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Evidence-based Chinese medicine clinical practice guideline for stomach pain in Hong Kong

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Abstract

Stomach pain in Chinese medicine (CM) is a very common disorder in clinical practice and it has been listed as one of the pilot three conditions in Hong Kong to develop evidence-based CM clinical practice guidelines (CM CPGs). The aim of this stomach Pain CPG is to summarize the treatment methods of stomach pain with CM and evaluate reasonably, then to guide local licensed CM practitioners and provide beneficial reference for social medical decision makers and patients. In this manuscript, we defined stomach pain in CM and the category of chronic gastritis in Western medicine. The clinical manifestation, CM pattern classification, and CM intervention including herbal medicine treatment based on pattern differentiation, symptomatic treatment, acupuncture treatment, regulation and nursing were illustrated.

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References

  1. Zhou JZ, Chen ZM, Wei BH. Diagnosis, pattern differentiation and efficacy criterion of chronic gastritis with integrated Chinese and Western medicine (on trial). J Integr Tradit West Med (Chin) 1990;10:318–319.

    Article  Google Scholar 

  2. Zhang WD, Chen ZS, Wei BH, Li DB. Diagosis and treatment of chronic gastritis with integrated Chinese and Western medicine (draft). Chin J Integr Tradit West Med Dig (Chin) 2004;12:314–317.

    CAS  Google Scholar 

  3. China Association of Chinese Medicine. Clinical practice guidelines for common diseases of Chinese internal medicine (diseases of Western medicine): chronic gastritis. Beijing: China Press of Traditional Chinese Medicine; 2008:93–96.

    Google Scholar 

  4. China Academy of Chinese Medical Science, ed. Chinese Medicine evidence-based clinical practice guidelines. Beijing: China Press of Traditional Chinese Medicine; 2011:346–371.

    Google Scholar 

  5. Shi NN, Zhong LLD, Han XJ, Ziea TC, Bacon N, Bian ZX, et al. Enhanced evidence-based Chinese medicine clinical practice guidelines in Hong Kong: a study protocol for three common diseases. Evid Based Complement Alternat Med 2015;2015:482706.

    PubMed  PubMed Central  Google Scholar 

  6. Hou L. The pathogenesis discussion about bile regurgitation gastritis. Shandong J Tradit Chin Med (Chin) 2007;26:294–295.

    Google Scholar 

  7. Chen J. The understanding of diagnosis and treatment of erosive gastritis with dampness and heat. Hubei J Tradit Chin Med (Chin) 2006;28(11):42–43.

    Google Scholar 

  8. Wang FY, Tang XD, Yao NL. Discussion on adjusting activity of qi in gastrointestinal disease. Shanghai J Tradit Chin Med (Chin) 2006;40(3):20–21.

    CAS  Google Scholar 

  9. Zhou XW. The understanding of pattern and treatment of chronic atrophic gastritis. Chin Arch Tradit Chin Med (Chin) 2002;20:558–559.

    Google Scholar 

  10. Zhang XP, Yan XJ, Chu RG, Zhang JS. Probe into the mechanism of stomach precancerosis over the theory of traditional Chinese medicine. Jiangxi J Tradit Chin Med (Chin) 2003;34(6):13–14.

    CAS  Google Scholar 

  11. Branch of Gastrointestinal Diseases, China Association of Chinese Medicine. Consensus on diagnosis and treatment of chronic atrophic gastritis with traditional Chinese medicine. J Tradit Chin Med (Chin) 2010;51:749–753.

    Google Scholar 

  12. Fan Q. Promoting blood circulation to remove blood stasis is the key point in treatment of precancerous lesions of gastric cancer. Chin J Basic Med Tradit Chin Med (Chin) 1997;3(5):54–55.

    Google Scholar 

  13. Chai KF. Prevention and treatment of chronic atrophic gastritis with the method of promoting blood circulation to remove stasis. Chin Arch Tradit Chin Med (Chin) 2004;22:389–390.

    Google Scholar 

  14. Zhai G, Zhai JB, Sun P. Clinical pattern differentiation in the treatment of bile-reflux gastritis. J Chin Tradit Chin Med Inf (Chin) 1998;5(12):47–48.

    Google Scholar 

  15. Liu ZW. Diagnosis and treatment of chronic atrophic gastritis with mingmen theory. Zhejiang J Tradit Chin Med (Chin) 1998;33(4):152.

    Google Scholar 

  16. Wu J, Tian DL. Discussing on pattern of dampness-heat spleen and stomach of chronic gastritis. Tradit Chin Med Res (Chin) 2007;20(5):7–9.

    Google Scholar 

  17. Cao ZQ. Blood stasis and toxin theory in precancerous lesions of chronic atrophic gastritis. Chin Arch Tradit Chin Med (Chin) 2005;23:66.

    Google Scholar 

  18. Wang AY, Shan ZW. Diagnosis and treatment of chronic atrophic gastritis with static blood theory. Chin J Integr Tradit West Med Dig (Chin) 2000;8:290–291.

    CAS  Google Scholar 

  19. Wang YF, Xu F. Research on patterns and treatment of bile-reflux gastritis with chinese medicine. J Beijing Univ Tradit Chin Med (Chin) 1999;22(2):41–43.

    CAS  Google Scholar 

  20. Su ZQ, Chen RH, Li PC, Zhang Y, Liu FS, Liu T, et al. Current situation of TCM syndrome distribution of chronic atrophic gastritis. J Beijing Univ Tradit Chin Med (Chin) 2015;38:42–45.

    Google Scholar 

  21. Chen HZ, ed. Practical internal medicine. Beijing: People's Medical Publishing House; 2005:1858–1866.

    Google Scholar 

  22. Chinese Society of Gastroenterology. Consensus on several issues of helicobacter pylori. Chin J Gen Pract (Chin) 2005;4:33–35.

    Google Scholar 

  23. Ke YL, Shan ZW. Chinese medicine patterns differentiation and etiology analysis of chronic atrophic gastritis in 542 cases. Liaoning J Tradit Chin Med (Chin) 2006;33:161–162.

    Google Scholar 

  24. Zhang ZM, Liu YH, Pan SY, Wu ZJ, Ye ZY, Guo XF, et al. Analysis of risk factors for 408 chronic gastritis cases in Guagnzhou. Henan Tradit Chin Med (Chin) 2008;28(6):37–39.

    Google Scholar 

  25. Zhen ZT, ed. Gastroenterology (3rd ed). Beijing: People's Medical Publishing House; 2006:308–329.

    Google Scholar 

  26. Gao W, Wang ZZ, Huang XZ, Tang CB, Fu XH. Diet and chronic gastritis. Med Soc (Chin) 1996;9(4):18–20.

    Google Scholar 

  27. Chinese Society of Gastroenterology. Chinese consensus on chronic gastritis. Chin J Gastroenterol (Chin) 2006;11:674–684.

    Google Scholar 

  28. Zhang JZ, Song AH. Treatment of deficieny-cold gastritis with Yimi Liujunzi Decoction: 60 cases. Sichuan J Tradit Chin Med (Chin) 1999;17(12):33–34.

    CAS  Google Scholar 

  29. Jin GR. Treatment of pattern of deficiency-cold of spleen and stomach of chronic gastritis with Liujunzi Decoction modified: 96 cases. J Shaanxi Coll Tradit Chin Med (Chin) 1996;19(4):31.

    Google Scholar 

  30. Fu YZ, Zhen P, Lin RP. Treatment of pattern of deficiency of spleen and stomach of chronic superficial gastritis with Sijunzi Decoction: 105 cases. Modern J Integr Tradit Chin West Med (Chin) 2001;10:1453–1454.

    Google Scholar 

  31. Wang YM. The effancy of the treatment of patients with chronic superficial gastritis of deficiency of the spleen by Xiangsha Liujunzi. Jilin Med J (Chin) 2013;34:1647–1648.

    Google Scholar 

  32. Yang G. Treatment of chronic superficial gastritis with Huangqi Jianzhong Decoction modified: 31 cases. Guangxi J Tradit Chin Med (Chin) 2006;29(3):42.

    Google Scholar 

  33. Bian J. Treatment of chronic gastritis with modified Huangqi Jianzhong Decoction: 46 cases. Hebei J Tradit Chin Med (Chin) 2006;28:362.

    Google Scholar 

  34. Zhen XW, Wang Y. Curative effect observation of treatment of chronic atrophic gastritis with modified Huangqi Jianzhong Decoction: 60 cases. Zhejiang J Tradit Chin Med (Chin) 2005;40(2):28–29.

    Google Scholar 

  35. Lu LY, Zhou LQ. Curative effect observation of treatment of chronic gastritis with modified Huangqi Jianzhong Decoction: 66 cases. Guangzhou Med J (Chin) 2007;38:69–71.

    Google Scholar 

  36. Wu Y, Li YB, You JY. Clinical research on treatment of pattern of qi deficiency of spleen and stomach of chronic gastritis with the method of invigorating spleen and nourishing kidney. Shanghai J Tradit Chin Med (Chin) 1997;12(11):6–9.

    Google Scholar 

  37. Qu M. Curative effect observation of treatment of bile reflux gastritis with modified Chaihu Shugan Powder: 33 cases. J New Chin Med (Chin) 2001;33(9):23–24.

    Google Scholar 

  38. Huang CZ, Du FB. Systematic review and meta-analysis of treatment of chronic superficial gastritis with Chaihu Shugan Powder. Jiangxi J Tradit Chin Med (Chin) 2008;39(9):17–18,60.

    Google Scholar 

  39. Huang Y, Wen TQ, Zeng L, Zhou Z, Luo Q. Clinical observation on treating 50 cases of Hp related gastritis with modified Chaihu Shugan Powder. Guiding J Tradit Chin Med Pharmacol (Chin) 2007;13(4):33–34.

    Google Scholar 

  40. Chai HR, Huang JW, Qin SZ. Clinical observation of treatment of bile reflux gastritis with Chaihu Shugan Powder added with Astragalus: 120 cases. Heilongjiang J Tradit Chin Med (Chin) 2006;35(4):9–10.

    Google Scholar 

  41. Yan S, Li ZQ. Treatment of chronic atrophic gastritis with Yiguan Decoction: 118 cases. Shaanxi J Tradit Chin Med (Chin) 1999;20(4):161–162.

    Google Scholar 

  42. Huang PY. Curative effect observation of treatment of Hp-related gastritis with Maimendong Granules: 200 cases. J New Chin Med (Chin) 2007;39(3):37–38.

    CAS  Google Scholar 

  43. Yuan CY. Clinical researches on treatment of chronic atrophic gastritis with Banxia Xiexin Decoction. Liaoning J Tradit Chin Med (Chin) 2007;34:1583–1584.

    Google Scholar 

  44. Wang SH. Clinical observation of treatment of chronic atrophic gastritis with Banxia Xiexin Decoction. Hubei J Tradit Chin Med (Chin) 2008;30(3):29–30.

    CAS  Google Scholar 

  45. Shen YJ, Wei DL, Hu CF, Ma ZL, Zhu SY. Curative effect observation of treatment of Hp-related gastritis with Banxia Xiexin Decoction: 120 cases. J Emerg Tradit Chin Med (Chin) 2009;18:880–881.

    Google Scholar 

  46. Li GC. Systematic analysis of random control test on treatment of chronic gastritis with Banxia Xiexin Decoction. J Nanjing Univ Tradit Chin Med (Chin) 2004;20(2):79–82.

    Google Scholar 

  47. Li F, Zhong XM. Treatment of spleen stomach damp heat type chronic gastritis with method of acridness relieving superficies and bitterness expelling internal heat: 60 cases. J New Chin Med (Chin) 2007;39(6):61.

    Google Scholar 

  48. Lin Y. Clinical study on Qinghua Yiwei Oral Liquor in treating dampness-heat syndrome of chronic gastritis. J Shandong Univ Tradit Chin Med (Chin) 2003;27:367–369.

    Google Scholar 

  49. Jiang YG, Wang LM, Xiao J, Wu MX. Efficacy observation on treatment of chronic atrophic gastritis with uniting of prepared Chinese medicine. Liaoning J Tradit Chin Med (Chin) 2005;32:15–16.

    Google Scholar 

  50. Yakazu D, ed. Succinct clinical experience of treatment with Chinese prescription. Beijing, China: China Press of Traditional Chinese Medicine; 1992.

    Google Scholar 

  51. Cao SY. Clinical efficacy comparison on treatment of chronic superficial gastritis with electro-acupuncture. Chin J Rehabil (Chin) 2008;23:346–374.

    Google Scholar 

  52. Gao XY, Niu XE, Zhou HQ. Clinical study on chronic atrophic gastritis treated by acupuncture. Chin Naturopath (Chin) 2001;9(6):16–17.

    Google Scholar 

  53. Tan QW, Ju YL, Wang YF, Liu YT. Clinical study on treatment of chronic atrophic gastritis with acupuncture at jiaji points. Chin Acupunct Moxibust (Chin) 2000;20(3):5–7.

    Google Scholar 

  54. Qin Y. Clinical observation of treatment of pattern of deficiency-cold of spleen and stomach of stomach pain with warm needling and ginger moxibustion: 78 cases. J Guiyang Coll Tradit Chin Med (Chin) 2004;26(4):37–38.

    Google Scholar 

  55. Cao SM. Clinical research on treatment of chronic atrophic gastritis with cauterized needling. Hubei J Tradit Chin Med (Chin) 1997;19(5):42.

    Google Scholar 

  56. Ge PL. Treatment and analysis of chronic atrophic gastritis with acupuncture and moxibustion. Chin Med Herald (Chin) 2007;4(12):93.

    Google Scholar 

  57. Hong JF, Li HH, Qin LF. Clinical observation of treatment of chronic gastritis with acupuncture cooperated with recipes: 90 cases. Shanghai J Acupunct Moxibust (Chin) 2005;24:21–22.

    Google Scholar 

  58. Fan SY. Curative effect analysis of treatment of chronic atrophic gastritis with acupuncture. Chin Acupunct Moxibust (Chin) 1995;15(S1):9–10.

    Google Scholar 

  59. Xin YH, Chen XL. Treatment of pattern of deficiency-cold of spleen and stomach of stomach pain with warm needling: 52 cases. Shaanxi J Tradit Chin Med (Chin) 2005;26:959–960.

    Google Scholar 

  60. Sun YY. Curative effect observation of treatment of chronic gastritis with cauterized needling. Shanghai J Acupunct and Moxibust (Chin) 2003;22(12):28.

    CAS  Google Scholar 

  61. Zhang Q, Yang WB. Clinical observation of treatment of chronic gastritis with acupuncture and moxibustion: 65 cases. Chin J Clin Med Res (Chin) 2004;11(9):68.

    CAS  Google Scholar 

  62. Wang XF, Chen YW, Bai LY. Brief talk about psychological problems and nursing management of senile chronic atrophic gastritis. Gansu Sci Technol (Chin) 2006;22:171–172.

    Google Scholar 

  63. Sun W. Psychological nursing experience of chronic atrophic gastritis. Chin J Pract Med (Chin) 2000;27(4):63.

    Google Scholar 

  64. Gu JM. Effect of psychological nursing in treatment of chronic gastritis. Guide Chin Med (Chin) 2007;5:686–687.

    Article  Google Scholar 

  65. Wang YF. Effect of psychological nursing in treatment of chronic gastritis depression. Chin J Misdiagn (Chin) 2005;5:584–585.

    Google Scholar 

  66. He B, Sun HX, Li XC. Clinical observation of treatment of chronic atrophic gastritis with herbal medicine with psychological health education. Chin Pract Med (Chin) 2008;3:97–98.

    Google Scholar 

  67. Lian H, Zhen SH, Zhang XT. Clinical observation of psychological states of pattern of incoordination between liver and stomach and pattern of deficiency of spleen and stomach of chronic atrophic gastritis. Xinjiang J Tradit Chin Med (Chin) 2006;24(3):14–16.

    Google Scholar 

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Authors and Affiliations

  1. Hong Kong Chinese Medicine Study Centre, Hong Kong Baptist University, Hong Kong SAR, China

    Linda L. D. Zhong, Nan-nan Shi, Liang Dai, Zhao-xiang Bian & Ai-ping Lu

  2. School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China

    Linda L. D. Zhong, Liang Dai, Zhao-xiang Bian & Ai-ping Lu

  3. Institute of Basic Research in Clinical Medicine, China Academy of Traditional Chinese Medicine, Beijing, 100091, China

    Nan-nan Shi

  4. Department of Chinese Medicine, Hong Kong Hospital Authority, Hong Kong SAR, China

    Tat Chi Ziea & Bacon Ng

  5. Department of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China

    Xu-dong Tang

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  1. Linda L. D. Zhong
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  2. Nan-nan Shi
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  3. Liang Dai
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  4. Tat Chi Ziea
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  5. Bacon Ng
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  6. Xu-dong Tang
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  7. Zhao-xiang Bian
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  8. Ai-ping Lu
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Correspondence to Ai-ping Lu.

Additional information

Supported by Hong Kong Hospital Authority Research Project, the Development of Chinese Clinical Practice Guidelines in Hong Kong, China (No. HA820/126/19/19/14/6/12/1)

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Zhong, L.L.D., Shi, Nn., Dai, L. et al. Evidence-based Chinese medicine clinical practice guideline for stomach pain in Hong Kong. Chin. J. Integr. Med. 23, 793–800 (2017). https://doi.org/10.1007/s11655-016-2586-y

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  • DOI: https://doi.org/10.1007/s11655-016-2586-y

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