What Medications Are Effective for Gastritis? While stomach issues often prompt gastric medication use, what specific treatments work for gastritis? Most cases stem from dietary indiscretion. Mild cases may be managed at home with medication and dietary therapy. Below are recommendations for treating gastroenteritis.Western Medical Treatment
1. Treatment: Ensure adequate bed rest. Administer oral glucose-electrolyte solutions to replenish fluid loss. For persistent vomiting or significant dehydration, intravenous supplementation with 5%-10% glucose saline and other relevant electrolytes is required. Encourage intake of light liquid or semi-liquid foods to prevent dehydration or treat mild dehydration.
2. Symptomatic Treatment: Administer antiemetics as needed, e.g., intramuscular injection of chlorpromazine 25-100 mg daily. Antispasmodics: Atropine 0.5 mg, 3 times daily. Antidiarrheals: Smecta 1 sachet per dose, 2-3 times daily.
3. Antimicrobial Therapy: The efficacy of antibiotics for this condition remains controversial. For infectious diarrhea, targeted antibiotics may be appropriately selected, such as Berberine 0.3g orally three times daily or Gentamicin 80,000 units orally three times daily. However, antibiotic overuse should be avoided.
What medications are effective for gastritis?Traditional Chinese Medicine Treatment
1. For patients with stomach yin deficiency: Burning pain in the epigastrium, discomfort, poor appetite despite hunger, dry mouth and thirst, hard stools, red tongue with cracks, thin or absent coating, and a wiry, fine, rapid pulse. This pattern indicates liver-spleen disharmony and stomach yin deficiency. Treatment should focus on soothing the liver, strengthening the spleen, nourishing yin, and tonifying the stomach.Medicinal formula: 30g each of dandelion and Hedyotis diffusa, 15g each of North ginseng root, solomon's seal, white peony root, and whole trichosanthes fruit, 12g each of ophiopogon tuber, pollen, cassia seed, dendrobium stem, and hawthorn fruit, 10g each of Chinese toon fruit and vinegar-processed corydalis tuber, 6g licorice root. Prepare one dose daily by decocting in water.
2. For patients with spleen-stomach deficiency-cold: Epigastric heaviness and discomfort, poor appetite, vomiting of sour fluid, dull pain aggravated by cold and relieved by warmth, worsening on hunger and slightly alleviated by eating, loose stools, fatigue and weakness. Pale, swollen tongue with teeth marks on edges, thin white coating. Pulse deep, fine, and weak or floating, large, and feeble.This pattern stems from deficient middle qi and spleen-stomach deficiency-cold, requiring tonification of the middle and qi, fortification of the spleen, and warming of the stomach. Prescription: 30g Fried Astragalus, 15g Codonopsis, 12g each of Atractylodes, Poria, Chinese Yam, Dolichos, Sepia, Calcined Crustacean Shell, 10g each of Tangerine Peel, Galangal, Cyperus, Evodia,and 10g each of Fried Licorice. Prepare one dose daily and decoct in water for oral administration.
3. Heat Pathogen Invading the Stomach Pattern Patients experience burning pain in the epigastrium, rumbling hunger, bitter taste in the mouth, dry throat, regurgitation of sour-bitter fluid, constipation, a red tongue with thin yellow coating, and a string-like, thin pulse. This pattern indicates heat pathogen invading the stomach and stagnation in the middle jiao. Treatment should focus on promoting middle jiao function, clearing heat, and harmonizing the stomach.Medicinal formula: 30g each of dandelion and patrinia root, 15g each of hedyotis root and white peony root, 10g each of citrus peel, citron, forsythia fruit, and scutellaria root, 12g each of cuttlefish bone and calcined oyster shell, 6g each of coptis root and evodia fruit. One dose daily, decocted in water.
4. Food Stagnation Injuring the Stomach Type Irregular eating habits damage the spleen and stomach, causing food accumulation in the epigastrium with distension, fullness, pain, nausea, vomiting, belching of putrid odors, sour regurgitation, constipation with foul-smelling stools, red tongue with thick yellow greasy coating, and string-like slippery pulse. This pattern belongs to food stagnation injuring the stomach and obstruction of viscera qi. Treatment should focus on strengthening the spleen, harmonizing the middle burner, and promoting digestion to open the appetite.Medicinal ingredients: 12g each of Atractylodes macrocephala and Poria cocos; 15g each of Hawthorn fruit, Fermented malt, Chicken gizzard lining, Barley malt, and Fried Rapeseed; 10g each of Aquilaria agallocha, Magnolia officinalis, Pinellia ternata, Tangerine peel, Ziziphus jujuba, and Rheum palmatum (separately wrapped and added later); 5 slices of Ginger. One dose daily, decocted in water.