Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Gastritis Introduction Gastritis
is an inflammation of the gastric mucosa, often divided into acute or chronic. Acute
gastritis has numerous causes, including chronic ingestion of irritating food,
or alcohol, medications like ASA and other non-steroidal anti-inflammatory drugs
(NSAIDS) and steroids, caffeine, nicotine, stress due to severe illness,
bacterial or viral infection (strong association with Helicobacter pylori),
radiation, etc. The signs and symptoms of acute gastritis topically are acute
abdominal pain and cramps, belching or gas, anorexia, nausea, vomiting, and
hematemesis. The symptoms last from a few hours to a few days.
Chronic gastritis may be caused by prolonged irritation from the use of
NSAIDs, infection with the bacteria Helicobacter pylori, pernicious anemia, an
autoimmune disorder, degeneration of the lining of the stomach with age, or
chronic bile reflux. Risk factors include a history of pernicious anemia, blood
or lymph system disorders, age over 60 years and use of NSAIDs. The incidence is
2 out of 10,000 people. The
symptoms may be hiccups, abdominal indigestion, and loss of appetite, nausea,
vomiting, rarely and vomiting blood and dark stools. Many people with chronic
gastritis have no symptoms of the condition. TCM Etiology and pathology The common symptoms of gastritis are epigastria pain, loss appetite, vomiting, abdominal distension, etc. In TCM, it may be treated as Wei wan tong (epigastria pain), or Na dai (loss appetite), etc. The possible causes include: the stomach attacked by pathogenic factors, which might be cold-damp or heat-damp, diet disorder, the liver qi attacking the stomach, spleen and stomach deficiency and blood stasis. In clinic, gastritis can be divided into two TCM types, excessive and deficiency. Acute gastritis often is excessive, such as pathogenic factors invading and diet disorder. Chronic gastritis often is deficiency such as yin or yang-qi deficiency. Because in chronic condition Zheng qi is deficient, which causes pathogenic factors easily invading and food not digested properly, deficiency accompanied with excessive is also very common, such as stomach yang-qi deficiency accompanied with food stagnation. TCM Differentiation
and treatment 1.
Stomach invaded by cold Clinical
manifestation: Epigastria acute serious cold pain aggravated by cold and
alleviated by warm, or vomiting, or diarrhea, light red tongue with white fur,
tense and taut pulse Treatment
principle: Warming middle jiao and dispersing cold, promoting qi movement and
relieving pain Herb prescription: Modified Liangfu Wan Acupuncture:
Zhongwan (RN12), Neiguan (PC6), Zusanli (ST36), Gongsun (SP4) 2.
Food Retention Clinical
manifestation: Epigastria pain after overeating and unbearable touching, or
vomiting, or diarrhea, poor appetite, thick greasy tongue fur, slippery pulse
Treatment
principle: Relieve food retention and pacifying the stomach Herb
prescription: Modified Bohe Wan (Pill to keep spleen good condition) Acupuncture:
Zhongwan (RN12), Xiawan (RN10), Tianshu (ST25), Zusanli (ST36) 3. Liver qi attacking stomach Clinical
manifestation: Epigastria fullness, or wandering pain or radiating hypochondriac
region, related with emotion changes, frequent sigh, easy irritated, light red
tongue with white fur, taut pulse Treatment
principle: Soothing the liver qi and pacifying the stomach
Herb prescription: Modified Chaihu Shugan Yin (Formula of bupleurum smoothing liver qi) Acupuncture:
Zhongwan (RN12), Neiguan (PC6), Zusanli (ST36), Ganshu (BL18), Qimen (Liv14),
Yanglingquan (GB34) 4.
Blood stasis Clinical
manifestation: Epigastria piercing and fixed pain, purple tongue body Treatment principle: Promoting blood and qi
circulation to remover blood stasis Herb prescription: Modified Danshen Yin Acupuncture:
Zusanli (ST36), Zhongwan (RN12), Shanzhong (Ren17), Geshu (BL17), Xuehai (SP10) 5.
Stomach yin deficiency Clinical
manifestation: Epigastria dull and chronic dull hot pain or heart burning, dry
and bitter mouth, or poor appetite, or constipations, red narrow tongue without
fur or with thin yellow fur, thin and rapid pulse Treatment principle: Nourishing stomach yin Herb prescription: Modified Yiguan Jian Acupuncture:
Weishu (BL21), Zhongwan (RN12), Sanyinjiao (SP6), Taixi (KI3), Neiting (ST44) Clinical manifestation: Epigastria chronic
cold pain aggravated by cold and alleviated by warm and pressure, poor appetite,
fatigue, cold limbs, or vomiting, or diarrhea, big pale tongue body with white
fur, deep and weak pulse Treatment
principle: Tonifying spleen qi and warming middle jiao Herb prescription: Modified Huangqi Jianzhongtang Acupuncture: Pishu (BL20), Weishu (BL21), Zhangmen (Liv13), Zhongwan (RN12), Zusanli (ST36) Copyright by Kai Chen Ph.D. in Chinese Medicine
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