Doctor Wang thinks that gastritis or ulcus, will be treated according to clinical syndromes differentiation during clinical treatment. Generally speaking, the pathogenesis is characterized by deficiency of origin and excess of superficiality. Deficiency of origin is deficiency of spleen, stomach and qi, or deficiency of both qi and yin; excess of superficiality is qi stagnation in stomach or liver. Qi stagnation in long term turns into stagnation of heat; qi stagnation turns to fluid stagnation then produces dampness; Qi stagnation in long term leads to blood stasis. Bedsides, pathogenic coldness or indigestion due to retention of food is the common pathogenic factor.
1. Regulate qi for stomachache due to qi stagnation; apply Chai Hu [3] Shu Gan San and Wen Dan Tang as the basic prescription; and Chen Pi [4], Zhi Ke, Hou Pu, Chai Hu and Lai Fu Zi [5] are the first choice.
2. Apply Huang Qin [6] and Huang Lian [7] for stomachache due to dampness and heat.
3. For the stomachache due to deficiency and coldness, reinforcing method should be used first and Si Jun Zi Tang added with Fu Zi [8] is applied as the main prescription.
4. Bai Shao [9] is commonly used for stomachache due to yin deficiency. One of the best choices for reducing acid and tonifying yin is Shao Yao Gan Cao [10] Tang. Applying Bai Shao with large dose is the characteristic of Director Wang. The common dose is 20-30g.
5. Pain in long term without improvement invades collaterals. Director Wang prefers to use Pu Huang [11] and Wu Ling Zhi combining with differentiations.
Key words: gastropathy, treatment speciality
Writer: Shiming Yao
Wuhan Traditional Chinese Hosptial, Hubei province
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