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World J Gastroenterol. Aug 7, 2025; 31(29): 110133
Published online Aug 7, 2025. doi: 10.3748/wjg.v31.i29.110133
Mechanism of action of heat-clearing and detoxifying herbs in the treatment of erosive gastritis
Fang Zhou, Yi-Tong Sun, Hong-Xin Zheng, Jing-Dong Xiao
Fang Zhou, Yi-Tong Sun, The First Clinical College, Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning Province, China
Hong-Xin Zheng, School of Basic Medical Sciences, Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning Province, China
Jing-Dong Xiao, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning Province, China
Co-corresponding authors: Hong-Xin Zheng and Jing-Dong Xiao.
Author contributions: Zhou F and Sun YT wrote the entire manuscript; Xiao JD and Zheng HX revised and reviewed the final manuscript, and both authors contribute equally to this study as co-corresponding authors.
Supported by National Science and Technology Major Project, No. 2024ZD0521002; The Innovation Team Project of Traditional Chinese Medicine of Liaoning Province, No. LNZYYCXTD-CCCX-003; General Program of the National Natural Science Foundation of China, No. 82074296; and Construction Project of Inheritance Studios of Famous Chinese Medicine Experts in China, No. [2022] No. 75.
Conflict-of-interest statement: Authors declare that they have no competing interests.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Xin Zheng, PhD, Professor, School of Basic Medical Sciences, Liaoning University of Traditional Chinese Medicine, No. 79 Chongshan East Road, Shenyang 110032, Liaoning Province, China. zhenghx2002@126.com
Received: May 30, 2025
Revised: July 1, 2025
Accepted: July 14, 2025
Published online: August 7, 2025
Processing time: 66 Days and 19 Hours
Abstract

This article focuses on the clinical efficacy and mechanism of action of heat-clearing and detoxifying traditional Chinese medicines (TCMs) in the treatment of erosive gastritis, providing a reference for the treatment of this disease. In the clinical treatment of erosive gastritis, TCM combinations such as Qing Gastric San, Semixia Diarrheal Heart Soup, and single-flavored heat-clearing and detoxifying drugs such as dandelion and Huanglian have specific efficacies and effectively improve the patient's symptoms, including killing or inhibiting Helicobacter pylori, reducing inflammatory reactions, protecting the gastric mucosa, inhibiting gastric acid secretion, regulating gastrointestinal hormones, and regulating immune function, playing therapeutic roles through multi-level and multi-target mechanisms. Thus, heat-clearing and detoxifying TCMs have broad application prospects in clinical practice for erosive gastritis.

Keywords: Heat-clearing and detoxifying medicines; Chronic gastritis with erosion; Clinical efficacy; Mechanisms of action; Traditional Chinese medicine etiology and pathogenesis

Core Tip: Erosive gastritis, also known as chronic gastritis with erosion, can be divided into two types: "Atrophic gastritis with erosion" and "non-atrophic gastritis with erosion". As a common digestive system disease, the onset of erosive gastritis is related to various factors such as pathogen infection, daily routines, and emotional stress, which seriously affect patient health. The clinical efficacy of heat-clearing and detoxifying traditional Chinese medicine in treating erosive gastritis is definite, and their mechanism of action requires further in-depth research.