Achylic conditions of the stomach may be divided into: (1) those in which it seems to be normal in the individual, has always been and will be present throughout the life of the person, and in whom it has not and most probably will not affect the general state of health or ever cause local symptoms; (2) the psychologic cases, such as fear of the passage of a stomach tube, or the effect of depressing emotions (worry, grief, anxiety, suspense); (3) reduced state of general body from fevers and senile conditions; (4) endocrinitic or hormone disturbances, of which we know little, and (5) pathologic conditions of the stomach glandularis in which the secreting ability is destroyed by disease of the essential elements, namely, the acid and central cells.
To the latter, the term atrophic gastritis should be given, a far better term for it than to designate it as achylia