Herbal therapy
1) Internal medicine
(1) Disharmony of the Liver and Stomach
Therapeutic Methods: To soothe the liver, normalize the function of the stomach, regulate the flow of qi and relieving stagnation.
Prescript ion: Modified Chaihu Shugan San (Bupleuri Powder for Soothing Liver Qi).
(2) Deficiency of Spleen Yang and Stomach Yang:
Therapeutic Methods: To warm the middle energizer, warm the stomach and disperse cold.
Prescription: Modified Huangqi Jianzhong Tang (Decoction of Astragali for Warming Middle Energizer) and Lizhong Tang (Decoction for Regulating Middle Energizer).
(3) Deficiency of Stomach Yin :Therapeutic Methods: To nourish stomach yin,promote salivation and clear away heat.Prescript ion: Modified Yiwei Tang (Decoction for Nourishing Stomach),
(4) Blood Stagnation Blocking the Stomach
Therapeutic Methods: To regulate qi, activate blood, remove blood stagnation and relieve pain.
Prescription: Modified Shixiao San (Powder for Dissipating Blood Stasis) and Danshen Yin Jiawei (Decoction of Salviae Miltiorrhizae with Addition
(5) Damp Heat in the Spleen and Stomach
Therapeutic Methods: To clear damp heat, regulate qi and normalize the function of the stomach.
Prescription: Modified Banxia Xiexin Tang (Decoction Pinelliae for Regulating Stomach).
2) External medicine
(1) Wuzhuyu ( Fructus Evodiae ) 50 g, Rhizoma Zingiberis (Ganjiang) 50 g, Flos Caryophylli (Dingxiang) 50 g, Fructus Foeniculi (Xiaohuixiang)75 g, Cortex Cinnamomi (Rougui) 30 g, Shengliuhuang (Sulphur) 30 g, Fructus Gardeniae (Zhizi) 20 g, Hujiao ( Fructus Piperis ) 5 g and Biba ( Fructus Piperis Lonngi) 25 g. Grind them into powder and reserve them for use. In the treatment, mix 25 g of the powder with flour paste and put the paste at Shenque (CV 8) and fix it with adhesive tape. Keep the application for 3 - 6 hours,once or twice daily. This treatment is applicable to peptic ulcer with cold pain in the epigastrium.
(2) Chuanjiao ( Pericarpium Zanthoxyli ) 150 g, Paojiang (Rhzioma Zingiberis, roasted in hot cinders)100 g, Shengfuzi (Raw Radix Aconiti Lateralis) 100 g, Tanxiang (Lignum Santali Albi ) 100 g and Rhizoma Atractylodis (Cangzhu) 200 g. Grind them into powder and reserve for use. In the treatment, mix 30 g of the powder with ginger juice into paste and put at Zhongwan(CV 12), Zusanli (ST 36), Shenque (CV 8), Pishu(BL20), Weishu (BL 21), one treatment every day. It is applicable to peptic ulcer with severe gastric pain.
(3) Congtou (Bulbus Allii Fistulosi , tassels reserved) 30 g and Shengjiang ( Rhizoma Zingiberis Recens) 15 g. Pound them and stir-bake them hot, and fill the bag with the herbs. Iron the epigastric area with it and change it when it turns cool. Apply this treatment twice a day, 30 minutes for each time or keep the application until the pain is relieved. It is applicable to peptic ulcer with the gastric pain as the main manifestation.
(4) Dahuang (Radix et Rhizoma Rhei, to be decocted later) 10g, Cortex Cinnamomi (Rougui) 6g,Wuzhuyu (Fructus Evodiae) 10 g, Rhizoma Coptidis (Huanglian) 10 g, Radix Linderae (Wuyao) 20 g, Radix Paeoniae Alba (Baishaoyao) 30 g, Wumei ( Fructus Mume )20 g and Zhishi ( Fructus Aurantii Immaturus ) 15 g. Decoct them to make 200 ml of the decoction and fill the anus through the catheter. The retention enema lasts for 40- 60 minutes, once every day, 7 days making up a treatment course. There is a 3 - day interval between treatment courses and generally 1 - 2 treatments are used. Stop the treatment when the pain is relieved. It is applicable to the epigastric pain caused by yin deficiency and blood stagnation.
(2) Acupoints Massage
1) When massaging the Zusanli (ST 36), put the thumb gently on this acupoint, then press and knead gently for about 5 minutes. It can regulate qi and relieve pain, strengthen the gastric digestion. Location of Neiguan (PC6): On the palmar side of the forearm and on the line connecting Quze (PC3) and Daling (PC7), 2 cun above the crease of the wrist. Gently press Neiguan (PC6) by thumbs for 3-5 minutes. It can treat stomach distention and pain and help heal.the surface of ulcers.
2) Patients with peptic ulcer manifested as abdominal pain, accompanied with heartburn, pantothenic acid and other symptoms, prefer to eat cold foods and drinks, but the gastric pain will be aggravated after eating cold foods, manifested as bitter taste, irritability, dry stools, yellowish urination, yellow tongue with greasy coating. Patients can press and knead Hegu (LI 4) and Neiting (ST44) to relieve or eliminate the above symptoms. Location of Hegu (LI 4): On the dorsum of the hand, between the 1st and 2nd metacarpal bones, and on the radial side of the midpoint of the 2nd metacarpal bone. Location of Neiting (ST44): On the instep of the foot, at the junction of the red and white skin proximal to the margin of the web between the 2nd and 3rd toes.
3) The distention on the upper gastric mucosa can affect the ribs, accompanied with pantothenic acid, sigh, hiccup, irritability, white tongue, all these symptoms are belong to qi stagnation ulcer. Press and knead Qimen (LR14) and Yanglingquan (GB34). Location of Qimen (LR14): On the chest, directly below the nipple, in the 6th intercostals space, 4 cun lateral to the anterior midline. Location of Yanglingquan (GB34): On the chest, in the anterior and inferior hollow of the rib microcephaly.
4) With certain pain in the upper abdomen, vomiting, tarry stools, purple and dark tongue with speckle and petechia, which is typical family blood type ulcer. Patients can press and knead Geshu (BL17) to relieve pain. The location of Geshu (BL17): On the back, below the spinous process of the 7th thoracic vertebra, 1.5 cun lateral to the posterior midline.
5) Frequent pain in the upper abdomen, easy to be hot, the pain will be aggravated if the whether becomes cold, emaciation with sallow complexion, cold limbs, lassitude, white and thin tongue, which is belong to deficiency-cold ulcer. Patients can press and knead Zhangmen (LR 13) and Jianliao (TE 14) to relieve pain.
The above acupoint massage should be comfortable, relaxed, no fatigue for the degree. If patients’ condition is on the acute ulcer bleeding stage, they must not treat this disease by massaging. The massaging therapy is also not applicable to pregnant women and patients with local skin infection.
