| Objective:To analyze 60 cases of chronic non-atrophic gastritis treated by tutors,and to analyze The clinical experience and the law of drug use of director xiangfengmei in the diagnosis and treatment of chronic non-atrophic gastritis.Methods:From June 2018 to January 2019,60 patients with chronic non-atrophic gastritis were collected from the outpatient clinic of Pre-treatment Center and Spleno-gastric&Hepatobiliary of Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine.The chief complaints,current medical history,past history,prescriptions and medicines of the patients were collected and sorted out.The curative effect,treatment method,prescription medication and Chinese medicine health of director xiangfengmei were summarized.Management content and characteristics of clinical thinking.Results:1.The clinical syndromes of 60 cases of chronic non-atrophic gastritis are: spleen-stomach damp-heat syndrome(14 cases,23.33%),liver-stomach disharmony syndrome(19cases,31.67%),cold-heat miscellaneous syndrome(8 cases,13.33%),spleen-qi deficiency syndrome(9 cases,15.00%)and spleen-stomach deficiency-cold syndrome(10 cases,16.67%).2.Director xiangfengmei’s clinical experience in treating chronic non-atrophic gastritis:(1)Health care: plain diet should be light,balanced,mild and appropriate,avoid spicy stimulation,avoid pickled food,avoid beans and potatoes,avoid raw and cold fruits,quit smoking,alcohol,coffee,strong tea;avoid or cautiously take non-steroidal anti-inflammatory drugs(NSAID)and other irritating drugs to the stomach;appropriate outdoor exercise,relaxation,diligent practice of traditional Chinese medicine health exercises such as Baduanjin,Taijiquan,Regulate the whole body Qi,maintain a healthy state of life.(2)treatment: the first heavy yiqijianpi,fu-zheng-gu-ben;heavy gas conditioning machine,lifting coordination;liver stomach stagnation,regulating qi and blood;spleen and kidney with complement,both congenital and acquired;blood stasis,attack is not hurt;three factors,with the card of the same,with the addition and subtraction;from the combination of Chinese and Western;good zhiweibing,pay attention to nursing.3.commonly used drugs for the treatment of chronic non atrophic gastritis is: Codonopsis(mean dose calculating),pinellia,dried tangerine peel,amomum fruit,Radix Aucklandiae,licorice root,psoralea fruit,dodder,perilla,Inula etc.4.xiangfengmei,director of Chinese medicine for the treatment of chronic non atrophic gastritis medication to liver meridian(dodder,Achyranthes,Passepartout,radix curcumae,Herba Lysimachiae etc.),spleen(Codonopsis,pinellia,dried tangerine peel,amomum fruit,Radix Aucklandiae etc.),kidney(amomum fruit,psoralea fruit,dodder,Achyranthes,sea squirts UPS etc.)the main taste bitter(tangerine peel,Radix Aucklandiae,psoralen,Inula,Achyranthes etc.),Xin(pinellia,dried tangerine peel,amomum fruit,Radix Aucklandiae,Radix Glycyrrhizae),Gansu(Codonopsis,Atractylodes,licorice,dodder,fried malt etc.)and flat(Codonopsis pilosula,liquorice,Achyranthes,Passepartout,fried MALT),temperature(pinellia,dried tangerine peel,Amomum villosum,Costas,psoralen)of drugs.Conclusion:1.The tutor thinks that the chronic pathogenesis of non-atrophic gastritis,so pay attention to the treatment of disease differentiation when symptoms occur,and the treatment of body differentiation when asymptomatic,taking into account both the specimen and the primary and secondary.2.Pay attention to the health management of TCM,especially the dialectical differentiation of diet.3.Spleen and stomach are the main treatment,accompanied by Liver-soothing and kidney-tonifying.4.Pay attention to the mediation center and balance the promotion,clearance and turbidity reduction.5.focus on the use of common drugs and medication,dose,to the flat light display effect. |