Professor Jiang Shumin Diagnosis And Treatment Of Bile Reflux Gastritis Experience

Bile back-streaming gastritis, is the above abdomen is burningly painful, the mouth does painstakingly, the bile type vomit, belches the pantothenic acid for the clinical characteristic one kind of chronic gastritis. Often because of pylorus sphincter function being out of balance, after or stomach and intestines anastomosis, bile, pancreatic juice, intestinal fluid and so on alkalinity the duodenum intestinal juices back-streamings enter the stomach, in which many kinds of factors alone or do jointly use in the gastric mucosa, causes the gastric mucosa barrier to destroy, makes the H+ counter dissemination to increase, and causes the gastric mucosa hyperemia, dropsy finally, the phlogocyte infiltration, damages and so on cell denaturation. Its symptom has in the endurance the abdomen cauterization ache, disgusting, to be possible to vomit the bile (is specially frequently early morning), and body weight obvious drop. The traditional Chinese medicine believed that bile regurgitation gastritis principal factor taste being out of balance, temperament, when rises, the stomach was mad, when falls, the liver does not rise along with the spleen, the gallbladder does not fall along with the stomach, the gallbladder stomach disagreement, on the courage goes against sees the bile regurgitation to enter the stomach. Bile regurgitation gastritis its shortcoming in the stomach, the gallbladder, with the liver, the spleen concerns. The gallbladder passes reduces to is suitable, its common uses and borrowed uses liver releases sparsely, it falls Lai Weiqi downward. The spleen host rises clear, the stomach advocates peace falls, the weakness of spleen and stomach, and falls loses the department, the stomach was mad that does not fall, then the courage does not extend, the pylorus function is obstructed. The liver (?)oses releases sparsely, is mad the persistent retention of moisture anti-, Yu Erhua is hot, then rises clear and falls the muddy function to be unusual, the bile does not have restricts, when falls, but the adverse current enters the stomach, the wound and the stomach wind, the stomach is mad counter, sends for this sickness. Therefore the taste owes empty is the book, liver Yu Weibiao, the liver spleen disagreement is the pathogenesis key. The shortcoming has the taste courage in the gas different in blood, must therefore dialectical treat, but in dialectical time, must pay attention to the card marquis moreover, the transformation, treats nimbly, cannot be irrevocable.