The opinion about whether peptic ulcers (stomach ulcers and duodenal ulcers) can drink milk. Doctors’ opinions can be divided into two distinct groups. Some doctors believe that milk can neutralize stomach acid and protect the gastrointestinal mucosa. It is conducive to healing of the ulcer surface, so you should drink; while other doctors believe that milk stimulates the secretion of gastric acid, which is not conducive to the healing of the ulcer surface, so you can not drink. The popular science articles on the Internet, newspapers, and journals about whether patients with peptic ulcers can drink milk are simply tit-for-tat. Supporters believe that “milk is the ideal food for patients with peptic ulcers”, while those who oppose claim that “patients with peptic ulcers Never drink milk." Why do people have such opposing views on whether patients with peptic ulcers can drink milk? This has to start from the history of peptic ulcer treatment.

　　The advent of H2 receptor antagonists (ie ranitidine, famotidine, cimetidine, nizatidine, rosatidine, etc.) In the past, diet therapy was once the only or main treatment for peptic ulcers. Several more mainstream diet therapies are widely accepted, such as Lenhartz diet therapy (Lenhartz proposed in 1901, the point is to eat less and eat more meals), Sippy diet therapy (Sippy determined in 1915, the point is to drink milk, cream and eggs in small amounts and multiple times) and Meulengracht Diet therapy, etc., the most influential one is Sippy diet therapy. Until the 1960s and 1970s, it was still used clinically (or modified).

　　Sippy diet therapy is mainly for patients with active peptic ulcers. The basic plan is to drink 100 ml of milk for patients with ulcers 12 times a day or more to neutralize stomach acid (this is only the basic plan, and later Many improved versions, the daily milk consumption is more than 1000 ~ 3000 ml). This diet therapy has indeed relieved some patients with peptic ulcers. At the time, there was no effective medicine for treating peptic ulcers, so that it has been used clinically for fifty or sixty years. Views have a profound effect. However, it was later discovered that the effect of Sippy diet therapy on peptic ulcers is not stable, and it is not effective for many patients, because many studies have shown that milk neutralizes gastric acid and buffers the gastric mucosa (positive effect), while it also stimulates gastric acid secretion, Damage to the gastric mucosa (reverse action), the result of the "positive action" and "reverse action" offset is that "reverse action" prevails. Moreover, with the cooperation of alkaline drugs, drinking a large amount of milk in small amounts and multiple times also causes excessive calcium absorption and causes "milk-alkali syndrome" ( Hypercalcemia, alkalosis and soft tissue calcification) Therefore, this dietary therapy with a large amount of milk as the core has been gradually eliminated in the 1970s and 1980s. Of course, the key reason for the elimination of this diet therapy is the emergence of H2 receptor antagonists, that is, various "tidin" drugs and their good effects on peptic ulcers.

　　Sippy diet therapy (drinking a lot of milk) was opposed and eliminated. It was quickly understood as "drinking milk is harmful to peptic ulcers", "patients with peptic ulcers cannot drink milk" and other similar views. In fact, there are no reports in the academic literature database that the normal amount of milk (such as drinking once a day, drinking 200 to 300 ml once) will aggravate ulcers. Of course, I have not seen any report that drinking milk in a normal amount (such as drinking once a day and drinking 200 to 300 ml at a time) will help the ulcer to heal. In textbooks about peptic ulcers, it is easy to see the argument against drinking milk in large quantities (Sippy diet therapy), but there is no argument against drinking milk in normal amounts (such as the seventh edition of Internal Medicine). The personal experience of patients with peptic ulcers is not only relieved by drinking normal amounts of milk, but also aggravated by drinking normal amounts of milk, and because the conditions of peptic ulcers themselves are more variable, easy to ease, and easy to relapse, Therefore, it cannot be determined that drinking normal amounts of milk is harmful (or beneficial) to ulcers. In theory, milk (normal amount) does stimulate gastric acid secretion, but any food, especially nutritious foods such as meat, eggs, etc., will stimulate gastric acid secretion, so it cannot be said to drink milk (normal amount) Harmful and taboo milk.

　　 Conclusion: Drinking a lot of milk (especially a small amount of drinking multiple times and bringing the total daily amount to 1000~3000 ml) is more harmful to patients with peptic ulcer; but there is no evidence that the normal amount Drinking milk (200-300 ml per day) is harmful to ulcer healing. Therefore, patients with peptic ulcer can drink milk normally.

　　Reference to the evaluation of Sippy diet therapy David J. Sandweiss, The sippy treatment for peptic ulcer—fifty years later, The American Journal of Digestive Diseases 1961-10.

　　 In the 10th issue of the Journal of Nursing in 1960, an author from the First Affiliated Hospital of Beijing Medical College commented on the Sippy diet therapy: a large amount of milk-based ulcer disease diet has a heavy bleeding Knowing people has a certain role, and if chronic cancer patients use it for a long time, it will not only increase the financial burden of patients, but also not popular with patients, because many people are not used to eating milk at all.