Progress in the Treatment of Chronic Atrophic Gastritis and Precancerous Gastric Lesions in Traditional Chinese and Western Medicine

Chronic atrophic gastritis (CAG), a prevalent gastric mucosal lesion, is one of the most common diseases of the digestive system. Its clinical management faces dual challenges of low cure rates and high recurrence risks, with a significant potential for progression to malignant lesions, posing a serious threat to patients' health. Notably, CAG has a complex, multifactorial pathogenesis that remains incompletely understood. Current clinical intervention strategies include traditional Chinese medicine (TCM), modern Western medicine, and integrative approaches combining both, demonstrating synergistic advantages in improving clinical symptoms. This article systematically reviews recent domestic studies and discusses the following dimensions: (1) Exploration of etiology and pathogenesis: elucidating core pathogenesis concepts such as "deficiency, stasis, and toxicity"; (2) Therapeutic methods and prescriptions: summarizing characteristic TCM approaches like strengthening the spleen and replenishing Qi, promoting blood circulation and removing stasis, as well as detoxifying and resolving masses; (3) Advances in therapeutic techniques: consolidating clinical research findings on TCM therapies including herbal formulas, acupuncture, and acupoint application; 4) Progress in Western medical diagnostic and treatment technologies. Through a multidimensional analysis, this work aims to provide theoretical foundations and practical insights for the prevention and treatment of this condition.