Relationship between differentiation syndromes in Stomach disease and Helicobacter pylori

摘要

AIMS To demonstrate the relationship between Helicobacter pylori infection and differentiation syndromes in Stomach diseases. METHODS Prospectively 317 cases selected randomly from patients with Stomach disease were studied. All were diagnosed endoscopically and confirmed by biopsy. They were classified according to the syndromes of traditional Chinese medicine (TCM) at the same time. RESULTS This study showed that there were 213 cases with Hp( + )and 104 cases with Hp( - ). Among the groups classified according to syndromes of TCM, the Hp( + ) rate in syndrome of stagnation of qi and heat was highest (76.8%) while the pure asthenic cold was lowest (57.5%). Most of Hp( + ) cases (52.7%) had incoordination of Liver and Stomach. Less patients (19.7%) suffered from pure asthenic cold in Hp( + ) than in Hp(-) (29.8%) (P < 0.05). The incidence of stomachache in Hp( + ) group was 80.0%, higher than that in Hp(-) group (70.6%), P < 0.05. CONCLUSIONS Hp infection may be one of the objective indexes in syndrome of stagnation of qi and heat. Heat allaying medicine can be used to treat it clinically.