Professor Chen Baogui’s Prescriptions For Treatment Of Atr Ophic Gastritis And Clinical Efficacy Observation

Objective:Chronic atrophic gastritis,CAG is a chronic gastritis with cancerous trend,and Western medicine treatment is not ideal in two o’clock in relieving symptoms and improving gastric mucosa.[1].A large number of research literatures show that Chinese medicine has better results in treating this disease.Professor Chen Baogui has a good effect in the treatment of atrophic gastritis from medical treatment.This study summarizes Chen Baogui to treat CAG academic experience,and summarizes Chen Baogui to treat CAG components to treat CAG components.On the basis of the core medication,the effective prescription Shuganyuwei decoction was obtained under the guidance of Professor Chen precious,and it was applied to the clinical observation of the curative effect,in order to better guide the treatment of CAG.Methods: This research consists of three parts:The first part of Chen Baogui professor for the treatment of CAG academic experience,and summarizes the summary of the content.The the second part,the results obtained through data mining are as follows:(1)The proportion of patients aged 56-60 is the largest,followed by 51-55 years old;(2)Stagnation of liver and stomach qi and weakness of spleen and stomach are the most frequent types;(3)High-frequency drugs are bergamot,Pinellia,Coptis,Citrus aurantium,Amomum villosum,Citron,Agarwood,Tangerine peel,Curcuma,Dried ginger;High-frequency medicine group is Citrus aurantium-bergamot,Rhizoma Coptidis-pinellia,Pinellia-bergamot,Citrus aurantium-Panxia;(4)Relieving food and resolving phlegm drugs are closely related to tranquilizers,damp-drying and invigorating spleen drugs are closely related to qi regulating drugs,tonic and yang drugs are closely related to activating blood circulation drugs,and activating blood and dispersing mass drugs are closely related to qi and reducing adversity drugs,clearing heat and stopping bleeding The medicine is closely related to the stomach-reducing adversity medicine.The third part collected 30 patients with standard CAG patients with clinical observation,giving Chen Baogui Professor Experience Evil Soup for treatment,with 12 weeks as cycle,observing the symptoms of traditional Chinese medicine before and after treatment,gastroscopy Imaging performance,application SPSS21.0 statistically verified the treatment effect.Results:The first part summarizes Professor Chen’s academic experience on CAG.Professor Chen precious believes that the high-risk pathogenic factors of CAG are poor diet,poor emotion,excessive work and rest,abnormal rise and fall as the basic pathogenesis of CAG,long-term disease into blood stasis as the development process of CAG,deficiency and excess mixed as the inevitable result of CAG,spleen and stomach weakness throughout,in the treatment of CAG should be simultaneous treatment of liver and stomach,level regulation of spleen and stomach,heart and spleen co-nourishment,dispelling blood stasis and giving consideration to both new and specimen.The second part passed the data mining found that Professor Chen Baogui in the treatment of CAG is a common high-frequency pharmaceutical group as a Buddha’s hand-half-summer-Huanglian shell,non-high frequency fixation drugs with Hawthorn-Divine,Malt,Shichangpu-Yuanzhi,Guij-Astragalus,Atractylodes,Sanqi powder-armor.Reporting the data mining results and asked Chen Baogui to guide the guidance,summarize the treatment of liver gastric gas stagnation CAG experience,and the drug is called: Buddha hand10 g,half-summer 10 g,shell 15 g,citron 10 g,sand 10 g,agarwood,10 g,licorice 10 g.The third part of clinical observation shows that the effective rate of TCM syndrome observation and treatment for 6 weeks is 100%,and the effective rate and cure rate are 0%;the effective rate of 12 weeks is 26.7%,the effective rate is 70%,and the cure rate is 3%.There was a significant difference in the total scores of TCM syndromes before and after treatment(P<0.01).There was no significant difference in the efficacy of the two symptoms of dry mouth and loose stools(treatment 6 weeks to 12 weeks treatment)(P>0.05),and the efficacy of other syndromes were all There is a difference(P<0.05).In terms of gastroscopic imaging observation,there were differences before and after treatment in indicators such as mucosal texture and erosion(P<0.05),and significant differences in indicators such as mucosal color,vascular permeability,and erythema before and after treatment(P less than0.01).Conclusion:1.Professor Chen Baogui believes that the main pathogenesis of CAG is the abnormal rise and fall,chronic illness into blood stasis,the mixture of deficiency and excess,and the weakness of the spleen and stomach.2.Professor Chen Baogui distinguishes and treats the characteristics of CAG:(1)Age factors and emotional factors are closely related to the occurrence of CAG;(2)Common syndromes are liver and stomach qi stagnation syndrome,spleen and stomach weakness syndrome;(3)Core drugs: Pinellia,bergamot,Coptis,Citrus aurantium,Amomum villosum,Zedoary,Dried ginger;(4)Compatibility features: Digest food and resolve phlegm and soothe the nerves,invigorate the spleen and remove dampness and regulate qi,replenish temperature and yang and promote blood circulation,promote blood circulation and disperse masses and replenish qi and reduce adverse effects,clear heat and stop bleeding and harmonize the stomach Reverse inverse coordination.(5)Syndrome differentiation is the main focus,and the effect is aimed at the pathogenesis;pharmacology is used to improve pathology under microscope.(6)The CAG experience prescription for liver and stomach qi stagnation is summarized: Shuganyuwei decoction.3.Shuganyuwei decoction can well improve the clinical symptoms and gastroscopic images of CAG patients,which is worthy of clinical promotion.