Problem description:

Abdominal distension, should be turbid gas in the stomach, how to do?

Could it be gastritis?

Analysis:

Gastritis of spleen-stomach qi stagnation type

Zhang Moumou, male, 38 years old. Date of seeing a doctor: 1997 10.28. My stomach swelled for half a year. Usually bored, burping, irritable, poor sleep, dreamy, listless, poor memory, pain in the liver area, no palpitation, no chest tightness, lost 5kg in the past six months, 1 week began to have constipation. The pulse condition is stable, the tongue is pale and dark, the edge is marked with teeth, and the moss is thin and white. Physical examination: flat and soft abdomen, tenderness in upper abdomen, percussion and drumming, and poor liver and spleen. Three years ago, gastroscopy diagnosed gastric polyps. Diagnosis: Chronic gastritis, gastric polyp and hepatitis are not excluded. Syndrome Differentiation: Qi stagnation in middle energizer, deficiency of both heart and spleen. Treatment principle: regulating qi and stomach, nourishing heart and strengthening spleen. Prescription: Buzhong Yiqi Decoction: Radix Astragali 15g, Radix Codonopsis 10g, Rhizoma Atractylodis Macrocephalae 10g, Cimicifuga rhizome 6g, Radix Bupleuri 6g, Radix Salviae Miltiorrhizae 15g, Pericarpium Citri Tangerinae 6g, Radix Glycyrrhizae 6g, Fructus Aurantii 10g and Rhizoma Cyperi/kloc. Daily 1 dose, decocted in water. After taking 15 days, the symptoms were relieved.

Press: Stomach distension is manifested by qi stagnation of the spleen and stomach, and hiccups and irritability are also caused by qi stagnation. According to the normal method, qi stagnation should be used to treat it. However, Mr. Shi believes that the patient's listlessness, memory loss, loose stool and tongue picture indicate that there is a tendency of spleen deficiency. Therefore, the method of regulating qi and benefiting qi is adopted, and Buzhong Yiqi Decoction is selected with Fructus Aurantii, Rhizoma Cyperi, Magnolia officinalis and other drugs. This prescription actually consists of Buzhong Yiqi Decoction, Zhi Zhu Decoction and Houpu Wenzhong Decoction. The latter two are tonics.

Stomach-stomach damp-heat gastritis

Wang Moumou, female, 55 years old. Date of seeing a doctor:1May 199814th. Stomach distension has been uncomfortable for more than 2 months. The stomach has a burning sensation, dry mouth and likes cold drinks, but there is not much water. The appetite is normal, fatigue is not obvious, and you are angry. When you are angry, the above symptoms are aggravated and your stool is normal. The pulse is deep and thin, the tongue is red, and the coating is white and greasy and yellowish. Diagnosis: Chronic gastritis. Syndrome Differentiation: Damp-heat of spleen and stomach. Treatment principle: reconcile the qi of spleen and stomach. Prescription: Chai Ping Tang Fructus Aurantii, Rhizoma Coptidis: Rhizoma Atractylodis 10g, Cortex Magnolia Officinalis 10g, Pericarpium Citri Tangerinae 6g, Radix Glycyrrhizae 6g, Rhizoma Coptidis 6g, Fructus Aurantii preparata 10g, Radix Bupleuri 10g, and Radix Scutellariae 10g. Daily 1 dose, decocted in water. After taking 15 days, the symptoms were greatly relieved.

Press: the patient's middle focus is not smooth, so the stomach cavity is full; Qi stagnation and dampness stop, and stagnation turns into heat, so heartburn and dry mouth like cold drinks; Wet turbidity does not change, drinking water is not much, and the tongue coating is slightly greasy. Chaiping decoction consists of Xiaochaihu decoction and Wei Ping powder. Throwing Wei Ping powder to dispel dampness and stomach to treat its root makes Coptis blindly. In addition to the effect of dampness, it also has the effect of relieving the bitterness of wine. With atractylodes rhizome and magnolia bark, it can relieve depression. Bupleurum chinense and Scutellaria baicalensis in Xiaochaihu decoction have the effects of clearing away heat and harmonizing the stomach, and can control the heartburn in the stomach. Generally speaking, patients with heartburn often have bile reflux. Chaiping Decoction can control bile reflux, which may be related to the satisfaction of patients' curative effect.