半夏泻心汤加减治疗慢性浅表性胃炎临床观察

Clinical Observation On Treating Chronic Superficial Gastritis With Banxia Xiexin Decoction

[目的]观察半夏泻心汤加减治疗慢性浅表性胃炎疗效。[方法]对65例门诊患者使用半夏泻心汤(半夏10g,黄连3g,黄芩10g,干姜8g,党参12g,川朴6g,炒二芽各30g,陈皮6g,炙甘草6g,痞闷重加枳壳、佛手各10g)肝气不舒加郁金10g,柴胡6g;胃阴亏虚加石斛10g,北沙参12g;气滞血瘀疼痛加元胡10g;噫气较频加旋覆花15g,代赭石20g;泛酸明显加乌贼则骨12g,煅瓦楞子30g。1剂/d,水煎取400mL,分2次早晚2温服。连续治疗1月为1疗程。服药期间忌烟酒,辛辣,生冷,油腻,坚硬食品;并增加室外体育活动;调情志,适寒温。观测临床症状、胃黏膜状况、幽门螺旋杆菌。连续治疗1疗程,判定疗效。[结果]痊愈25例,显效30例,好转6例,无效4例,总有效率93.85%(61/65)。[结论]半夏泻心汤加减治疗慢性浅表性胃炎疗效肯定,经济实用,患者容易接受,值得推广。

[Objective]to observe effect of treating chronic superficial gastritis with Banxia Xiexin decoction.[Method]65 cases using Banxia Xiexin decoction,1 dose / day,400mL water decoction,2 tow times eat.1 month for 1 courses,1 courses of treatment（30 days） follow-up of February to determine efficacy.[Results] 25 cases were cured,31 cases were effective,6 cases were improved,4 cases are invalid,the total efficiency of 93.85%.[Conclusion]Banxia Xiexin decoction in the treatment of chronic superficial gastritis curative effect,econormy and practicality,acceptable to patients,it is worthy of clinical application.