Experience Of Professor Zhou De-li In Treating Chronic Atrophic Gastritis

Review:Professor Zhou Deli, who has been studied Chronic atrophic Gastritis (CAG) with TCM and west medicine theory for a long time considers that chronic gastritis belong to "weiwantong","piman""caoza","fansuan" and so on in Traditional Chinese Medicine. Pathogenic location of Chronic Atrophic Gastritis (CAG) is stomach. It is mainly caused by improper diet, disharmony of emotion, weakness of taste, and invasion of pathogenic factors. While in Western medicine it is regarded as causing mainly by Infectious Factors (Hp infection, other bacteria and virus infection), biliary reflux, the changes of gastric mucosa microcirculation, the change of vasoactive factors, deficiency of mucous membrane trophic factors, genetic factors of host cell, immunological factors, neuropsychological factors.Academic experiences:People is based on the function of stomach-qi. And regulating the spleen and stomach is inevitable in treatment theoretically. We should follow their both opposite and complementary characters, pay attention to the relationships between the spleen, liver and gallbladder. Basing on the theories and clinical practice, and sum up the mechanism of CAG as follow: the origin is qi-deficiency of spleen and stomach, the urgency symptoms are about damp-heat of liver and gallbladder, and The key of pathogenesis is stagnation of qi and blood stagnation. In the clinical treatment, we should address both symptoms and root causes, adjust the function of spleen and stomach, and the lifting of qi. Treating the weakness of spleen and stomach, we should regulate the qi of liver, gallbladder, spleen and stomach. In the clinical treatment, we should emphasize conditioning of the weakness of spleen and stomach, adjust qi of liver so as to open qi and eliminate blood swelling, basic on macroscopic and microsmic aspect, As the basic principle of supporting healthy qi and dispelling pathogenic factors, establishing a treatment of promoting qi and blood circulation, clearing fire away and nourishing yin, removing toxicity and dampness. This is the key to interrupt and reverse atrophic gastritis’s precancerous lesion. Followed the Wu jutong’s theory on "the balanced middle Jiao " treatment of seasonal febrile disease. Treatment must search for the primary cause of disease, and for the chronic disease should be treated slowly. Furthermore using little dosage can keep reestablishing harmony and equilibrium by invigoration and heat-clearing. Basic on the theory, she has founded a stomach Rehabilitation Treatment to treat CAG and its effect is remarkable. When treating patients she always pays attention to combine Chinese medicine with west medicine, and syndrome differentiation with disease identification, and observe the tongue condition. She divides CAG into two syndrome patterns for clinical treatment, and also pays attent ion to recuperation of diet and daily life, regulate the emotions, and integration of prevention and treatment.Clinical Research:Weifukan granule can improve the symptoms of the patients of CAG, gastroscopy, kill Hp, treat and reverse IM and ATP, so it can be lower or hinder the occurrence of cancer. It may take effect in such ways: improving the immunity and blood circulation, defending the stomach, killing Hp, regulating themovement of stomach,killing the pain.