Duodenal Ulcer Treatment with Traditional Chinese Medicine

When treating duodenal ulcers using Traditional Chinese Medicine (TCM), a common pattern observed is spleen deficiency, which calls for therapies aimed at strengthening the spleen and boosting qi. Duodenal ulcers often develop over a long period, leading to symptoms such as qi and blood deficiency, weak spleen and stomach function, shortness of breath, fatigue, a sallow complexion, weight loss, and either persistent stomach pain or general gastric discomfort. These symptoms tend to recur and linger, further weakening the body's ability to function optimally.

Understanding the Role of Spleen Health

In TCM, the spleen plays a central role in maintaining overall health, especially in the production of qi and blood. A weak spleen can lead to a failure in controlling blood circulation, which may result in bleeding symptoms such as hematemesis (vomiting blood) or melena (black, tarry stools). Therefore, protecting and strengthening the spleen and stomach becomes a key therapeutic goal during treatment.

Common Herbal Treatments

One of the most frequently used formulas for strengthening the spleen and replenishing qi is Si Jun Zi Tang (Four Gentlemen Decoction). Depending on the individual patient's condition, additional strategies may be employed, including regulating qi, resolving dampness, harmonizing the stomach, relieving pain, nourishing blood, or promoting blood circulation.

Addressing Different Syndromes

If the patient primarily exhibits symptoms of cold in the spleen and stomach, formulas like Xiao Jian Zhong Tang or Huang Qi Jian Zhong Tang may be prescribed with appropriate modifications. For those presenting with liver-stomach disharmony, the focus shifts to soothing the liver and regulating qi, often using Chai Hu Shu Gan San as a base formula with added herbs tailored to the patient's needs.

Integrating Syndrome and Disease Diagnosis

An important aspect of TCM treatment involves combining both pattern differentiation (bian zheng) and disease-specific diagnosis (bian bing). For instance, if there is evidence of internal bleeding, herbs such as San Qi (Notoginseng) powder or Xue Jie (Dragon's Blood resin) may be added to help stop bleeding and promote tissue healing. This integrative approach ensures a more precise and effective treatment plan tailored to each individual's condition.