What the hell is H. pylori in the eyes of Chinese medicine

In modern society, with the accelerated pace of life and changes in lifestyle, many people get this gastrointestinal problem. The number of patients with gastrointestinal problems is increasing in clinical practice. As the saying goes, nine out of ten people have gastrointestinal problems. What superficial gastritis, gastric sinusitis, gastric ulcer, Helicobacter pylori, chronic colitis, etc., these problems, ah, are increasingly common.

Here, I want to talk about the problem of H. pylori, some patients get the hospital test report, the heart is very nervous, very afraid. Because they feel that this bacterial problem is very difficult to deal with.

Who should be tested for H. pylori?

1. over 30 years old, with elderly people and children, especially those with children. Couples who are preparing for pregnancy should also be tested.
2. have chronic gastritis, gastric ulcer, duodenal ulcer and other stomach diseases.
3. frequent acid reflux, heartburn, indigestion, loss of appetite or stomach pain.
4. have bad breath, dry mouth, bitter mouth, bad taste in the mouth, or mouth ulcers.
5. often eat out, participate in dinner parties, do not use public dishes, or love to eat raw food or drink raw water.
6. Refusing gastroscopy.
7. long-term use of non-steroidal anti-inflammatory drugs, (such as aspirin, ibuprofen, etc.) type of drugs.
8. Unexplained wasting, weakness and indigestion.
9. Prevention of gastric cancer and those with family history of gastric cancer.
10. Other diseases related to H. pylori: rosacea, measles, liver disease, halitosis, cholelithiasis, cirrhosis, diabetes, iron deficiency anemia, pediatric dysplasia, migraine, coronary heart disease.

What is the degree of expression of H. pylori disease?

Degree of disease progression: When patients develop chronic upper abdominal pain, fullness, discomfort, and acid reflux, it suggests that H. pylori infection causes inflammatory changes in the gastric mucosa, i.e. chronic gastritis.

Most of the patients with gastric disease deteriorate in the process of “normal gastric mucosa —– superficial gastritis —– atrophic gastritis —– intestinal epithelial metaplasia —– atypical hyperplasia —– gastric cancer” after H. pylori infection.

How to test for H. pylori?

1, 13C breath test, good sensitivity and specificity, no radiation, pregnant women and children can do.

2, C14 breath test, good sensitivity and specificity, (C14 method has radiation, women during pregnancy is prohibited!)

3, blood test: detection of antibodies to Helicobacter pylori (HP), (can not determine whether there is a current infection)

4, gastroscopic gastric mucosa biopsy: tissue detection of HP, gastroscopy recommended this method. (invasive examination)

What are the precautions before testing?

1. Carbon 14 is not recommended for pregnant women, lactating women and children under 12 years of age, Carbon 13 can be chosen.
2. Antibiotics, bismuth preparations, proton pump inhibitors (razoles), titin and other HP-sensitive drugs, as well as herbal medicines for anti-inflammatory purposes are prone to false negatives, and it is recommended that the test be performed after antibiotics have been stopped for one month, and after acid suppressants and herbal medicines have been stopped for 10 days.
3. Acute bleeding in the upper gastrointestinal tract can suppress HP, so there may also be false negatives.
4. Do not drink, talk, smoke or eat on an empty stomach or more than 3 hours after a meal, after taking the test capsule or before gas collection.
5. Drinking alcohol on the first day may affect the accuracy of the test results.

Who needs eradication treatment?

The 2017 guidelines on H. pylori treatment issued by the American College of Gastroenterology (ACG) mention that the incidence of gastric cancer is reduced by half after H. pylori eradication. Therefore, eradication treatment is recommended for adults who are tested for H. pylori infection. Eradication treatment is mandatory for the following diseases and populations.

1. peptic ulcers.
2. lymphoma of the lymphoid tissue associated with the gastric mucosa.
3. chronic gastritis with dyspepsia that is positive for H. pylori.
4. chronic gastritis with atrophy or erosion of the gastric mucosa; especially with enterosis and heterogeneous hyperplasia.
5. postoperative gastric.
6. long-term use of proton pump inhibitors (omeprazole class)
7. family history of gastrointestinal cancer; especially first-degree relatives
8. planned long-term use of NSAIDs (e.g. aspirin, warfarin, ibuprofen, anti-inflammatory pain, inflammatory pain Xicam, etc.).
9. some extra-gastric diseases associated with H. pylori infection, such as anemia.

Why is this the case? Let me talk about it from the perspective of Chinese medicine.

First of all, let’s be clear that H. pylori is a bacteria, so what is a bacteria? Since there are bacteria, there are big bacteria, right? Fine and large is the opposite, then what is a large bacteria? Large bacteria, is our common mushrooms and other mushroom plants, we call large bacteria ah. However, the mushrooms, such as large mushrooms we can see with the naked eye, like H. pylori bacteria, you need to use a microscope to observe.

How can we understand the situation of H. pylori infection in our body? I want to talk about the mushroom plant to help us to understand this H. pylori and how it occurs in our body.

Around the Qingming Festival, it rained for a few days and I climbed up the mountain with a few of my buddies to look for mushrooms, and we didn’t see any mushrooms when we were in the mountains some time ago.

Why is it like this? Why is it that at other times, when it is not raining and the weather is dry, there are no mushrooms on the mountain, or there are not so many mushrooms to be found? After the rain, mushrooms grew so much at once, which means what? This means that the moisture, this wet environment, is a very important condition for the growth of mushrooms.

Also, we can observe that we can see moss and some other things growing out in some perennial dripping or wet ditches, while in some dry places are completely invisible.

This is a very strong proof of bacteria or fungus – it grows in an environment that must be watery and moist for it to grow. If the weather is dry, not enough moisture and high temperature, it can’t grow and survive.

So why do some people have this H. pylori in their bodies? We in Chinese medicine believe it is because the environment in your body has become moist and cold that this H. pylori has taken root and flourished inside you.

Then why your body will become cold, will become damp, will become so much water? I think ah, and now many people have a lot to do with some bad lifestyle and diet habits.

Now, the standard of living has improved, the material is more abundant, people are happy to drink some cold drinks after dinner, the better the colder the better, like this cold or cold feeling. But do not know, this way in the long run, will inevitably cause the body’s environment becomes wet, cold, changing the original balance of our body, creating favorable conditions for the growth and reproduction of bacteria.

Therefore, we believe that if you are infected with this Helicobacter pylori, you use a method of extermination, only to treat the symptoms but not the root cause of ah. We often see that some patients he took antibiotics in the hospital after a period of treatment and then go to the follow-up ah, the indicators have passed, that is, the H. pylori was basically killed, but after a period of time, the problem has emerged again.

Why? Because your eating habits, lifestyle has not changed, because your physique, your internal environment has not been restored to balance, so that you use antibiotics to treat, is really like cutting the grass does not eliminate the root, the spring wind blowing again.

If we Chinese medicine treatment is how to treat it, we will take some warm and dry drugs, to make the body of this wet, cold environment, become dry up ah, so that the internal environment to restore the original balance, this Helicobacter pylori will not have a survival of the soil, naturally this disease will be up.

Infected with H. pylori, usually accompanied by some very obvious bloating ah stomach pain ah indigestion ah diarrhea ah symptoms, in fact, this is not difficult to treat in Chinese medicine. The root cause is that your constitution has changed and lost its balance. We just need to improve this constitution with Chinese medicine to restore this balance, the disease can be cured. Of course, in the long run, you still need to change some bad lifestyle, bad eating habits, your body can really be a long-term cure.

We also often see some patients say, often sleep up ah, breath is very big and smelly, which is also due to the internal environment is too wet, too much moisture caused by. You do not see some stinky gutter all year round, there will be an unpleasant odor, or rainy weather, our clothes are always not dry, then also issued a bad smell to.

If the weather is dry and sunny, the clothes will soon dry, it does not have this odor. Of course, in the summer, if the sun is too hot ah, the sun to the land, or the road, we will also smell some unpleasant smell. Our body is the same, if the intake of chili peppers, liquor, fried food too much, resulting in fire, just like the sun is too much ah, will also emit some odor out. However, clinically, most bad breath is caused by cold and dampness, and relatively few are caused by fire.

Emphasis on the infection of H. pylori is not terrible, what is terrible is that you do not have another thinking, only know how to use antibiotics to kill it, but do not know the root cause, do not know how to change their own physique, improve their internal environment, restore the balance of the body. The most important thing is to change your bad lifestyle and eating habits.

Our hospital adopts pure Chinese medicine treatment, using to support the righteousness and dispel the evil, strengthen the spleen and permeate dampness, warm the middle and disperse the cold, tonify the middle and benefit the qi, improve the immunity, which can resist the pathogenicity of bacteria. The herbs in the formula contain alkaline, which can inhibit the living environment of bacteria. The formula can sterilize and have a protective effect on gastric mucosa to prevent and control bacteria from attaching to the gastric mucosa.

This formula is derived from Si Jun Zi Tang with addition and reduction. In this formula, Atractylodes macrocephala is bitter and warm to strengthen the spleen and dry dampness, and strengthen the power of benefiting Qi and helping transportation. It is complemented by sweet and light Poria, which strengthens the spleen and permeates dampness. The combination of ling and jade is beneficial in strengthening the spleen and dispelling dampness. The use of licorice is beneficial to the qi and the middle, and harmonizes all medicines. Mutual combination, together with the effect of benefitting the spleen. It can enhance and regulate the immune function of the body, promote the interferon system, and improve the body’s resistance to disease. The addition of henbane in the formula can eliminate food and strengthen the stomach. After taking the powder orally, gastric juice secretion and digestive power are seen to be improved, and gastric motor function is obviously enhanced. In vitro experiments can enhance pepsin and pancreatic lipase activity, which plays an important role in alleviating the development of gastritis and strengthening the stomach. Supplemented with clove to warm the middle and lower the rebellion, disperse cold and relieve pain, it can promote gastric juice secretion, enhance digestive power, reduce nausea and vomiting, relieve abdominal distension, it is a clear and aromatic stomach strengthener, and has analgesic and anti-inflammatory effects, which can play a good role in gastritis. At the same time, flea rest has a broad-spectrum antibacterial effect on Helicobacter pylori, dysentery bacillus, Escherichia coli, enteritis bacillus, etc. have different degrees of inhibition, especially the inhibitory effect on the purulent cocci is better than Huang Lian, and has a strong inhibitory effect on Asian influenza A virus.

Prevention

Even if the disease is successfully eradicated, it is not safe for life; if care is not taken, there is a possibility of reinfection, and the reinfection rate is 2-8% for about 5 years. Therefore, it is also necessary to pay attention to dietary hygiene. The transmission route is mainly oral-oral, so sharing utensils, sharing toiletries, mouth-to-mouth feeding, and even kissing are all risk factors. So prevention is only possible by yourself ~~ the key is to manage the disease from the mouth into the gate, I think we all know what to do.