, Atractylodes 8g, Prince’s ginseng 10g, Poria 10g, Lotus 10g, Jiao Sanxian 30g, Danshen 15g, Yam 12g, Yu Zhu 15g, Sha Shen 10g. The combination of Psidium guajava, Radix et Rhizoma pseudostellariae and Rhizoma Huanglian, which is known as the “Treatise on Typhoid Fever”, opens the abnormalities and disperses the knots, and opens and lowers the gastric Qi; Citrus aurantium and Muxiang regulate the gas and lower the stomach; Yujin dredges the liver, stimulates the bile and clears heat; Prince’s ginseng, Atractylodes macrocephala and Poria strengthen the spleen, benefit the Qi, and dispel dampness; Yam tonifies the spleen and stomach; Lotus leaf awakens the spleen and opens the stomach; Jiao Sanxian appeases the stomach and eliminates food; Yu Zhu and Sha Shen nourish the stomach and Yin; Dan Shen invigorates blood and activates the blood circulation. The whole formula is effective in harmonizing the stomach and lowering the rebellion, strengthening the spleen, nourishing the yin and activating the ligament, which hits the pathological mechanism of chronic atrophic gastritis. Add and subtract: for severe stomach pain, add 15 grams of Yuan Hu and 15 grams of Neem; for bitter mouth and sluggishness, add 10 grams of Gentiana; for frequent belching, add 10 grams of Calamus and 10 grams of Siberian stems; for dysmenorrhea, add 10 grams of Chai Hu and 10 grams of Fructus; for insomnia, add 15 grams of Sour Jujube and 15 grams of Cypress; for painful throat blockage, add 10 grams of Radix Platycodon and 10 grams of Umei; for weakness and palpitation, use Prince’s Ginseng and add 8 grams of Wu Wei Zi; For dry stool, add 8 grams of cooked rhubarb and 10 grams of fire hemp; for loose stools and abdominal pain, add 6 grams of dried ginger. All the medicines daily 1 dose, water decoction to get 400 ml of juice, divided into two meals before taking warm, 15 days for a course of treatment. Chronic atrophic gastritis is a stubborn disease, but in recent years, the use of the stomach reduction and spleen-boosting soup plus reduction on the basis of evidence-based treatment has been more effective in treating chronic atrophic gastritis, and the improvement rate of gastroscopy and pathology is also higher. At the same time, patients should establish confidence in overcoming the disease, persevere, and achieve regularity in daily life, diet and emotional stability, which should be especially noted in treatment.