Gastritis in traditional Chinese medicine pertains to the categories of "pi" (feeling of fullness in the upper abdomen ), "wei wan tong" (stomachache), etc.

1. The chief symptoms are chronic upper abdominal pain, fullness and discomfort, belching and acid regurgitation which often occur after meals. Mild hemorrhage of upper digestive tract may be induced by some precipitating factors in a few cases. Severe atrophic gastritis may be accompanied with ane-mia and pathologic leanness.

2. Physical examination reveals mild but diffuse tender-ness in the upper abdominal region.

3. Laboratory examination:

(1) Gastric juice analysis: Gastric acid is normal in super-ficial gastritis, but mostly reduced or gone in atrophic gastri-tis.

(2) X-ray barium examination: Positive rate is not high. Atrophic gastritis presents gastric hypotension, triviality or disappearance of gastric mucosal folds. The main purpose of radiological examination is to exclude peptic ulcer and cancer.

(3) Gastrofiberscope : This method is most contributive in confirming diagnosis. Through it superficial mucosal erosion with hyperemia, swelling or red spots and increased ropy liq-uid could be discovered in chronic superficial gastritis; in chronic atrophic gastritis, such findings can be caught as thinned and greyish-pale mucosa, slenderized mucosal folds with exposure of submucosal vessels, and granular or nodular proliferation. The combined application of gastrofiberscope and biopsy proves to be an accurate method for the diagnosis of chronic gastritis.

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