目的　观察中西医治疗原发性胆汁返流性胃炎 90例的疗效 ,并与单纯应用西药的对照组 45例做对比观察。方法　两组均予莫沙必利片 ,铝碳酸镁片及Hp感染加三联药 (奥美拉唑胶囊 +克拉霉素片 +阿莫西林胶囊 )治疗的基础上 ,治疗组加用柴胡疏肝散加减治疗 ,疗程为 1个月。结果　两组在临床症状 ,胆汁返流 ,Hp根除率方面 ,治疗组总有效率优于对照组 (P <0 0 1)。结论　中西医结合是治疗原发性胆汁返流性胃炎较好的方法 ,其原因可能是柴胡疏肝加减方中 ,经临床实验证明具有调节胃肠功能 ,杀灭或抑制Hp及保护胃黏膜作用的中药与西药联用 ,从而使疗效提高 Objective To observe the curative effect of treating 90 cases of primary bile reflux gastritis with traditional Chinese and western medicine, and to compare with 45 cases of the control group with western medicine alone. Methods Both groups were treated with mosapride tablets, aluminum magnesium carbonate tablets and Hp infection plus triple therapy (omeprazole capsules + clarithromycin tablets + amoxicillin capsules) on the basis of the treatment group with Chaihu Shu Liver plus treatment, treatment for 1 month. Results The clinical efficacy, bile reflux and Hp eradication rates of the two groups were better than those of the control group (P <0.01). Conclusion Integrative Medicine is a better treatment of primary bile reflux gastritis, the reason may be Chaihu Shugan addition and subtraction side, the clinical trials have proved that with the regulation of gastrointestinal function, kill or inhibit Hp and protect the stomach Mucosal effects of traditional Chinese medicine combined with Western medicine, so that efficacy improved