Bile reflux gastritis (bile reflux gastritis, BRG) also known as the alkaline reflux gastritis(alkaline reflux gastritis, ARG), is due to containing bile and pancreatic juice and intestinal juice, alkaline abnormally into the stomach, duodenum content make the gastric mucosa lesion caused by damage, as one of the common digestive system disease. This study is in the syndrome differentiation of traditional Chinese medicine and western medicine diagnosis theory, under the guidance of diagnosis standard of200patients with bile reflux gastritis from TCM symptomatology survey, this paper combined with endoscope, using factor analysis method of bile reflux gastritis, conducts research in TCM syndrome types, in order to make clear of bile reflux gastritis syndromes distribution characteristics, and its correlation with clinical data. And through the research on clinical often witness type (gallbladder heat make stomach type), using statistical methods, discusses Chai Qin wendan tang and Xiaochengqi soup clinical efficacy.Paper consists of a literature review and clinical research.Literature review is divided into two pieces. First article as a "traditional Chinese medicine research survey of bile reflux gastritis". Mainly from the name of disease, etiology and pathogenesis, syndrome differentiation of TCM syndrome differentiation, special medicine, proprietary Chinese medicine, combine traditional Chinese and western medicine therapy and acupuncture treatment to explore the occurrence, development process and the clinical treatment of traditional Chinese medicine; Analysis the disease research present situation and problems to be studied in the future. Second article as "bile reflux gastritis modern medicine research progress". Mainly from the etiology and pathogenesis of bile reflux gastritis, physiology and pathology, diagnosis and treatment methods and current research status and the existing problems, the essay discusses several aspects.Clinical research is divided into two parts. The first part is the "bile reflux gastritis syndromes distribution characteristics of research". Research on outpatient service200cases accord with conditions of bile reflux gastritis patients by epidemiological methods, type of questionnaire survey to collect clinical data, observed and recorded under gastro scope examination to look straight gastro scope Like performance, through the syndrome differentiation of traditional Chinese medicine summarizes the symptoms of patients with syndrome characteristics, to explore the etiology and pathogenesis of bile reflux gastritis, and the macroscopic syndrome differentiation with the patient’s general condition of the correlation. Statistical factor analysis research of bile reflux gastritis, TCM syndrome type distribution characteristics, following conclusions:the incidence of this disease is high with women, aged40to49and50a tended to59years old, in the course of the disease distribution in the highest proportion of1to5years. BRG patients with onset and eating habits, modern factors and always suffering from liver disease have a certain relationship. Through factor analysis of statistical method,200cases of bile reflux gastritis patients had mixed cold and heat combining weak spleen and stomach, spleen stomach damp heat, hepatogastric swelter, liver and stomach qi stagnation, gallbladder heat makes the stomach, spleen stomach damp heat combining gallbladder heat makes the stomach,qi stagnation of phlegm combining hepatogastric swelter, a total of seven syndrome factor, sick in the stomach, gallbladder, closely associated with liver and spleen, disease resistance mixed. The second part is "Chai Qin wendan tang and Xiaochengqi soup in treatment of gallbladder heat made type gastric bile reflux gastritis clinical research". Outpatient60cases of accord with the condition of bile reflux gastritis patients with questionnaire survey collected clinical data, the main research of the traditional Chinese medicine treatment of bile reflux gastritis (gallbladder heat make stomach syndrome) clinical curative effect. Through clinical trials conclude that Chai Qin wendan tang and Xiaochengqi soup in treatment of gallbladder heat made type gastric bile reflux gastritis, can improve the patient’s systemic symptom, has a good curative effect, and no adverse reaction, has certain clinical application value. |