A Literature Study On The Diagnosis Of Chronic Gastritis With Modern Medical Records

ObjectiveChronic gastritis is a clinical common disease, frequently-occurring disease, recurrent and chronic superficial gastritis is lighter a pathological changes in chronic gastritis, however merge erosion also also produce symptoms such as pain, the new full, anti acid gas, affect the patient’s quality of life; Bile reflux gastritis by alkaline biliary stimulation and muscle movement disorders, often appear the acid, such as nausea and retching, easy cause for a long time repeatedly reflux esophagitis, chronic pharyngitis, etc; Atrophic gastritis of chronic gastritis, gastric mucosal epithelium and gland tissue apoptosis atrophy, long-term chronic intestinal metaplasia or hyperplasia, existing research has shown that atrophic gastritis has high AiBianLv, existing clinical and basic research instructions, merger of HP infection in chronic atrophic gastritis has a high incidence of gastric cancer in the primary factor. As a type of chronic gastritis of three common points, on the treatment and prognosis are different, so, how to identify as early as possible in the process of clinical treatment gastritis classification, targeted treatment is extremely critical. With the popularity of digestive endoscopy, diagnosis of gastritis classification is more effective than ever directly, but there is still a majority of patients or intolerance gastroscopy, because of the cost and can not timely and effective access to relevant diagnostic information, which bring difficulty to treat at the same time, it is easy to influence the outcome of treatment. The motherland medicine and there is no specific name of chronic gastritis, in the process of diagnosis and treatment according to syndrome differentiation and treatment of the traditional system to make a diagnosis and give treatment, no specific to the disease itself.The motherland medicine inspection, auscultation and olfaction, inquiry, and pulse-taking and palpation of the four diagnostic methods, are service for syndrome differentiation and treatment, it is the core of traditional Chinese medicine, including tongue diagnosis is the more important it in inspection, through the tongue and coating on the tongue diagnosis, viscera, qi and blood can get all kinds of pathological changes of part information, provide the credentials for syndrome differentiation and treatment. Early judgment and prognosis of disease development, to determine the treatment plan in time, guiding drug use. In recent years, with the tongue of pulse objectification and modern research thorough, the traditional diagnosis methods are gradually accepted by more and more people concern and, in the knowledge of modern physiology pathology, diagnostic technology and method, based on the research in the clinical diagnosis of its value and application prospect of its relationship with the disease.Therefore, the purpose of this study is to:(1) to investigate the object of this study in patients with chronic gastritis three parting tongue, pulse condition and characteristics;(2) to investigate the object of this research in the distribution of three types of TCM syndrome types of chronic gastritis;(3) to investigate the object of this research in the tongue of the three types of chronic gastritis with traditional Chinese medicine and syndrome type inner link and the similarities and differences between various types of gastritis.Method(1) of this study is a retrospective study, the main collection published from 1990 to 2013 in VIP, China hownet database of chronic gastritis such as literature, to meet eligibility criteria, summarized the literature;(2) through Excel2007 software, the establishment of chronic gastritis, bile reflux gastritis, chronic atrophic gastritis, three sub database, with a manual entry and assignment, input basic information respectively, lingual arteries and veins, symptoms and syndrome type data;(3) the frequency analysis, correlation analysis, regression analysis and other statistical methods, the characteristics of lingual arteries and veins of each database Carries on the statistical correlation analysis;(4) for each database of tongue with TCM syndrome type and statistical correlation analysis;ResultsModern literature basis, included in general are more detailed,104, in the basis of chronic superficial erosive gastritis 54, basis of chronic atrophic gastritis basis 34, bile reflux gastritis,16. Through frequency analysis shows, the onset of chronic gastritis in no big difference on the gender, onset age in the majority with 30～60 years of age. This study on the basis of cause, course, clinical manifestation, tongue and pulse condition and syndrome types, the main results were as follows:1. The disease cause of chronic gastritis, the dominance of modern factors, followed by dietary factors, exogenous, tired, all is the onset of chronic gastritis factors such as alcohol, and on the distribution of the three common types of no significant difference.2. Course:in 104 medical record, the course of more than one year the number of cases to 67, more than half of the patients with chronic gastritis, among them, the chronic atrophic gastritis long illness had the highest frequency of 79.4%2. Clinical performance:chronic gastritis in the medical record, the most common performance is weiwantong (103 cases), the new full (63 cases), gas (69 cases), stay (78 cases), by over-packaging weiwantong (including dull pain, pain, burning pain, tingling) as the highest, common is the accompanying symptoms of acid reflux, heartburn, noisy, dry mouth, mouth pain, pain, nausea, vomiting, abnormal stool (thin pond, stool stem node, not great), chest tightness, fatigue weakness, body weight, limbs of appetite, dizziness, bowel, xi xi as, since the disease such as sweat, can be seen from the percentage frequency distribution, the symptoms of chronic superficial gastritis, and fever were, and deficiency syndrome, heat syndrome in chronic atrophic gastritis, acid reflux symptoms scale is relatively small; The acid in the bile reflux gastritis, noisy, dry mouth bitter mouth hot card more see.3. The characteristics of tongue:chronic superficial erosive gastritis tongue like distribution, red tongue, pale tongue, tongue, moss white, yellow moss, moss greasy for high-frequency tongue; Chronic atrophic gastritis, dark red tongue, pale tongue, tongue and moss is seen less; As the high frequency of bile reflux gastritis tongue:red tongue with whitish and greasy coating and moss yellow greasy.4. The characteristics of pulse condition:the most common pulse condition of arteries and veins is string (67 cases), followed by the fine veins (58 cases), is followed by (17 cases), the number of pulse (13 cases).5. Card type:chronic superficial erosive gastritis, high type certification for liver depression and qi stagnation syndrome (29.8%), spleen and stomach, hot and humid (19.3%), fever syndrome (12.3%) and mixed liver spleen deficiency (10.5%), The high frequency of chronic atrophic gastritis type certificate for stomach Yin deficiency syndrome (32.4%), spleen and stomach qi deficiency of syndrome (26.5%), gastric stasis winding resistance (23.5%), liver depression and qi stagnation syndrome (17.6%) and spleen deficiency cold syndrome (14.7%), and thus, chronic atrophic gastritis is given priority to with deficiency syndrome, and at the same time use and qi stagnation and blood stasis Bile reflux gastritis frequency card as follows:the liver stomach wind-cold (56.3%), spleen qi deficiency (37.6%), followed by wet resistance (25%), spleen and stomach, hot and humid (12.5%) and phlegm heat resistance (12.5%).ConclusionThe leading causes of chronic gastritis are modern and diet not festival, characteristic and pathogenesis for spleen deficiency and qi activity, and liver depression, hot and humid, phlegm and blood stasis pathology product throughout the role which the clinically in stomach, the new full, belching, stay for the primary symptom, disease in the spleen and stomach, involving the liver and gallbladder, disease sex between virtual phase and, in a word, not more. On syndrome differentiation type, give priority to with liver and stomach and qi stagnation and spleen deficiency syndrome types, if involved in liver spleen and stomach damp and hot, is prone to bile reflux, if long spleen deficiency, blood stasis, and qi stagnation and blood stasis, long Yin, stomach Yin deficiency, relieving stomach alongwith, progression to chronic atrophic gastritis. Analyze visible from tongue, tongue can effectively reflect the disease was not the actual change, combining with the characteristics of course, symptoms and is beneficial to help chronic gastritis classification differentiation, is shrinking judgment with the aid of bile reflux.