Clinical syndromes: there are 36 cases of epigastric pain, 18 cases of belching, 18 cases of pantothenic acid, 17 cases of gastric discomfort, 8 cases of dry mouth, 20 cases of epigastric pain with preference of warm drinks, 6 cases of melena, 6 cases of mirror-like tongue, 8 cases of combination with duodenitis and 19 cases of combination with duodenal globular ulcer. There are 26 cases of white-red spotted area or intestinal metaplasia in distal stomach accounting for 72.2%, and 10 cases of erosion of gastric mucosa or gastric mucosa bleeding accounting for 27.8% by Fibergastroscopy and biopsy of gastric mucosa.
Differentiation and treatments: (1) deficiency and stagnation of qi in middle energizer: 14 cases. Modification of Huang Qi [3] Jian Zhong Tang: Dang Shen [4], Haung Qi, Bai Zhu [5], Dang Gui [6], Bai Shao [7], Gui Zhi [8], Ban Xia [9], Chen Pi [10], Mu Xiang [11], Da Zao [12], Xuan Fu Hua [13] and prepared Gan Cao [14]. (2) Disharmony of liver and stomach: 9 cases. Modification of Chai Hu [15] Shu Gan Yin: Zhi Ke, Bai Shao, Bai Zhu, Xiang Fu [16], Dang Gui, Ban Xia, Huang Lian [17], Xuan Fu Hua, Zhe Shi, Yan Suo Hu, Yu Jin [18], Chuan Lian Zi [19] and Fo Shou [20]. (3) deficiency of stomach yin: 6 cases. Modification of Yi Guan Jian: Bei Sha Shen [21], Shi Hu [22], Mai Dong, Dang Gui, Xiang Fu, Chuan Lian Zi [23] and Xiang Yuan [24] Pi. (4) Qi stagnation and blood stasis: 7 cases. Modification of Tao Hong Si Wu Tang or Shi Xiao San: Dang Gui, Bai Shao, Tao Ren [25], Chuan Xiong [26], Pu Huang [27], prepared Wu Ling Zhi and calcined Wa Leng Zi [28], etc.
Results: the total effective rate is 86.1%.
Key words: differentiation of signs, atrophic gastritis
Writer: Baoming Fan
Guangfudao hospital, Hebei district, Tianjin （300010）
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