Exploring the TCM Treatment of Spleen-Qi Deficiency and Qi Stagnation Type Chronic Non-Atrophic Gastritis with Erosions Based on the Theory of “Spleen-Stomach Deficiency-Cold and Qi Stagnation in the Middle Jiao”

Abstract

Chronic non-atrophic gastritis with erosions is a clinically common digestive system disease. Spleen-Qi deficiency with Qi stagnation and deficiency-cold in the Middle Jiao represent one of its most frequent syndrome types. The disease is located in the stomach and closely related to the spleen and liver. Its pathogenesis is characterized by asthenia in origin and sthenia in superficiality, with the root cause being weakness of the spleen and stomach, and the manifestations being Qi stagnation and cold congelation. Centered on the theory of “Spleen-Stomach Deficiency-Cold and Qi Stagnation in the Middle Jiao,” this paper systematically elaborates on the TCM diagnostic and therapeutic approach for spleen-Qi deficiency and Qi stagnation type chronic non-atrophic gastritis with erosions. It covers aspects such as theoretical connotation, etiology and pathogenesis, treatment principles and methods, prescription and medication application, and nursing care. The paper emphasizes the simultaneous application of methods including invigorating spleen and supplementing Qi, warming the Middle Jiao and dispelling cold, regulating Qi and harmonizing the stomach, and protecting the gastric mucosa and promoting tissue regeneration, aiming to provide a theoretical basis and practical reference for standardized clinical treatment.