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Research Progress on the Efficacy and Mechanism of Acupuncture in Treating Chronic Gastritis.

Diseases (Basel, Switzerland)ยทNovember 2025ยทJing He, Hongye Wang, Cong Che et al.
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Key Finding

Acupuncture effectively alleviates chronic gastritis symptoms and improves gastric mucosal health through multi-target mechanisms including modulation of inflammation, oxidative stress, gastrointestinal hormones, and intestinal flora.

What This Means For You

Researchers reviewed a decade of studies examining how acupuncture treats chronic gastritis, a common digestive condition that causes stomach inflammation, pain, bloating, and acid reflux. Chronic gastritis develops slowly and can lead to serious complications if left untreated. While standard medical treatments focus on eliminating H. pylori bacteria and managing symptoms, these medications often cause side effects and bacterial resistance can develop over time.

This comprehensive review analyzed both animal studies and human clinical trials to understand how acupuncture works for chronic gastritis. The researchers found that acupuncture treats this condition through multiple mechanisms in the body. Studies showed that acupuncture treatments effectively reduced common symptoms including abdominal bloating, acid reflux, and stomach pain. The therapy also improved the health of the stomach lining and balanced important substances in the blood, including inflammatory markers, oxidative stress indicators, and digestive hormones.

Animal research using models of both non-atrophic and atrophic gastritis (two main types of chronic gastritis) confirmed these benefits and helped identify biological markers that change with treatment. The review examined which acupuncture points were most commonly used, how long treatments lasted, and how results were measured across different studies.

While these findings are promising, the researchers noted that more high-quality clinical trials with larger numbers of participants are still needed to definitively confirm acupuncture's effectiveness for chronic gastritis. Additional research is also required to fully understand how different biological pathways interact during treatment. If you're considering acupuncture for digestive issues, consult with a licensed acupuncturist experienced in treating gastrointestinal conditions.

Clinical Notes for Practitioners

This systematic review analyzes animal and clinical studies from the past decade examining acupuncture's efficacy for chronic gastritis (CG), including both chronic non-atrophic gastritis (CNAG) and chronic atrophic gastritis (CAG). The review synthesizes mechanistic evidence across multiple pathways: gastric mucosal function restoration, metabolic regulation, intestinal microbiome modulation, gastrointestinal hormone balance, apoptosis regulation, anti-inflammatory effects, and oxidative stress reduction. Clinical studies demonstrated significant symptom relief for abdominal distension, acid reflux, and epigastric pain, with improvements in gastric mucosal integrity and favorable changes in serum inflammatory factors, oxidative stress markers, and GI hormones. The review maps relationships between intervention modalities, acupoint selection, and molecular pathway activation. While evidence supports multi-target therapeutic mechanisms, the authors acknowledge limitations in current research quality and call for large-sample, rigorously designed RCTs. Mechanistic validation of signaling pathway interconnections remains incomplete, warranting further investigation to establish definitive clinical protocols.

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