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Relationship of TCM Syndrome Types with the Degree of Gastritis and Antroduodenal Motility

LUO Yunjian, HUANG Suiping, CHEN Hui, YU Shaoyuan (The Second Affiliated Hospital, Guangzhou University of TCM, Guangzhou 510120, China)  
To study the relationship of TCM syndrome types with Helicobacter pylori (Hp) infection, the degree of gastritis and antroduodenal interdigestive migrating motor complex (MMC), 117 patients with chronic gastritis were classified to excess syndrome and deficiency syndrome. The excess syndrome included damp_heat in the spleen and the stomach (DHSS, 37?cases) and incoordination between the liver and the spleen (ILS, 34). The deficiency syndrome included deficiency of the spleen and the stomach (DSS, 26) and deficiency of stomach_yin (DSY,20). All subjects received endoscopic and pathological examination, and urease test for Hp was conducted simultaneously. Among them, 37 cases received MMC measurement as well. The results showed that the Hp_positive rate was 86.5% , 79.4% , 50.0% and 40.0% in cases with DHSS,ILS,DSS and DSY respectively. The percentage of severe gastritis was 54.0% , 38.2% , 19.2% and 15.0% in cases with DHSS,ILS,DSS and DSY respectively. The results of MMC measurement showed that the patients with excess syndrome mainly manifested as strong contraction or even accentuation and derangement at the antrum of stomach and duodenum; the patients with deficiency syndrome mainly manifested as the decrease in motility index, contraction frequency and amplitude at phage Ⅱ, duration shortening, amplitude reduction or even disappearance of phage Ⅲ. It is suggested that TCM syndrome types in chronic gastritis are closely correlated with Hp infection, the degree of inflammation in gastric mucosa and the features of antroduodenal interdigestive MMC.
【Fund】: 国家中医药管理局资助课题 (编号 :97Z0 80 )
【CateGory Index】: R259
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