Commonly Used Chinese Patent Medicines for Treating Gastric Ulcers

Gastric ulcers require syndrome differentiation and treatment, often linked to specific imbalances in the body. The following are common patterns of disharmony and their corresponding herbal treatments:

1. Liver Qi Stagnation with Spleen Deficiency

This condition typically presents with symptoms such as stomach pain, acid reflux, heartburn, irritability, mood swings, and frequent anger. Patients may benefit from formulas like Xiao Yao Wan, Jia Wei Xiao Yao Wan, or Jian Wei Yu Yang Pian. These remedies help soothe liver energy while strengthening the spleen.

2. Spleen and Stomach Weakness

Chronic and recurring ulcers may indicate a deeper deficiency in the spleen and stomach. Common signs include sallow complexion, fatigue, shortness of breath, bloating, poor appetite, and loose stools. In such cases, tonifying formulas like Si Jun Zi Wan, Chen Xia Liu Jun Zi Wan, Xiang Sha Liu Jun Zi Wan, and Shen Ling Bai Zhu Wan can be effective in restoring digestive function and overall vitality.

3. Cold Deficiency in the Spleen and Stomach

Patients experiencing cold-type abdominal pain that improves with warmth—such as wearing more clothing or using extra blankets—are likely dealing with this pattern. Symptoms tend to worsen when the stomach is empty and improve after eating. Recommended treatments include Xu Han Wei Tong Ke Li, Li Zhong Wan, Fu Zi Li Zhong Wan, Xiao Jian Zhong Tang, and Huang Qi Jian Zhong Tang, which warm the middle jiao and strengthen digestion.

4. Damp-Heat Obstruction in the Middle Jiao

When damp-heat affects the digestive system, patients may feel discomfort, bloating, or pain along with possible nausea or irregular bowel movements. Herbs such as Feng Liao Chang Wei Kang Ke Li and Zhi Shi Dao Zhi Wan are commonly used to clear heat, resolve dampness, and restore gastrointestinal harmony.

Understanding the underlying cause of gastric ulcers is essential for selecting the most appropriate treatment. Always consult a qualified practitioner before beginning any herbal therapy to ensure safe and effective results.