| Diabetic gastroparesis (DGP) is a common and chronic complication of diabetes.It has a high incidence rate ,and its pathological character mainly refers to delayed gastric emptying. Clinical situation may include the symptoms of diabetes, the symptoms in digestive tract such as early satiety, postprandial abdominal bloating, paroxysmal retching, constipation etc.Modern medicine believed that the pathogenesis of DGP mainly related to the gastric dyskinesis, functional disorder of gastrointestine, hyperglycemia, autonomic nerve dysfunction, secretory disorder of gastrointestinal hormone.The research on DGP all around the world recently focus on the effect of abnormal variation of gastrointestinal kinetics, the concentration variation of blood sugar, dysfunction of autonomic nerve, secretory disorder of gastrointestinal hormone.The pathology of DGP is mainly characterized by the delay of gastric emptying and disorder of gastric kinetics based on the study mentioned all above, but there is no clinical report on syndrome study,basic pathogenesis and characteristics of pathogenesis of DGP based on the holism(the conception of the organism as a whole) and the theory of etiology and pathogenesls of TCM.The study on DGI2 in TCM may pertain to the "ullness sensation in the chest and abdomen"or "astric fullness"of TCMaccoeding to the main cIinicaI sitoation. The content or "gnstricfullness "may incIude different dlsease sucb as chronic gastritis,functional dysPepsia, gastroptosis. Tbe patbogenesis or "gaStricfuIIness" is reIated tO the tunctionaI disoIder ot the oopns, such asIiveI'' heaI-t, sPjeen, and the syndrome Iocation is stomacb andsPleen.Most of pkysicians think tbe differentiation or the syndromemay be divided into many kinds or the syndrome, liki thesyndrome or food accumuIation and sPutum stugnatlon, thesyndrome of Iiver depmsion and sPleen stagnatio", th. syndromeof sl,Ieen-stomach vacuity' the syndrome or liver depression andspIeen vacuily. DGP is another Idnd or "gastric fulIness" based onthe diabetes orM caIIed xiaoke), it is a new patboIogicaI stage ortbe development of xiaok', and is different frem common primary"petric fuIIness". Th' eUoIogy and pathogr"esis or DGP has tbeclose reIationsbip wlth tbe primary disease--xiaoki's ehology andpatho#nesis.Bascd on the reM tbeory and choose syndrome dlfferentiationas tbe main POint of the researrh, tbis paper mainIy Studied thecIinicaI situation of DGP,tried to nnd out the common Pattern ofcIinicaI syndrome differentiation, basic Patbogenesis, the reguIarityor pathogenesis and aIso want to nnd out PatboIogicalcharacteristics or OGP and the relationship between tbe syndmmemanifestation and abnormal variation of g8stric ldnetics.ffesearrh content:2l.cIinical study on WM syndrome manifestation andpatboIoglcaI character or DGP.2.clinicaI study on the reIahonshiP betW'en reM syndromemanlfestotion and abnormaI variation of gaStric kinetics or DGP.ffesuIts:l.There were nve reM Syndrome pettems--sI,Ieen d.nclencywitb ql stagnation, sPIeen de0ciency with turbld sPutum, sPIeendenciency with phIegm-staSis, yin denciency or stOmach wlth qistagnation, yin denciency or stomach with phlegm-stasis. Thebigber trequency or occurrence of alI tbe symptOms was earIysatiety, PoStprandial abdominaI bIoating and constipation. Thehighest frequency or occurrence or the syndrome hapPened tO thePahern-sPIeen denciency with qi stugnation, but there was noobvious sig"ificance or thm sYmPtoms (earIy satiety, postpra"diaIabdominaI bIoating and conshpahon) within the same Pattern. Itindicated tbe sym,toms like eariy satiety POstprandiaI ahdominalbloating, and constipetlon were reIated tO Patbogrnesls orcomPIicated qi stugnation syndrome.The ratio or spleen denciency occurred among tbe wholesyndrome pattern was much more than yin denciency or stomach(85.4%: l4.6%), which indicated tbe pathogcncsis was mainlydencient in nature, and spI...
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