Patient Profile：
Name: Mr. James,
Gender: Male,
Age: 52,
Nationality: American,
Occupation: Multinational Corporate Executive
Recurrent epigastric distension and dull pain for 6 years; symptoms worsened with frequent belching in the past 3 months.
Previous medication (oral omeprazole + mosapride) yielded unsatisfactory therapeutic effects.
No hypertension, diabetes, or history of drug allergies.
Chronic atrophic gastritis complicated with mild intestinal metaplasia
Functional dyspepsia
Syndrome differentiation: Spleen-stomach Qi deficiency, concurrent Qi stagnation and blood stasis
Frequency: Twice per week, 30 minutes per session
Key acupoints: Zhongwan (CV12), Tianshu (ST25), Zusanli (ST36), Pishu (BL20), Weishu (BL21)
Manipulation: Clockwise abdominal rubbing, rolling massage along the bladder meridian on the back
Frequency: 3 times per week
Operation: Filiform needle reinforcing manipulation
Selected acupoints: Zhongwan, Neiguan, Zusanli, Gongsun, Pishu, Weishu, Taichong
Retention time: 25 minutes
Auxiliary: TDP lamp local irradiation on epigastrium
Frequency: Once daily, 20 minutes per session
Electrode placement: Bilateral matching placement on epigastrium and Pishu area
Therapeutic purpose: Improve gastrointestinal motility and local abdominal blood circulation
Frequency: Twice daily, 15 minutes per training session
Mode: Guided self-practice at home
Function: Boost gastrointestinal peristalsis
Modified Xiangsha Liujunzi Decoction combined with Danshen Yin
| Medicinal Herb | Dosage | Special Remarks |
|---|---|---|
| Codonopsis Radix | 15g | — |
| Stir-fried Atractylodis Macrocephalae Rhizoma | 12g | — |
| Poria | 15g | — |
| Citri Reticulatae Pericarpium | 10g | — |
| Pinelliae Rhizoma | 9g | — |
| Aucklandiae Radix | 6g | Add later in decoction |
| Amomi Fructus | 6g | Add later in decoction |
| Salviae Miltiorrhizae Radix | 15g | — |
| Santali Albi Lignum | 6g | — |
| Honey-fried Glycyrrhizae Radix | 6g | — |
| Stir-fried Dioscoreae Rhizoma | 20g | — |
| Crataegi Fructus, Hordei Fructus Germinatus, Massa Medicata Fermentata | 10g each | Equal dosage |
Treatment setting: Regular outpatient follow-up
| Evaluation Index | Pre-Treatment Level | Post-Treatment Level |
|---|---|---|
| Epigastric pain VAS score | 5/10 | 1/10 |
| GSRS gastrointestinal symptom score | 18 | 4 |
| Gastric atrophy classification | C-2 | C-1 |
| Intestinal metaplasia status | Mild | Pathologically confirmed reversal |
| Daily defecation condition | 2–3 loose stools | 1 formed stool per day |
After 12 weeks of integrated therapy:
Epigastric distension, dull pain and belching basically disappeared; appetite recovered and gastrointestinal digestive function returned to normal.
Repeat gastroscopy showed significant reduction of gastric mucosal atrophy; intestinal metaplasia achieved pathological reversal.
Overall curative effect is marked, verifying the clinical value of integrated traditional Chinese and Western medicine intervention for this case.