Research on Tuò Dú Xiāo Yǒng Tāng for Chronic Atrophic Gastritis in the Elderly
Atrophic gastritis is a common disease in middle-aged and elderly people, generally evolving from superficial gastritis and associated with Helicobacter pylori infection. Dr. Shao Jimin from the First People’s Hospital of Wujiang City, Jiangsu Province, used his self-formulated Tuò Dú Xiāo Yǒng Tāng to treat 30 cases of this condition, achieving satisfactory results. A report on this was published in Issue 12, Volume 24 of Jiangsu Zhongyi, 2003, including one typical case.
Thirty patients were outpatient cases diagnosed via fiber gastroscope and histopathology, serving as subjects for treatment observation. They received Tuò Dú Xiāo Yǒng Tāng. The formula consists of Astragalus, Wintergreen, Dandelion, Soapberry Thorn, Red Peony, White Peony, Honeysuckle, Atractylodes, Citrus Aurantium, Wu Yao, Bupleurum, Cyperus, and Frankincense. Adjustments were made based on symptoms during treatment. The formula was administered once daily, decocted and taken in the morning and evening. Each course lasted three months, with gastroscopy reviewed every two courses to observe efficacy. After treatment, 9 cases were markedly effective (30%), 18 cases were effective (60%), and 3 cases were ineffective (10%). The total effective rate reached 90%.
Through clinical symptoms and endoscopic and pathological observations, Dr. Shao concluded that local gastric lesions resemble TCM’s "abscess" or "boil." Thus, clinical treatment can draw on the theory of treating abscesses in traditional Chinese surgery. His self-formulated Tuò Dú Xiāo Yǒng Tāng is derived from the "Tuo Li Xiao Du San" in "The Authentic Classic of Surgery." Ingredients: Astragalus and Atractylodes strengthen spleen and boost qi, promote toxin expulsion and wound healing; Red Peony, White Peony, Cyperus, Wintergreen, and Frankincense activate blood, harmonize nutritive essence, and promote new tissue growth; Honeysuckle and Dandelion clear heat, detoxify, resolve nodules, and eliminate boils; Soapberry Thorn disperses and expels toxins directly to the site of illness; Wu Yao, Bupleurum, and Citrus Aurantium soothe liver, regulate qi, and dissipate nodules and fullness. The formula matches the syndrome, hence satisfactory results. However, Dr. Shao also noted that chronic atrophic gastritis in the elderly does not yield quick results and requires appropriate extension of treatment duration. Physicians must not rush; the medication should be light and harmonious. Patients must maintain mental balance, avoid worries, and rest quietly, thereby achieving synergy with the medicine.