辨证分型治疗慢性浅表性胃炎86例分析

An analysis of treating 86 cases of chronic superficial gastritis by differentiation

目的:观察辨证分型治疗慢性浅表性胃炎的疗效。方法:将86例符合慢性浅表性胃炎诊断标准的患者按中医辨证分为肝胃气滞、肝胃郁热、气滞血瘀、气滞湿阻、脾虚痰湿、脾胃湿热、脾胃虚寒、胃阴亏虚等8种证型并分类施治,观察各型疗效。结果:治愈率达86%,有效率为96.5%。结论:慢性浅表性胃炎久治难愈其实质是脾虚兼气滞或兼湿阻、湿热、血瘀,中医分型施治具有较好疗效。

Objective:To observe the clinical effect of differentiation on chronic superficial gastritis.Methods:86patients with chronic superficial gastritis of liver and stomach qi stagnation,who met the diagnostic criteria,were divided into8types of syndrome:liver and stomach Qi stagnation,liver and stomach heat,Qi stagnation and blood stasis,Qi and dampness stagnation,spleen deficiency with phlegm,the spleen and stomach heat,the spleen and stomach cold and stomach Yin deficiency.Differential treatment was given and the therapeutic effect of each type was observed.Results:The cure rate was86%and the effective rate was96.5%.Conclusion:Chronic superficial gastritis was refractory because of spleen deficiency and Qi stagnation,and dampness,damp heat,blood stasis.TCM differential treatment had a better curative effect.