基于“肝脾相关”理论探析肝脾同调治疗糖尿病胃轻瘫
Based on the Theory of “Liver-Spleen Correlation” to Explore the Treatment of Diabetic Gastroparesis with Liver-Spleen Harmonization

糖尿病胃轻瘫是一种常见的并发症，其主要特征是胃排空延迟和胃调节功能受损，表现为餐后早饱感、恶心、呕吐、腹胀、上腹痛、腹泻或便秘等症状。发病机制涉及自主神经病变、高血糖以及肠道神经病变等因素。糖尿病胃轻瘫的病机与肝脾功能失调密切相关，在“肝脾相关”理论指导下，以肝脾同调为法，肝主疏泄和脾主运化功能相互配合，维护气机升降和血液代谢的平衡。治疗糖尿病胃轻瘫时应考虑疏肝理脾、运脾疏肝、健脾调肝和抑肝扶脾等中医治疗方法。
Diabetic gastroparesis is a common complication characterized by delayed stomach emptying and impaired gastric regulation. Its main symptoms include early satiety after meals, nausea, vomiting, abdominal bloating, upper abdominal pain, diarrhea, or constipation. The pathogenesis involves factors such as autonomic neuropathy, high blood sugar, and intestinal neuropathy. The pathogenesis of diabetic gastroparesis is closely related to liver and spleen dysfunction. Guided by the “liver-spleen correlation” theory, treatment focuses on harmonizing the liver and spleen. In this theory, the liver governs the dispersion and excretion, while the spleen governs transportation and transformation, and they work together to maintain the balance of qi movement and blood metabolism. When treating diabetic gastroparesis, traditional Chinese medicine methods such as promoting liver and regulating spleen, promoting spleen and regulating liver, strengthening spleen and regulating liver, and suppressing liver and supporting spleen should be considered.