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Analysis of gastroscopic and tongue features of chronic atrophic gastritis based on “turbidity” by Professor LI Diangui,national master of traditional Chinese medicine
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DOI   10.11656/j.issn.1672-1519.2025.03.02
Key Words   chronic atrophic gastritis;gastroscopic images;tongue images;LI Diangui;experience
Author NameAffiliationE-mail
LI Runze Hebei University of Chinese Medicine, Shijiazhuang 050091, China  
LIU Xiaoyu Hebei University of Chinese Medicine, Shijiazhuang 050091, China  
WANG Yuman Hebei University of Chinese Medicine, Shijiazhuang 050091, China  
LI Jingfan Hebei University of Chinese Medicine, Shijiazhuang 050091, China  
XUE Binqing Hebei University of Chinese Medicine, Shijiazhuang 050091, China  
ZHANG Xinqian Hebei University of Chinese Medicine, Shijiazhuang 050091, China  
DU Yanru Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050013, China
Hebei Key Laboratory of Turbidity Toxin Syndrome, Shijiazhuang 050000, China
Hebei Key Laboratory of Integrated Chinese and Western Medicine for Gastroenterology Research, Shijiazhuang 050000, China 
zyydyr@163.com 
Abstract
    Chronic atrophic gastritis is a chronic inflammatory condition characterized by atrophic changes in the gastric mucosa,resulted from various pathogenic factors. The clinical manifestations are lack of specificity,with the characteristics of high recurrence,difficult to cure completely,and accompanied by a certain risk of gastric cancer. LI Diangui,a renowned master of traditional Chinese medicine,initiated the “turbidity poison theory”,and believed that the core pathogenesis of chronic atrophic gastritis is attributed to turbidity and toxins. In his clinical diagnosis and treatment,Professor LI employed methods of turbidity reduction and detoxification to address chronic atrophic gastritis. He integrated gastroscopic images with tongue diagnostics images,interpreting the changes in these images as reflective of disease progression from a unique perspective. With the help of this theoretical framework,it is aimed to enhance clinicians’ understanding of the dynamic development of patients with chronic atrophic gastritis,thereby facilitating more accurate clinical guidance for medication and offering new insights into disease progression and prognostic outcomes.

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