Professor Jiang Shumin The Treatment Of Acute Gastric Mucosal Injury Experience

Acute gastric mucosa lesion (AGML) is one of the common diseases in emergency room. It's mainly manifested as: upper abdominal expansion and stuffy, pain, heartburn, vomiting and other adverse, even upper gastrointestinal bleeding. It has many complex pathogenesis and causes. Professor JIANG Shu-min who is the expert of spleen and stomach disease, he engaged in clinical, teaching and research work more than 20 years. His research of AGML is in meticulously and depth. And his clinic experience is abundant. By studying from tutor JIANG Shu-min, I generalize the experience of treating acute gastric mucosa lesion (AGML). Now I explain his experience in treating AGML from mechanism, prescription and drugs. He thinks the main causes are unsuitability or unhealthiness in diet,heightened emotional sensitivity and taking drugs or poisons, etc. With the quick pace of life and the increased pressure of work, disharmony between liver and stomach turns into the main cause. Unreasonable structure of diet, overeating, surfeit with alcohol and meat, taking drugs and poisons wrongly or indiscriminately. Above-mentioned can injury spleen and stomach directly. So they are also the pathogenic factors which can not be ignored. In treating, he stresses dredging is the main treatment. But there are many methods of dredging. Owing to unsuitability or unhealthiness in diet, he uses the way of digestion to dredge. Owing to heightened emotional sensitivity, he uses the way of regulating mood to dredge. Owing to taking drugs, he uses the way of warming spleen and stomach to dredge. Owing to taking poisons, he uses the way of repairing gastric mucosa to dredge. In clinic, his prescription is always made of absinthin, bletilla striata, astragalus, flavescens, perilla stem, dandelion, amomum and schisandra. Flavescens compares with Huangqi, Kushen is of cold nature and ascending. Huangqi is of warm nature and descending. If patients are somewhat heat syndrome, dose of flavescens is more than astragalus. If patients are somewhat cold syndrome, dose of astragalus is more than flavescens. Absinthin can eliminate dampness and relieve jaundice, have an effect on detoxification and treatment sore. Bletilla striata is useful for hemostasis and astringe, clearing heat and removing dampness, swelling and comforting skin. Basil stems can help to eliminate chest fullness. Dandelion is bitter and cold ,can clear and fall. It is found to be particularly effective in detumescence to dissipate stagnation. Amomum can relieve the gastric disorder and send down the turbid. Schisandra is of sour and sweet nature, protect liver and is cholagogue. Combination of Herbs, they can remove obstruction from channels and collaterals, protect the gastric mucosa, smooth the liver and harmonizing the stomach. After excluding etiology, he uses the method of protecting liver and benefiting stomach and has received significant effect in clinic. In regard to AGML, he emphasizes the importance of early detection and treating. Early detection and treating can prevent form taking place of pathological changes. In the area of prevention and treating AGML, he emphasizes the importance of giving full play to advantages of Chinese medicine. Above-mentioned can make the quality of patients'life better.