Chronic atrophic gastritis is a chronic disease in digestive system with multiple pathologic factors

and is also the gastric precancerous state. By analyzing the current situation of Chinese and western medicine treatment for chronic atrophic gastritis

the authors find the following problems. In diagnosis

the problems are lack of consistency between gastroscopic findings and the pathological diagnosis

controversy about the clinical value of intestinal metaplasia subtypes

issues of unified terminology. In treatment

it is challengeable in eradication of helicobacter pylori

as well as the timing and necessity of surgery. Chinese medicine has its unique advantages in treating chronic atrophic gastritis

which includes individualized treatment

special Chinese medicine herbs for the pathological changes

regulation one patient as a whole

and smaller side effect allowing for long-term treatment. There are three principles of"choosing treatment method according to the mechanism

long-term adherence to the special formula for the disease

modification the formula based on the current syndrome". Using the guidance of these principles could help maximize the advantages of Chinese medicine treatment for chronic atrophic gastritis

which could bring inspiration for clinical combination of Chinese medicine and western medicine

as well as for the method of disease and syndrome combination.