Chronic atrophic gastritis (CAG) is a digestive disorder characterized by thinning of the gastric mucosa and reduction or loss of glands. The clinical manifestations lack specificity. The symptoms of dyspepsia, such as epigastric fullness, belching, loss of appetite, or stomach pain, or stomach distress with no name, or acidity and heartburn, or noisy discomfort, etc. are mostly seen. Chinese medicine is called “stomach pain”, “abdominal distension” and so on. According to WHO survey, only 10% or more of 20-53 year olds suffer from CAG, while 51-65 year olds suffer from difficulty and co-morbidity rate of more than 50%. CAG has a certain relationship with gastric cancer, which is called “precancerous disease”.
I. Causes of CAG: 1.
1, evolved from acute and chronic gastritis.
2.Bacteria or viruses from the nose, mouth, or throat, swallowed into the stomach for a long time to cause stomach irritation.
3, habitually take the stomach stimulating spirits, strong tea, coffee, pickles, too hot or too cold diet, excessive smoking, all make the gastric mucosa damage.
4, long-term use of Western medicine or hormones, toxic to the gastric mucosa damage is serious.
5, long-term or large amounts of bile reflux, can change the gastric environment to damage the gastric mucosa.
6, lack of gastric acid, so that bacteria are easy to breed in the stomach.
7, malnutrition, pernicious anemia, heart failure or portal hypertension make the stomach in a long-term stagnant and hypoxic state.
8, genetic factors.
9, Helicobacter pylori infection is also one of the causes of morbidity.
Second, diagnosis: endoscopy and biopsy are the only means to confirm the diagnosis of CAG.
In Chinese medicine, the most common cause of this disease is poor diet, injury caused by labor and fatigue, and injury caused by the seven emotions. Weakness of the spleen and stomach is a decisive factor in the development of this disease. Qi stagnation, damp-heat, yin deficiency, evil toxins and blood stasis are the common pathogenesis of this disease. Chinese medicine classification: spleen and stomach weakness, stomach yin deficiency, spleen and stomach damp-heat, qi stagnation and blood stasis, and spleen and stomach disharmony.
Chinese medicine treatment: regulating the spleen and stomach, regulating the rise and fall of qi; eliminating lumpiness and distension, clearing stomach heat; removing blood stasis, clearing channels, tonifying qi and blood; resolving dampness, awakening the spleen and stomach and nourishing stomach yin.
Third, daily prevention and control.
1, the food eaten should be fresh and nutritious, to ensure that there is sufficient protein, vitamins and iron intake. Eat on time, do not overeat, do not eat too cold, too hot food, do not use or use less stimulating seasonings such as chili powder.
2, moderate alcohol consumption, do not smoke to avoid nicotine, ethanol damage to the gastric mucosa; avoid long-term use of anti-inflammatory and painkilling drugs, such as aspirin and corticosteroids to reduce gastric mucosal damage.
3, regular examination, for patients with atrophic gastritis with incomplete colonic intestinal epithelial hyperplasia and atypical hyperplasia, regular gastroscopy for review: general atrophic gastritis once every 3 years, incomplete colonic intestinal epithelial hyperplasia with mild atypical hyperplasia once a year, with moderate atypical hyperplasia once every 3 months, with severe atypical hyperplasia (cancer rate of 10% or more) should be considered cancerous and can be surgical resection.
4.In case of aggravation of symptoms, emaciation, anorexia, black stool, etc., go to hospital for examination in time.
5.After the disease, there should be a correct attitude to cure the disease, to prevent the disease from being treated hastily and mistakenly believing in the so-called “biased” and “magic” prescriptions.
6.Establish confidence, cooperate with doctors for systematic treatment, and combine prevention and treatment.
Fourth, medicinal food therapy (for reference only): 1.
1, radish yam gold soup take 250g carrot, Chinese yam 30g, chicken gold 15g. wash carrot and cut into pieces, with yam, chicken gold with boiling, 30 minutes after adding a little brown sugar, boiling can be served soup. Carrot and yam are good for the spleen, while chicken neijin is appetizing and helps digestion. Suitable for the treatment of weakness of the spleen and stomach caused by less, indigestion and other diseases.
3, party ginseng corn soup take party ginseng 30g, corn (i.e. millet) 100g, first chopped party ginseng, millet fried, and then the two flavors into the pot, add water 1000ml, boil until a small era of tea to drink. This soup has the role of the spleen and stomach, for weak spleen and stomach type gastritis and ulcer disease.
3, pork belly ginger cinnamon soup take pork belly 150g, ginger 65g, cinnamon 15g. first wash the pork belly in a bowl, then put ginger and cinnamon, and add salt and water appropriate amount, stewed in water until the pork belly is cooked and rotten, then drink soup and eat pork belly in portions. Pork belly tonifies the spleen and stomach, while ginger and cinnamon warm the middle and dispel cold. The three flavors together can warm the spleen and nourish the stomach, suitable for the treatment of spleen and stomach deficiency cold type stomach pain.
4, glutinous rice lily lotus seeds porridge take glutinous rice 100g, lily 50g, lotus seeds 25g into the same pot to cook porridge, once a day, for 7-15 days. Glutinous rice nourishes the spleen and stomach, and can relieve pain; lily nourishes Yin and clears heat; lotus seeds strengthen the spleen and stomach. It is suitable for stomach and spleen pain with deficiency of both spleen and stomach.