TCM Treatment Based on Syndrome Differentiation:
Marshmallow Herbal Remedies
Marshmallow root is a mucilaginous herb with a cooling and soothing nature used for ulcers, colitis, gastritis, and urinary inflammation or cystitis. The root has shown a mild immune-activating effect in laboratory tests, and it is taken for dry coughs and lung inflammation or dryness. Its anti-inflammatory properties also make marshmallow useful as a mouthwash. Marshmallow root is often added to other warmer and more active herbs to moderate their harshness, especially for urinary tract and upper respiratory tract infections.

Slippery Elm Herbal Remedies
Slippery elm is a mucilaginous herb used internally to soothe duodenal ulcers, gastritis, chronic diarrhea, sore throats, and coughs. Slippery elm lozenges are excellent to ease a sore throat or relieve any irritation or inflammation of the digestive tract. It is applied locally for wounds, abscesses, and burns. Slippery elm is made into a gruel for convalescence. Some modern herbalists suggest replacing slippery elm with marshmallow root, as slippery elm is becoming scarce. To make a cold infusion, soak 1 ounce of the shredded bark in 1 pint of cool water until a mucilaginous gel is formed. Use this preparation by the cupful as a soothing drink.

Treatment in Western Medicine:
Many doctors are successfully treating ulcers without the use of antacids and often these natural methods work whether or not the issue of H.  pylori infection is directly addressed. Treatment often involves using a combination of medications.  By using more than one kind of medication, multiple factors can be addressed: killing the Helicobacter pylori bacteria, reducing acid levels, and providing protection to the duodenum.  This combination strategy often provides the best chance of allowing the ulcers to heal and reducing the chance that the ulcers will come back.  However, it is important for patients to take all of the medications exactly as prescribed. The medications may include:

-- proton pump inhibitors (e.g., omeprazole)
-- medications that protect the tissue lining (e.g., sucralfate)
-- bismuth (may help protect the lining and kill the bacteria)
-- antibiotics to kill Helicobacter pylori
-- acid blockers (e.g., cimetidine, ranitidine, famotidine)