| Chronic Gastritis is an inflammation of gastric mucosa. It is estimated that over50%of the adult in China are suffering from chronic gastritis. The main clinical manifestations of chronic gastritis are nonspecific indigestion. The disease may reoccur repeatedly for a long period of time. Modern medicines have obtained certain understanding of its causes and pathological mechanism. However the treatments they come up with are lack of specificity and not effective enough. Chronic Gastritis pertains to the category of Epigastria pain’,’Gastric ruffian’,’Hiccup’,’Noisy’in Chinese Traditional Medicine(TCM).The name of "Epigastria pain" was first appeared in ((NeiJing)). Chinese medicine has different types of treatment for chronic gastritis, and it is safe, has no side effect, satisfable curative effect, particularly in improving clinical symptom shows unique advantage. The traditional Chinese medicine and acupuncture therapy in the clinical treatment of chronic gastritis has many treatments, and also different combinations."Xu’s harmony decoction" and "Wang’s old ten needles" are one of famous treatment in Traditional Chinese medicine treatment for chronic gastritis, as it is the best combination of Chinese medicine and acupuncture."Xu’s harmony decoction" was invented by a chief Chinese physician Xu Peng Ling’s hand which he inherited from the family. Dr Xu has complied to a Chinese Medical treatment theory "treating a disease, first treat the main Pathogeny." Through many years of clinical experience, Dr. Xu has emphasized harmony method for balancing the spleen and stomach’s function. Harmony treatment means by balancing Yin and Yang, control organs and Qi movements, adjusts cold and heat energy inside human body, from this theory invented the Harmony decoction. Prescription:Astragalus, dried ginger, licorice, pinellia, Evodia, Coptis, Cistanche, Myrobalan."Wang’s old ten needles" acupuncture treatment was invented from Beijing Chinese Medicine Hospital Wang. Through many years of studies and experiment Dr.Wang has summarized his viewpoint as "treating the main pathogeny, cure stomach comes first" According to TIAOZHONGYIQITANG and BUZHONGYIQITANG’s treatment theories in 《Spleen and stomach theory》, Dr.Wang designed the "Old Ten needles" acupuncture treatment, and its clinical efficiency was proved for Gastrointestinal diseases.According to the quotes written above, we have selected "Xu’s harmony decoction" and "Wang’s old ten needles" combination, to observe the clinical curative effect of treating chronic gastritis, explore the best combination with acupuncture and medicine in treating chronic gastritis clinical correlation. Objective:The case study of60chronic gastritis patients with diagnostic criteria, using a randomized with controlled method;"Xu’s harmony decoction" and "Wang’s old ten needles" as the best combination of traditional Chinese medicine and acupuncture and moxibustion;28days of clinical observation. In order to make a scientific observation, standardized diagnostic criteria and evaluation criteria (nationally recognized), also for obtaining a convincing test results; for the future of the optimal combination of clinical research, provide reference basis and train of thought.Methods:The diagnosis of chronic gastritis standards are quoted by "The National Symposium of Chronic Gastritis" held in2004.TCM syndrome diagnosis standard referred to "Chronic gastritis with integrated traditional Chinese and Western medicine treatment program" held in2003, which have divided into five different groups. Liver stomach disharmony; Weakness of the spleen and stomach; Spleen stomach damp heat; Stomach Yin deficiency; Blood stasis in stomach meridian.This study was designed for randomized controlled experimental methods, total60chronic gastritis patients matches the inclusion criteria (After the diagnosis of Western medicine with gastro scope examination report) and the exclusion criteria of the patients, were randomly divided into treatment group and control group with30patients in each group. The treatment group was treated by "Xu’s harmony decoction" and "Wang’s old ten needles" which includes Shangwan, Zhongwan, Xiawan, Qihai, Tianshu(double), Neiguan(double), Zusanli(double);disharmony between liver and spleen added Gongsun(double); the weakness of spleen and stomach added Taibai(double); spleen stomach damp heat added Yinlingquan(double), Fenglong(double); Stomach Yin deficiency added Xuehai(double), Neiting(double); Blood stasis in stomach meridian added bloodletting on Lidui(double),Shangyang(double). Xu’s harmony decoction was dosed daily, Wang’s old ten needles acupuncture (2times per week, every Wednesday, Saturday) were treated with28days in total.Evaluation criteria:symptom score standard was quoted by The people’s Republic of China Ministry of health to develop "guiding principles of clinical research on new drugs of traditional Chinese medicine"; the curative effect judgment standard referred to "Chronic gastritis by integrated traditional and Western medicine diagnosis, dialectical and curative effect standard"(for Trial Implementation). Before treatment as the first evaluation; after28 days as a final evaluation. Finally, using Excel software data collection, using statistical software SPSS13.0was used for data analysis.Results:1. Both treatment and control groups’before and after treatment the main symptoms of contrast, the data proves that P=0.01<0.05, the two group clearly proved the clinical syndrome of chronic gastritis has improved.2. Comparison between two groups, the data proves that P=0.01<0.05, main symptoms improved prompt treatment group was superior to the control group. Therefore the combined use of acupuncture and Chinese medicine has advantages in the treatment of chronic gastritis curative effect compare to single use of Chinese medicine in optimization.3. Total curative effect evaluation:In treatment group3cases were cured, markedly effective for12cases, effective for12cases, ineffective for3cases, the total effective rate was90%; in the control group2cases were cured, markedly effective for7cases, effective for16cases, ineffective for5cases. The total effective rate was83.33%. The two treatments were effective.4. Comparison of curative effect in each group:In treatment group, the cure rate was10%, markedly effective rate was50%, the total effective rate was90%; in the control group, the cure rate was6.67%, markedly effective rate was30%, total effective rate was83.33%. Two groups’markedly efficiency was rated by X2test, P=0.04<0.05, showed a significant difference between two groups, the treatment group is more effective than control group; two groups’total efficiency was rated by X2test, P=0.44>0.05, the two groups showed no statistical significance.Conclusion:This study used a randomized controlled method for "Xu’s harmomy Decoction" and "Wang’s old ten needles" treatment of chronic gastritis by comparative study, observe and evaluate the clinical curative effect of two kinds of therapy in patients with primary symptoms, improvements and the effect. Two different therapies can significantly improve patients with epigastric pain, epigastric fullness and diet to reduce symptoms, but treatment the observation group was slightly better than the controls, and the treatment group ("Xu’s harmomy Decoction" with "Wang’s old ten needles") greater rate than those in the control group (simply taking "Xu’s harmomy Decoction"), which later in response to chronic gastritis treatment provides scientific basis, are worthy of further research and extension. The subject of innovation lies in the first two advantage combination ("Xu’s harmomy Decoction"and"Wang’s old ten needles") for clinical observation, through scientific randomized controlled design, achieved credible experimental results, give full play to the role of Chinese traditional medicine for internal treatment, acupuncture and moxibustion for external treatment, controlling both internal and external could balance yin and Yang. |
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