Essentials of diagnosis.
Symptoms, if present, consist of vague, nondescript upper abdominal distress.Mild epigastric tenderness or no physical findings whatever.Gastric biopsy is the definitive diagnostic technique.

Treatment in Western medicine.
The treatment of chronic gastritis, except in those cases associated with pernicious anemia or iron deficiency anemia, is not very successful. A peptic ulcer regimen-elimination of possible aggravating factors such as alcohol, salicylates and other nonsteroidal anti-inflammatory drugs and caffeine anticholinergic drugs and mild tranquilizers may give symptomatic relief.

Herb therapy
For stagnation of dampness due to deficiency of the spleen and the pathologic changes due to the retention of water and transmissive functions of the spleen. The main symptoms are anorexia, epigastric distress, abdominal distension, loose stools, nausea, no thirst, or preference for hot drinks, general anasarca, lassitude and weakness, thick glossy coating of the tongue, slow and formicant pulse, etc. The most effective formula is Ping Wei San Jia Jian.

Constituents:
Chinese atractylodes 15g
Large-headed atractylodes 15g
Bark of official magnolia 12g
Dried old orange peel 12g
Pinellia 12g
Tuckahoe 15g
Wrinkled ianthyssop 15g
Fruit of hawthorn 30g
Medicated leaven 30g
Malt 30g
Fruit of citro or trifoliate 15g
Rhizoma xorydalis 10g
Dangshen 12g
Nutgrass 15g
Fructus amomi 12g
Decoction and dosage: All the above herbs make a dose and six to ten doses are prescribed with one dose daily. Each dose is simmered twice and then the broth of each mixed, half of the mixed broth each time, twice a day.

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