T/CACM 1318.13-2019 Guidelines for the Diagnosis and Treatment of Common Diseases of the Digestive System in Traditional Chinese Medicine Part 13: Gastric Prolapse (For Primary Care Physicians)

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Main technical content: Gastric ptosis is a common and frequently occurring clinical disease. A study[1] reported that among 3,124 patients undergoing X-ray barium meal examination, the overall incidence of gastric ptosis was 9.80%, with a significantly higher incidence in females than in males. The earliest records of gastric ptosis can be traced back to the "Ling Shu? Ben Cang" in which it is stated that "the spleen should correspond to the flesh. Those with firm and thick flesh have a thick stomach, while those with soft and thin flesh have a thin stomach. Those with small and soft flesh have an unstable stomach; those with unproportionate flesh have a descending stomach, and those with a descending stomach have poor lower intestinal function. Those with an unstable stomach have a relaxed stomach." Therefore, in modern Chinese medicine, "gastric ptosis" refers to "gastric downward displacement". In recent years, traditional Chinese medicine methods such as herbal medicine, acupuncture, massage, and point embedding have achieved good therapeutic effects in treating gastric ptosis and accumulated rich experience. Moreover, numerous clinical reports have shown that traditional Chinese medicine treatment has good clinical efficacy. However, although traditional Chinese medicine has accumulated rich experience in the treatment of gastric ptosis over thousands of years of clinical practice, these experiences lack a unified optimal diagnosis and treatment plan, and there is still no unified standard for syndrome differentiation and typing, which is not conducive to clinical reference, application, and research. Therefore, in 2008, the Chinese Society of Traditional Chinese Medicine issued the "Gastric Ptosis Diagnosis and Treatment Guidelines" to summarize the traditional Chinese medicine diagnosis and treatment methods, so as to meet the needs of clinical diagnosis and treatment and scientific research. This treatment guideline is based on existing evidence-based medic

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