糖尿病胃轻瘫中医病机及分型的研究进展

Research progress of TMC pathogenesis and syndrome types for diabetic gastroparesis

糖尿病胃轻瘫是糖尿病的一项重要并发症,严重影响患者的身心健康和生活质量,中医治疗具有较好的疗效且无明显副作用,研究中医对糖尿病胃轻瘫的认识具有重要意义,本文以CNKI为主要文献来源,查找关于中医治疗糖尿病胃轻瘫的文献100余篇,总结出古今医家对糖尿病胃轻瘫病机认识主要有脾胃虚弱说、肝郁脾虚说、胃阴亏虚说、痰瘀阻络说以及虚实夹杂说等,但基本均以脾虚为本。对于辨证分型,各医家根据自己的临床经验亦有不同看法,且临床研究中也均具有较好疗效,究其原因为中医治疗在于辨证论治,此为中医治疗糖尿病胃轻瘫的特色和优势。

Diabetic gastroparesis （DGP） is one of the most important complications of diabetes, which lead to serious problems in patients＇quality of life. The treatment of TCM is effective on DGP, with no significant side effects. It has great significance to study on the academic view of TCM doctors on DGP. Through consulting literature materials on DGP from CNKI, This article gives a summarization about the eti- ology and pathogenesis and the Chinese pattern of syndrome of DGP. Weakness of spleen and stomach ,liver depression and spleen deficiency,Stomach Yin deficiency and deficiency - excess complication are the main pathogenesis of DGP. For the Chinese pattern of syndrome of DGP ,The physicians also have different views according to their clinical practice , but the therapeutic effects are all well and good. The reason of this phe- nomenon is that ＂treatment based on syndrome differentiation＂ is the basic thinking of all the TCM doctors. This is the characteristic and superiority for TCM to treat DGP.