16/04/2026
【🌿中藥內服調理|胃脹(慢性胃炎- 幽門螺旋桿菌)病案分享✍🏻】
📌【認識胃炎】
胃炎唔一定只係「胃痛」咁簡單。當脾胃運化功能下降、胃氣升降失常,就容易出現胃脹、心下痞滿、反胃;是次病案事主情況已屬偏重,除胃部問題外,更出現背部牽扯痛、左肋勒住、口乾上火,連睡眠都開始受影響🤒
常見表現包括:
• 胃脹、頂住、飯後特別辛苦
• 走路、站耐時胸悶,牽連後背不適
• 口乾口渴、容易上火,睡眠亦受影響
💡有時以為冇明顯原因,其實問題可能一早慢慢積落。脾胃運化功能下降,慢慢形成「胃定住、又容易上火」嘅狀態。
📖【病案分享】
一位 36歲女士,係全職家庭主婦。近年反覆受胃脹、反流、痞滿、口乾口渴、容易上火等問題困擾。患者當時以為冇明顯原因,但問診時發現早自 2010年,已因減肥同通便而經常食好多生果;雖然表面上有效通便,但過量生果亦同時令脾胃運化功能下降,慢慢形成「胃定住、又容易上火」嘅狀態🔥
患者主訴自 2024年年底確診幽門螺旋桿菌後,開始出現喘氣時左肋伴隨「勒住」感;走路或企得耐時會胸悶、胃脹,甚至連後背都會被牽扯到不適,胃部堵塞感達致6/10分。
除咗胃炎問題,患者 2025年亦伴隨數個困擾:腳掌心、後腰及小腹冰涼,近一年甚至要著襪舒緩到🧦
🛌 睡眠尤其差,經前一星期每晚都要好耐先瞓得着,仲會多夢同易醒,第二日自然更攰💤
若不自覺食到偏補或偏燥嘅食物,又容易上火同便秘,令整體狀態更加反覆。患者形容疼痛程度達8/10 分。
👩🏻⚕️【醫師診症】
患者經醫師檢查後診斷為 —— 胃炎,證型屬 少陽陽明合病。除咗見到胃脹、痞滿、反流傾向外,亦夾雜怕冷、口乾、燥熱、睡眠不穩等寒熱錯雜表現,因此採用 🪴中藥內服調理 作主要治療方向,重點放喺和胃降逆、理氣消痞、調和中焦,同時兼顧脾胃運化與整體體質😉
第1次就診時,醫師採用了中藥內服調理,先以 和胃降逆、消痞化痰、兼顧溫中護胃 為主。治療完成後,患者反映原本最困擾嘅「胃部頂住感」已有所放鬆,灼熱感由 8/10 分減至 5/10 分;晚飯後易加重嘅不適亦開始回落,欲吐感亦逐漸回穩!💪🏻
第2次就診時,患者胃脹、左肋勒住感仍然存在,醫師按當下症狀靈活調整藥方,轉為加強 理氣寬中、疏肝和胃、減少痞滿堵塞感。治療完成後,患者反映原本行路時容易頂住、堵住嘅感再度舒緩,胃脹堵塞感由 6/10 分進一步降至 4/10 分;睡眠及納食情況亦比之前穩定,夜晚都冇咁易被胃部不適拖低狀態👏🏻
第3次就診時,患者整體胃部不適持續回落,但脾胃運化仍未完全恢復,醫師同樣採用了中藥內服療程,進一步以 健脾和胃、消食化滯、調順中焦氣機 為主。治療完成後,患者胃脹、多氣及飯後頂住感進一步減少,患者自覺胃部整體痛楚程度成功減輕至2/10分;原本喘氣時左肋勒住嘅感覺亦比之前鬆開,整體消化狀態順咗好多🎉
第4次就診時,患者胃部症狀已較前穩定。醫師本次將治療方向轉為 鞏固脾胃、收斂降逆、進一步修復胃部狀態。完成療程後,患者整體胃部堵塞感已大致消退,胃部堵塞感及灼熱亦已大致消退,整體狀態回復穩定!🎊
📞【治療跟進】
後續跟進時,患者整體胃脹、痞滿、反流感已穩定好多;口乾、燥熱、怕冷等寒熱夾雜表現亦較前改善。隨着脾胃運化慢慢恢復,睡眠、納食同整體狀態都比之前平穩,現時仍按醫師指示,繼續複診調理其餘體質問題~😉
🌿【中藥其實點幫助胃炎?】
胃部功能需要依賴脾胃運化、氣機升降同寒熱平衡互相配合。當長期飲食失衡、脾胃受損,令運化功能下降,胃氣上逆或鬱滯,就容易出現胃脹、痞滿、反流、口乾上火,甚至牽連胸脅與後背不適。
中藥內服調理可以:
• 理順胃氣、減輕痞滿與胃脹
• 改善脾胃運化功能
• 協助調和寒熱、穩定睡眠與整體狀態
✍🏻當中焦運化慢慢恢復,胃氣順返,胃脹、反流、勒住感自然會逐步減落嚟。
🎯【調理目標】
無論是胃炎、胃脹、反流,定係因脾胃失調而牽連出嚟嘅胸脅/後背不適,我哋中醫治療一般會以以下三個方向為目標:
1. 減輕胃脹、痞滿與反流不適
2. 改善脾胃運化及氣機升降
3. 穩定睡眠與整體體質,減少反覆機會
想了解自己適唔適合?聯絡我哋✅
查詢及預約:WhatsApp 98699446
👩🏻⚕️Assess > Diagnose > Heal
Case Sharing: Herbal Internal Therapy for Gastritis ✍🏻
📌 Understanding Gastritis
Gastritis is not always just stomach pain. When digestive function weakens and stomach Qi becomes stuck, symptoms such as bloating, fullness, reflux, dryness, poor sleep, and even rib-side or back discomfort may appear together. 🤒
📖 Case Overview
A 30-year-old full-time homemaker had recurrent bloating, reflux, fullness, thirst, and easy heat signs. Further questioning showed that since 2010, she often ate excessive fruit for weight loss and bowel movement support. Over time, this weakened Spleen-Stomach function and led to a pattern of “stuck digestion with easy heat.” 🔥
By late 2024, after H. pylori was identified, she developed a tightening sensation along the left rib when breathing, plus chest stuffiness, bloating, and back discomfort when walking or standing too long. Severity reached 7/10. She also had cold feet, lower back and lower abdomen, poor premenstrual sleep, vivid dreams, and worsening with warming foods; overall burden reached 9/10. 🧦 🛌 💤
👩🏻⚕️ Practitioner Assessment
The practitioner diagnosed gastritis with a Shaoyang-Yangming combined pattern. As bloating, reflux tendency, cold signs, dryness, and unstable sleep appeared together, 🪴 internal herbal therapy was chosen to harmonize the stomach, regulate Qi, and support digestive recovery. 😉
1st visit: herbs focused on harmonizing the stomach and relieving fullness. The blocked feeling improved from 8/10 to 6/10, and nausea became more stable. 💪🏻
2nd visit: the prescription was adjusted to regulate Qi, harmonize Liver-Stomach, and reduce obstruction. Bloating improved from 6/10 to 4/10. 👏🏻
3rd visit: treatment shifted toward strengthening digestion and smoothing middle-jiao Qi movement. Epigastric fullness improved from 4/10 to 2/10, and the rib-side tightness eased. 🎉
4th visit: treatment focused on consolidating the Spleen-Stomach and calming reflux. The blocked feeling had largely subsided, while reflux and nausea dropped to below 1/10. 🎊
📞 Follow-up Outcome
At follow-up, bloating, fullness, reflux, dryness, heat signs, and coldness all became more stable. As digestive function gradually recovered, sleep, appetite, and overall condition also improved. 😉
🌿 How Herbal Therapy Supports Recovery
Herbal internal therapy may help by:
• Regulating stomach Qi and reducing fullness
• Supporting digestive transformation
• Harmonizing cold-heat imbalance and stabilizing sleep
✍🏻As middle-jiao function recovers and stomach Qi descends more smoothly, bloating, reflux, and the “stuck” sensation can gradually settle.
🎯 Treatment Goals
1. Reduce bloating, fullness, and reflux discomfort
2. Improve digestive function and Qi movement
3. Stabilize sleep and overall constitution, and reduce recurrence
More information? Contact us✅
📞Inquiries or Reservations: WhatsApp 98699446
#胃炎 #胃脹 #心下痞滿 #幽門螺旋桿菌 #慢性胃炎 #食管反流 #中藥調理 #脾胃失調 #脾胃運化差 #口乾上火 #左肋勒住 #胸悶 #睡眠差 #中醫調理 #慧仁中醫專科 #中醫專科診所 #荃灣診所