中文摘要：

胃溃疡的中医辨证主要涉及到气、血两个方面,气滞和血瘀为胃溃疡发生的病理关键。通过对胃黏膜的镜下表现进行望诊辨证,将胃溃疡分为活动期与愈合期进行辨治,活动期又分为脾胃虚寒,气机阻滞证、肝气犯胃,气滞中焦证、湿热阻滞,浊气停胃证、瘀血停胃,胃络壅滞证4型,并从气血角度对其进行论治;愈合期多正气未复、邪气已衰,治宜扶正祛邪、补脾健胃,临床疗效明显。

英文摘要：

In traditional Chinese medicine,the syndrome differentiation of gastric ulcer mainly involves qi and blood,and qi stagnation and blood stasis are important pathological factors in the development of gastric ulcer. According to the syndrome differentiation based on the inspection of endoscopic findings of the gastric mucosa,gastric ulcer is classified into active stage and healing stage for syndrome differentiation- based treatment. Active-stage gastric ulcer is further classified into the following four syndromes：（ 1） deficient cold of spleen and stomach and qi- movement stagnation;（ 2） liver qi invading the stomach and qi stagnation in the middle energizer;（ 3） damp- heat stagnation and turbid qi of the stomach;（ 4） blood stasis of the stomach and stagnation of gastric collaterals. Treatment is given from the perspective of qi- blood. In the healing stage,vital qi has not been restored,while pathogenic qi has been reduced; the treatment for strengthening vital qi,eliminating pathogen,tonifying the spleen,and invigorating the stomach should be given,with a significant clinical effect achieved.