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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. May 21, 2026; 32(19): 117151
Published online May 21, 2026. doi: 10.3748/wjg.v32.i19.117151
From traditional formula to modern mechanism: How Anwei decoction alleviates chronic atrophic gastritis via regulating the gut-stomach axis
Wen-Xin Dai, Hao-Wei Li, Wei Guo, Li-Yun Zheng, Huo-Xiang Zhou
Wen-Xin Dai, Hao-Wei Li, Wei Guo, Li-Yun Zheng, Huo-Xiang Zhou, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450052, Henan Province, China
Co-first authors: Wen-Xin Dai and Hao-Wei Li.
Co-corresponding authors: Li-Yun Zheng and Huo-Xiang Zhou.
Author contributions: Zhou HX and Zheng LY conceived and designed the outline of the editorial, and reviewed and submitted the final manuscript, contributed equally as co-corresponding authors; Dai WX and Li HW contributed to the writing, editing, and revising the first draft of the manuscript, contributed equally as co-first authors; Guo W, Dai WX, and Zhou HX critically revised the manuscript for important intellectual content. All authors read and approved the final manuscript.
AI contribution statement: We only used the DeepSeek V4, an AI tool, but strictly for language refinement purposes. No content in this thesis has been generated or partially written by AI. We only used the DeepSeek V4 exclusively to polish the language of the manuscript. It was employed solely for improving the clarity and readability of the language. To address this issue, we engaged a professional proofreading service to review the text and provided a proofreading certificate. AI tool did not participate in design of the study or interpretation of its results. No images included in the manuscript.
Supported by Key Scientific and Technological Project of Henan Province, No. 242102310041 and No. 252102310044; and Basic Research Foundation of Henan Institute of Medical and Pharmacological Sciences, No. 2024BP0301.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Huo-Xiang Zhou, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, No. 40 North Daxue Road, Zhengzhou 450052, Henan Province, China. huoxiang_zhou@zzu.edu.cn
Received: December 1, 2025
Revised: January 7, 2026
Accepted: February 25, 2026
Published online: May 21, 2026
Processing time: 169 Days and 4.9 Hours
Core Tip

Core Tip: Chronic atrophic gastritis (CAG) is a precancerous condition, while no treatments are currently available for this disease that can reverse its progression. Qin et al’s study revealed that the traditional Chinese medicine formula Anwei decoction alleviated CAG through directly inhibiting NLR family pyrin domain containing 3 inflammasome activity and reshaping the gut microbiota-metabolite axis. Their research marked the first systematic elucidation of the biological mechanism through which Anwei decoction mediated its therapeutic effects via the “gut-stomach axis”. The findings provided cogent evidence for the efficacy of traditional Chinese medicine for CAG and highlighted the promise of multi-omics integration in revealing how traditional medical formulas are effective.

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