Syndrome Differentiation and Treatment of Chronic Gastritis in TCM
(1) Cold pain: severe stomachache, severe cold feeling, slow heating, cold aversion, like to drink while it is hot, not thirsty, white greasy fur and tight pulse. Treatment should dispel cold and relieve pain. Use Fu Liang Pill, Fuzi Lizhong Pill or Weitongding.
(2) epigastric pain: general malaise, bitter taste, thirst and aversion to cold, constipation, yellow greasy coating and rapid pulse. Treatment should clear away heat and neutralize middle energizer. Take heart tablets with ginger and take it orally. Or use weitong tablets (Jilin prescription) and weitongning.
(3) Pain due to qi stagnation: fullness in the epigastrium, pain due to attack and support, bilateral pain, excessive belching, thin and greasy fur, and thready pulse. Treatment should be soothing the liver and regulating qi. Use Chaihu Shugan Pill, Hewei Gan Ping Pill, Shugan Pill or Sean Shuyu Pill.
(4) Fire-related depression and pain: long-lasting stomachache, acute pain, burning sensation, bitter mouth and dry mouth, upset and irritable, sour and noisy, red tongue with yellow coating and rapid pulse. It is advisable to soothe the liver and clear heat. Use Danzhi Xiaoyao Pill and Zuojin Pill, or use Wuji Pill and Yueju Baohe Pill.
(5) Deficiency cold pain: faint stomachache, especially on an empty stomach, slow eating, warm and pressing, pale tongue and soft pulse. Treatment should warm spleen and strengthen stomach. Use Xiaojianzhong Mixture, Shengui Lizhong Pill, Yiqi Liu Jun Pill or Huangqi Jianzhong Pill.
(6) Blood stasis pain: The pain is local, such as acupuncture, epigastric pain, dark purple tongue coating with ecchymosis, and thready pulse. Treatment should promote blood circulation and remove blood stasis. Use Yuanhu Zhitong tablets.
Characteristics of chronic gastritis
* * * Similarities:
1, slow onset, mostly epigastric discomfort or pain after eating, often irregular paroxysmal or persistent pain.
2, may be accompanied by loss of appetite or anorexia, nausea, vomiting, abdominal distension and belching.
3, emaciation, fatigue, diarrhea, glossitis, fragile nails and anemia may occur, mostly iron deficiency anemia.
4. During the examination, you can find slight tenderness in the upper abdomen, pale skin and mucous membrane, smooth tongue and little moss.
Difference:
1, superficial gastritis:
Loss of appetite, fullness and discomfort in the upper abdomen after meals, or a feeling of oppression, feeling comfortable after belching, or nausea, vomiting, acid reflux or pain.
2, atrophic gastritis:
Loss of appetite, fullness after meals, dull pain in upper abdomen, emaciation, anemia and diarrhea.
3, hypertrophic gastritis:
Upper abdominal pain is similar to ulcer, but it can also be temporarily relieved by eating or taking alkaline drugs, often accompanied by indigestion, and some patients may be complicated with gastric bleeding.
Matters needing attention in health care of chronic gastritis
Half an hour after dinner, you can go to a place with beautiful environment and fresh air to walk freely; When walking, the whole internal organs are in a state of slight vibration. With rhythmic breathing, abdominal muscles can contract back and forth regularly, diaphragm can move up and down, and gastrointestinal tract can be massaged.
Standing posture, sitting posture, supine position can be; Massage abdomen with the palm of your right hand, from light to heavy, from slow to fast; Massage for 2 ~ 3 minutes every day, especially on an empty stomach. In the process of massage, you should have the action of rubbing, which has strong pain and good analgesic effect. You shouldn't use force because you are afraid of feeling pain. This method has a good effect on acute stomachache. We can use this method when the chronic stomach disease attacks.
Sit with your fingers together, rubbing your right palm from the right chest to the left thigh groove, and rubbing your left palm from the left chest to the right thigh groove; Massage 100 times is appropriate.
Sit; Make a fist with your right hand (thumb outward); Tap the same Zusanli point with the thumb and knuckles (Zusanli point is located three inches below the edge of the knee between the tibia and fibula), tap it for one hundred times, and then operate with the other hand; Or press Zusanli point with the thumb end of both hands, generally 36 times, and you can rub it for about 200 times when it hurts, and the technique can be slightly heavier. The stomachache can be obviously relieved or even disappeared if it lasts for 3 ~ 5 minutes after feeling sore and numb.
Lie on your back with your thumb on the right rectus abdominis; The index finger is opposite to the middle finger, and the rectus abdominis is pinched; Knead slowly from top to bottom, while rubbing, 1 min; Turn left.
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