The medication pattern of Li Diangui in the treatment of chronic atrophic gastritis and gastric precancerous lesions

Objective: To analyze the medication rules of gastric precancerous lesions of chronic atrophic gastritis by data mining method, and to provide new ideas for clinical diagnosis and treatment of gastric precancerous lesions of chronic atrophic gastritis. Methods: All case data were from outpatients with chronic atrophic gastritis with intestinal metaplasia and atypical hyperplasia who were treated by Professor Li Diangui personally in the Inheritance Studio of National old traditional Chinese Medicine Experts in Hebei Academy of Chinese Medical Sciences from January 2023 to December 2024.Excel software was used to establish a database to calculate the four qi, five flavors, channel tropism, high-frequency drugs and drug frequency, and to analyze Professor Li Diangui's medication experience. Results: A total of 118 cases were included, and the high-frequency drugs derived from data mining were golden thread, Sbaical skullcap root, virgate wormwood herb, combined spicebush root, officinal magnolia bark and barbated skullcup herb, which were used with a cold and warm flavor, with more bitter, pungent and sweet tastes, and with the meridians of the spleen, liver and stomach.Conclusion: Professor Li Diangui advocates that the treatment of chronic atrophic gastritis and precancerous lesions should focus on removing turbidity and resolving toxins, soothing the liver and stomach.