T/CACM 1318.11-2019 Digestive system common diseases: Chinese medicine guideline for diagnosis and treatment, Part 11: Peptic ulcer (primary care doctor version)

Scope

Main technical content: Peptic ulcer (PU) refers to an inflammatory reaction and necrosis of the mucosa under the action of various pathogenic factors, resulting in ulceration. The necrotic lesions of the ulcer penetrate the mucosal muscular layer, and in severe cases, they can reach the underlying muscular layer or deeper. The lesions can occur in the esophagus, stomach, or duodenum, or near the gastro-jejunal anastomosis or in the Meckel's diverticulum containing gastric mucosa. Among them, gastric and duodenal ulcers are the most common [1]. Therefore, the diagnosis and treatment covered in this guideline mainly refer to gastric ulcers, duodenal ulcers, and compound ulcers. In recent years, peptic ulcer, as one of the advantageous diseases for traditional Chinese medicine treatment, has made great progress in many aspects such as the study of syndrome patterns and differential treatment methods. In order to systematically organize and summarize the clinical experience of traditional Chinese medicine in the diagnosis and treatment of peptic ulcer, conduct in-depth modern scientific research on peptic ulcer, and objectively evaluate the efficacy of traditional Chinese medicine in the diagnosis and treatment of peptic ulcer, this guideline is formulated on the basis of referring to relevant consensus opinions or guidelines at home and abroad, so as to guide the use of grassroots doctors

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