Initial Research For Relationship Between TCM Constitution And H.pylori-related Gastritis

Objective:to investigate distribution of TCM Constitution in H.pylori-related Gastritis patients, explore the relationship between H.pylori-related Gastritis and TCM Constitution, and hence to provide a referable data for prevention and treatment of H.pylori (Helicobacter Pylori) infection.Methods:By means of question investigation,365 patients with Hp-related Gastritis are gathered.They are categorized into nine constitution types,namely,gentleness type, gentleness type,qi-deficiency type,qi-depression type,wetness-heat type,phlegm-wet type, special inherited type,yang-deficiency type,yin-deficiency type and blood-stasis type.Data base was established,the relationship of TCM constitution with age,gender, occupation,residence,gastroscopic manifestation and biopsy were analyzed by SPSS statistical software.Results:1.The frequency of TCM Constitution types in H.pylori-related Gastritis in descending order is:yang-deficiency type(20.3%)＞qi-depression type(17.3%)＞qi-deficiency type(14.5%)＞wetness-heat type(13.7%)＞gentleness type(13.4%)＞(17.3%)＞blood-stasis type(11.2%)＞phlegm-wet type(5.5%)＞yin-deficiency type(3.8%)＞special inherited type (0.3%).2.There is a close relationship between TCM Constitution types with age and sex, wetness-heat type,gentleness type and phlegm-wet type are more common seen in male, while qi-depression type and blood-stasis type have a high frequency in female,wetness-heat type is common in youngsters,yin-deficiency type is most observed in middle-aged people and qi-deficiency type is frequent in the elderly.3.No correlation is found between TCM Constitution types in H.pylori-related Gastritis and the patients' residence and occupation.4.Gastroscopoic and pathological manifestations have a bearing on TCM Constitution types.Congestion,erythema and edema are common in qi-deficiency type,bile reflux is common in wetness-heat type and qi-depression type,chronic inflammation is frequent in phlegm-wet type,wetness-heat type,qi-depression and blood-stasis type.Severe atrophy is seen in qi-deficiency type,blood-stasis type,gentleness type and yang-deficiency type,and intestinal metaplasia is seen in Qi-deficiency type,yang-deficiency type and blood-stasis type.Conclusion:H.pylori-related Gastritis is correlated with TCM Constitution types,abnormal constitution is common in Yang-deficiency type,qi-depression type,qi-deficiency type and wetness-heat type,which conforms to the pathogenesis of H.pylori-related Gastritis.There is also difference between different TCM Constitution types and the degree of gastric mucosa pathological changes.It is indicative by this study that treatment of H.pylori-related Gastritis should not be localized only by eradication of H.pylori,but intervention be given through removing evil-qi and invigorating genuine-qi by readjusting abnormal constitution.It is key to treat H.pylori -related Gastritis.