Chronic atrophic gastritis (CAG) is recognized as the prodromal period of stomach cancer and has close relation with stomach cancer. The clinical symptoms include stomach scorching hot and pain, distention, poor appetite, belching, fatigue, becoming thin, constipation or loose stool. There are 40 outpatients who have been diagnosed as CAG after the fiber gastroscope and pathologic biopsy. All the patients took one time gastroscope before and after treatment respectively for contrast. The patients were randomly divided into herbal group and contrast group: 24 cases in herbal group and 16 cases in contrast group.
Treatment method: herbal group: taking Bu Zhong Xiao Pi Tang as the main method with the ingredients of toast Huang Qi [3] 15g, Dang Shen [4] 15g, Zhi Shi [5] 10g, Gui Zhi [6] 10g, fry Bai Shao [7] 15g, Dan Shen [8] 15g, toast Gan Cao [9] 10g, Sheng Jiang [10] 10g, Da Zao [11] 5 pieces. 30 days are one course, one week break between every 2 courses. Modification according to syndrome differentiation: revising the dosage of Huang Qi to 25g, the dosage of Bai Shao to 20g, adding Huai Shan Yao [12], Guang Mu Xiang [13], Chen Pi [14] if it is spleen-stomach qi deficiency; selectively adding Mai Dong, Lu E Mei [15] if it is stomach hot and yin deficiency; adding Bai Dou Kou [16], Bian Dou [17], Yi Yi Ren [18] if it is spleen-stomach damp obstruction; adding Dan Shen, E Zhu [19], Wu Ling Zhi if it is blood stagnation obstructing in stomach; adding Fo Shou [20] if it there is ructation and qi obstruction; adding Yuan Hu, Xiang Yuan [21] Pi if there is stomach secret anguish; adding Xiang Fu [22], Su Geng if there are chest and stomach contracture, qi regurgitating and pharynx obstruction; adding Guang Mu Xiang, Yu Jin [23] if there is stomach distention-pain; adding Ji Nei Jin [24], fry Gu Ya [25] if there is poor appetite and dysfunction of digest; adding Fu Ling [26] if there is loose stool; adding Rou Cong Rong [27], Huo Ma Ren [28] if there constipation; adding Dang Gui [29], Gou Qi, Ju Hua [30], Tian Ma [31] if there is dizziness. Contrast group: oral taking Hou Tou Jun, Wei Fu Chun, Vitamin C, Wei Mei Su Pian, Mo Luo Dan, the treatment course is as same as herbal group’s.
Treatment result: treatment group (24 cases), total effective rate is 91.7%; contrast group (16 cases), total effective rate is 62.5%.
Key words: Self-built Bu Zhong Xiao Pi Tang, herbal treatment, Chronic Atrophic Gastritis
Writer: Wanjin An
Qing Ping village hospital, Tu Men town, Gu Lang county, Gansu province (733102)
Comments: