Atrophic Gastritisaccording to TCM

What is Atrophic Gastritis?

Atrophic gastritis is a condition characterized by the gradual thinning of the stomach lining, leading to diminished function and reduced production of stomach acid and digestive enzymes. This condition can be stealthy, as its symptoms are often subtle and may include discomfort, indigestion, and nutritional deficiencies due to impaired absorption. The progression to atrophy can be spurred by chronic inflammation, often associated with autoimmune conditions or long-term infections, such as those caused by Helicobacter pylori. Recognizing and addressing atrophic gastritis is crucial for preventing further gastric damage and potential complications, including an increased risk of gastric cancer.

How does TCM view Atrophic Gastritis?

From a Traditional Chinese Medicine (TCM) perspective, atrophic gastritis is viewed through the lens of imbalance and disharmony within the body’s energetic systems. TCM does not directly correlate to Western diagnoses but interprets symptoms like those of atrophic gastritis as indications of underlying imbalances such as Qi Deficiency, Phlegm, Damp or Heat accumulation.

TCM stresses the importance of identifying the specific disharmony present, as this guides the treatment approach. Therapies are tailored to strengthen the body's Qi, nourish the Yin, and clear any Damp-Heat, aiming to restore the integrity and function of the stomach lining.

Causes of Atrophic Gastritis According to TCM

Traditional Chinese Medicine (TCM) associates atrophic gastritis with a variety of underlying disharmonies, such as Stomach and Spleen Qi Deficiency, and the accumulation of Phlegm-Fluids. Stomach and Spleen Qi Deficiency embodies a scenario where the life force or Qi, essential for digestion and absorption, is weakened. This results in symptoms like bloating, poor appetite, fatigue, and a feeling of fullness after eating only a small amount. The essence of treating this condition in TCM lies in reinforcing the Qi of the stomach and spleen to rejuvenate their capabilities.

Conversely, Phlegm-Fluids symbolize a pathological accumulation, leading to a sense of heaviness, nausea, and a sticky taste in the mouth. This condition is often tackled by dissolving Phlegm and promoting the proper movement of fluids. Both patterns reflect an imbalance that requires strategic interventions to restore digestive health and integrity.

TCM Herbal Formulas for Atrophic Gastritis

For those suffering from Stomach and Spleen Qi Deficiency, TCM turns to formulas like Sheng Yang Yi Wei Tang, enriched with Milkvetch Roots (Huang Qi), to elevate the Qi and invigorate the spleen and stomach. This formula is particularly adept at enhancing energy levels and improving digestive function, addressing the core issues of Qi Deficiency. Additionally, Liu Jun Zi Tang and Shen Ling Bai Zhu San, both Qi-tonifying formulas, are employed to strengthen the digestive system, enhance the absorption of nutrients, and alleviate symptoms related to Qi Deficiency such as fatigue and loose stools.

In cases where Phlegm-Fluids dominate, leading to symptoms of congestion and obstruction in the stomach, Er Chen Tang becomes a go-to remedy. Featuring Crow-Dipper Rhizomes (Ban Xia), it’s specifically formulated to dry dampness and transform phlegm, clearing the way for smoother digestive processes. Wen Dan Tang, another formula targeting Phlegm-Fluids, harmonizes the stomach, clears the gallbladder, and expels Phlegm, tackling the complexities of atrophic gastritis from multiple angles. These targeted treatments underscore TCM’s holistic approach, aimed not just at symptom relief but at rectifying the underlying disharmonies to foster lasting gastric health.

Explore below some TCM herbal formulas used to address atrophic gastritis, organized by formula type.

TCM Herbs for Atrophic Gastritis

Explore below some TCM herbs used to address atrophic gastritis, organized by herb category.