Abstract： Objective： To explore the distribution patterns of Chinese medicine syndrome types and syndrome elements in Helicobacter pylori （Hp）-associated ulcers through analysis of clinical research literature. Methods： Clinical studies on Hp-associated ulcers published from 1994 to 2024 were retrieved from the CNKI， VIP， and Wanfang databases. Eligible literature was screened， tabulated， and analyzed for case sources， gender distribution， syndrome types， and syndrome elements. And the distribution patterns of Chinese medicine syndrome types and syndrome elements in Hp-associated ulcers were discussed. Results ： A total of 36 pieces of literature involving 5 731 patients were included，with males accounting for 61.39% and females 38.61%. Hp-associated ulcer prevalence increased annually and distributed nationwide. Chinese medicine syndrome types，ranked by frequency，were：spleenstomach damp-heat， spleen-stomach deficiency （cold）， liver-stomach disharmony， liver-stomach constraint heat， spleen deficiency failing to control， stomach yin insufficiency， stasis obstruction in the stomach collateral， spleen deficiency with damp-heat， liver-stomach qi stagnation， and cold-heat complex. Pathogenic location syndrome elements were predominantly the stomach， liver， and spleen， with "spleen and stomach" as the most common combination. Pathogenic nature syndrome elements，ranked by frequency，were：heat，dampness，yang deficiency， qi stagnation，qi deficiency，yin deficiency，and blood stasis，with "damp and heat" as the primary combination. In literature associated with Guangdong Province， syndrome types prioritized spleen-stomach damp-heat， spleen deficiency with damp-heat， spleen deficiency failing to control， spleen-stomach deficiency （cold）， liver-stomach disharmony， liver-stomach constraint heat， stasis obstruction in the stomach collateral， stomach yin insufficiency， and liver-stomach qi stagnation； pathogenic location elements emphasized the liver， stomach， and spleen， with "spleen and stomach" as the most common combination，and pathogenic nature syndrome elements focused on heat，qi deficiency， dampness， qi stagnation， yang deficiency， blood stasis， and yin deficiency， with "damp and heat" remaining dominant. Conclusion： Chinese medicine syndrome types in Hp-associated ulcers exhibit regional variations. The most common syndrome type is spleen-stomach damp-heat， the most frequent pathogenic nature syndrome element is heat，and the most common pathogenic location syndrome element is the stomach.