T/CACM 1318.7-2019 Digestive System Common Diseases Chinese Medicine Guidelines Part 7: Chronic Atrophic Gastritis (Primary Care Physician Version)

Scope

Main technical content: Chronic atrophic gastritis (CAG) is a type of chronic gastritis, referring to a chronic gastric disease characterized by repeated damage to the gastric mucosal epithelium leading to a reduction in intrinsic glands, accompanied or not by fibrous replacement, intestinal metaplasia, and/or pseudo-pyloric metaplasia. It can be divided into two categories: multifocal atrophic gastritis and autoimmune gastritis. The exact cause of the disease is not very clear, and it is related to Helicobacter pylori infection, autoimmune factors, genetic factors, and dietary factors. The disease is difficult to cure repeatedly. When accompanied by moderate or severe intestinal metaplasia and dysplasia (epithelial tumor lesions), it is called a precancerous lesion of gastric cancer, and the risk of cancerization increases accordingly. The disease belongs to the categories of "stomach pain", "stomach fullness", "stomach ulcer", and "rumbling in the stomach" in traditional Chinese medicine. Traditional Chinese medicine emphasizes overall regulation and differentiated treatment, and has certain therapeutic advantages in improving patients' symptoms of indigestion, enhancing their quality of life, and improving endoscopic and pathological lesions.

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