1. western medicine treatment: gastric motility drugs: these drugs can increase gastrointestinal peristalsis and inhibit bile reflux into the stomach. Commonly used drugs are motilium and mosapride. Gastric mucosal protective agent: sucralfate, which can combine with mucin in gastric mucosa to form a protective film to protect gastric mucosa from bile damage; Gastrodin can form a film in the stomach to cover the gastric mucosa, so as to reduce the stimulation of reflux bile and gastric acid on the gastric mucosa; Smecta, a gastric mucosal protective agent, can strengthen the mucosal barrier of digestive tract and is beneficial to gastric mucosal regeneration; Gastrin can promote the secretion of mucus in gastric mucosa, thus protecting gastric mucosa; Giffords can protect gastric mucosa and promote inflammation healing.

2. TCM treatment: TCM syndrome differentiation of bile reflux gastritis mostly belongs to spleen and stomach imbalance, stagnation of water and drink, and stagnation of liver qi. According to this dialectical result, the right medicine is given and the effect is ideal.

3. Diet nursed back to health: The diet should be light and do not eat greasy food, so as not to stimulate the increase of bile secretion and aggravate reflux and illness. You should chew slowly and avoid overeating. Avoid drinking tea, spirits, strong coffee and eating spicy, too cold, too hot and rough food.

4. Remove some aggravating factors, including quitting smoking and drinking, avoiding mental stress, maintaining a good mood, refusing to accept or using drugs that stimulate gastric mucosa with caution, such as aspirin, indomethacin, painkillers and phenylbutazone.

Diet aftercare: Diet should be light and do not eat greasy food, so as not to stimulate the increase of bile secretion and aggravate reflux and illness. You should chew slowly and avoid overeating. Avoid drinking tea, spirits, strong coffee and eating spicy, too cold, too hot and rough food.

Eliminate some aggravating factors, including quitting smoking and drinking, avoiding mental stress, maintaining a happy mood, refusing to accept or using drugs that stimulate gastric mucosa with caution.

Syndrome Differentiation and Typing According to 1989 "Trial Scheme of Diagnosis, Syndrome Differentiation and Curative Effect Standard of Chronic Gastritis" formulated by Gastroenterology Committee of Chinese Society of Integrated Traditional and Western Medicine, chronic gastritis can be roughly divided into five syndrome types: weakness of spleen and stomach (including cold deficiency), disharmony between liver and stomach, damp-heat of spleen and stomach, blood stasis in stomach collaterals and yin deficiency of stomach. But doctors have different understandings according to their own clinical practice. Shao Pei [2] divided the disease into five types. For patients with disharmony between liver and stomach, the prescription should be Sinisan plus Xiaobanxia Decoction. Liver and stomach stagnation type, the treatment should be soothing liver, clearing heat and regulating stomach, and Danzhi Xiaoyao Powder should be used to add and subtract. For the type of turbid phlegm blocking collaterals, it is advisable to regulate qi, eliminate phlegm and dredge the diaphragm, and use Qige powder to add and subtract. Spleen and stomach weakness, the treatment should be spleen and qi, and the prescription is modified by Xiangsha Liujunzi Decoction. Qi deficiency and blood stasis should be treated by invigorating qi and spleen, promoting blood circulation and removing blood stasis. Add and subtract the prescription with Sijunzi Decoction and Danshen Decoction. Yang Deming [3] thinks that the disease can be divided into four types. The disharmony between liver and stomach is suitable for soothing liver and regulating stomach. Medicinal materials: Bupleurum, Cyperus rotundus, Fructus Aurantii, Radix Paeoniae Alba, Poria, Fructus Amomi, cuttlefish bone, concha arcae, rhubarb, etc. Spleen and stomach deficiency and cold type, the treatment should be warming the middle and strengthening the spleen. Medicinal: Radix Codonopsis, Atractylodis Rhizoma, Rhizoma Zingiberis Recens, Radix Aucklandiae, Fructus Amomi, Rhizoma Cyperi, Rhizoma Pinelliae, cuttlefish bone, concha arcae, Herba Patriniae, Radix et Rhizoma Rhei with wine, etc. Insufficient stomach yin, suitable for nourishing yin and stomach, medicinal: Radix Adenophorae, Radix Ophiopogonis, Dendrobium, Polygonatum odoratum, Radix Paeoniae Alba, Os Sepiae, concha arcae, Radix et Rhizoma Rhei with wine, etc. The treatment of qi stagnation and dampness is suitable for promoting qi circulation and eliminating dampness. Medicinal materials: Radix Curcumae, Rhizoma Cyperi, Fructus Aurantii, Fructus Aurantii Immaturus, Rhizoma Pinelliae Preparata, Rhizoma Atractylodis, Caulis Perillae, Poria, cuttlefish bone, Concha Arctii, Radix Sophorae Flavescentis, Herba Patriniae, and Radix et Rhizoma Rhei with wine. Shao Rongshi [4] divided the disease into 6 types. Stomach fire type should be treated by clearing stomach and purging fire, clearing fu-organs and purging turbidity. Medicinal purposes: ochre, fried bamboo shavings with ginger, fried bitter orange, Jiang Banxia, Oletum Trogopterori, Coptidis Rhizoma, Butterfly and rhubarb. The disharmony between liver and stomach should be based on soothing the liver, benefiting gallbladder, harmonizing stomach and reducing adverse reactions. Medicinal: Fried Bupleurum, Radix Paeoniae Alba, Fried Fructus Aurantii, Radix Curcumae, Jiang Banxia, Pericarpium Citri Tangerinae, Rhizoma Cyperi preparata, Fructus Citri Sarcodactylis, and Herba Lysimachiae Christinae. Deficiency of stomach yin should nourish stomach yin. Medicinal: Radix Adenophorae, Radix Glehniae, Radix Ophiopogonis, Dendrobium, Rhizoma Pinelliae Preparata, Radix Paeoniae Alba, Mume Fructus, Radix Glycyrrhizae, Rhizoma Phragmitis, etc. Cold and heat are mixed, and the prescription is Banxia Xiexin Decoction. Yin Fu's moderate-scorched type is suitable for the treatment of Xin Gan Yang Tong and Wen Hua Han Yin. Medicinal materials: Ramulus Cinnamomi, Poria, fried atractylodes, Radix Glycyrrhizae Preparata, Jiang Banxia, Pericarpium Citri Tangerinae, Zingiberis Rhizoma, Evodia rutaecarpa, etc. For stomach collateral stasis type, it is advisable to promote blood circulation to remove blood stasis, regulate collaterals and protect membrane. Medicinal materials: Pollen Typhae, Oletum Trogopterori, Hedgehog Skin, Aspongopus, Olibanum, Myrrha, Radix et Rhizoma Rhei preparata, Radix Notoginseng, Rhizoma Bletillae, etc.

The basic prescription is modified by the combination of TCM syndrome differentiation and disease differentiation, especially the treatment methods of soothing the liver and benefiting the gallbladder, harmonizing the stomach and reducing adverse reactions, which can improve the curative effect of this disease. 45 Cases of Bile Reflux Gastritis Treated by Wang Mei's Self-made Hewei Decoction. Medicine: Bupleurum, Fructus Aurantii, Radix Paeoniae Alba, Caulis Perillae, Radix Codonopsis, Atractylodis Macrocephalae, Pericarpium Citri Tangerinae, Jiang Banxia, Ochre, Coptidis Rhizoma, Evodia rutaecarpa, and Glycyrrhrizae Radix. And add and subtract with the symptoms, daily 1 dose, decoction. Results: 30 cases were cured, with marked effect 10, 4 cases effective and 10 ineffective, and the total effective rate was 97.88%. Li treated 26 cases of bile reflux gastritis/kloc-0 with self-made decoction. Medicinal: Codonopsis pilosula, Turtle, Atractylodes Macrocephala, Artemisiae Scopariae, Cimicifuga, Bupleurum, Fructus Aurantii Immaturus, Coptidis Rhizoma, Concha Arctii preparata, cuttlefish bone, and Glycyrrhrizae Radix. And add and subtract with the symptoms, daily 1 dose, decoction. Results: 82 cases were cured, 39 cases were improved and 5 cases were ineffective. The total effective rate is 96%. Li Sujuan [7] treated bile reflux gastritis 120 cases with Yi Dan Wei Qing Decoction. Medicines: Bupleurum, Curcuma longa, Pericarpium Citri Tangerinae, Pinellia ternata, Caulis Bambusae, Scutellariae Radix, Ochre, Rhubarb Charcoal, and Glycyrrhrizae Radix. Decoct with water, daily 1 dose. Results: 74 cases were markedly effective, 32 cases were effective and 4 cases were ineffective/kloc-0. The total effective rate was 88.3%. Luo Tianjiong used Chaihu Shugan Powder to treat 40 cases of bile reflux gastritis. Daily 1 dose, taken in the morning and evening, with 30 days as 1 course of treatment. Results: 16 cases were cured, 19 cases were effective, and 5 cases were ineffective. The total effective rate was 85.5%. Zhang Xiaoming treated 40 cases of bile reflux gastritis with Chaiqin Wendan Decoction combined with Zuojin Pill. Medicine: Bupleurum, Scutellariae Radix, Pericarpium Citri Tangerinae, Jiang Banxia, Caulis Bambusae, Coptidis Rhizoma, Evodia rutaecarpa, Radix Paeoniae Alba, Atractylodis Rhizoma, Fructus Aurantii, Rhizoma Bletillae, Notoginseng Radix and Glycyrrhrizae Radix. Results: 5 cases were cured, 6 cases were markedly effective, 5 cases were effective and 4 cases were ineffective/kloc-0. The total effective rate was 55.33%.

2.3 Chinese patent medicine treatment Dai et al. used Bangxiaoan to treat 20 cases of bile reflux gastritis. Results: 0/4 cases were cured, 2 cases were improved, the cure rate was 70%, and the effective rate was 80%. Zhong Yi et al. used Weichangshu combined with aluminum magnesium carbonate to treat 30 cases of bile reflux gastritis. Results: The effective rate was 43.3% and the total effective rate was 86.7%. Xu Guanglin treated 35 cases of bile reflux gastritis with Liuwei Xiaoan Capsule. Results: 15 cases were cured, 6 cases were markedly effective, 4 cases were effective and 10 cases were ineffective. The total effective rate was 88.57%. Zhang Hong treated 34 cases of bile reflux gastritis with Weilikang. Results: The total effective rate was 88%, and the improvement rate of clinical symptoms was 965438 0%.

2.4 The combination of traditional Chinese medicine and western medicine is mainly used to treat bile reflux gastritis, especially to take care of the spleen and stomach from the perspective of liver and gallbladder. At the same time, combined with western medicine, it can promote gastric motility, promote gastric emptying, neutralize gastric acid and protect gastric mucosa. The combination of the two can achieve the effect of treating both the symptoms and the root causes. Wang Guanxiu and others treated 68 cases of bile reflux gastritis with self-made Shugan Wei Ping decoction. Drugs: Bupleurum, Fructus Aurantii, Pericarpium Citri Tangerinae, Fructus Citri Sarcodactylis, Scutellariae Radix, Coptidis Rhizoma, Evodia rutaecarpa, Radix et Rhizoma Rhei, Radix Paeoniae Alba, Glycyrrhrizae Radix, etc. Daily 1 dose, taken after breakfast and dinner. At the same time, combined with cisapride 5mg, taken three times a day before meals, for 4 weeks 1 course of treatment. The total effective rate is 96%. 48 cases of bile reflux gastritis treated by self-made Shugan Hewei Jiangni Decoction. Drugs: Bupleurum, Fructus Aurantii Immaturus, Coptidis Rhizoma, Evodia rutaecarpa, Radix Paeoniae Alba, Cortex Magnolia Officinalis, Curcuma rhizome, Fructus Citri Sarcodactylis, Rhizoma Pinelliae and Inula. 1 daily, after meals. At the same time, use 20mg of motilium, three times a day, before meals; 1 aluminum magnesium carbonate granules, taken three times a day before meals. Four weeks is 1 course, and the total effective rate is 95.8% after two courses. Huang Chaoyang treated 42 cases of bile reflux gastritis with Huanglian Wendan Decoction. Inula and ochre are obviously added to vomit; Calcined concha arcae is added for patients with severe heartburn and pantothenic acid; Hot weight plus dandelion; Radix Codonopsis and Radix Astragali are added for patients with qi deficiency. Every day 1 dose. Combined with sucralfate 1.0g, taken three times a day before meals; Domperidone 10mg, taken three times a day before meals. Every week is 1 course of treatment, and the gastroscope is reviewed after two courses of treatment. The total effective rate was 95.2%.