An analysis of the relationship between diabetic gastroparesis and spleen Yin and Qi of spleen distributing nutrient essence
This article elaborates the correlation between spleen Yin(阴)and spleen Qi(气)distributing nutrient essence and diabetic gastroparesis from the aspects of anatomy and pathophysiology.Mr.HE Shaoqi puts forward the theory of the same origin of spleen and pancreas,points out that administering transportation and transformation is one of the physiological functions of the spleen,and believes that the function of the pancreas contained in the the function of the spleen of transferring and dispersing nutrient substance.Adequate spleen Yin is the basis of normal spleen transportation.TANG Zonghai mentioned in Xuezheng Lun(《血证论》)that the spleen required not only the moistening of spleen Yin,but also the warmth of spleen Yang(阳),both of which were indispensable.Spleen Yin has the function of promoting digestion.When water and food enters the human body,spleen Yin begins to play a role,transforming them into water and grain essence,and transporting these essences to five-zang organs(五脏),six-fu organs(六腑)and all limbs,so as to achieve the function of nourishing the whole body and maintaining the normal physiological activity of internal organs.The essence of spleen transportation is distributing nutrient substance by spleen Qi.When the ability to distribute nutrient substance is insufficient,the distribution of nutrient substance is abnormal,resulting in the cessation of blood glucose and other subtle substances in the pulse,thereby forming hyperglycemia and causing diabetes.The abnormal distribution of nutrient substances in turn will lead to spleen dysfunction,so that the spleen Qi does not rise,stomach Qi does not fall,which eventually leads to gastric motility disorder and delayed gastric emptying,forming diabetic gastroparesis.Diabetic gastroparesis is one of the many complications caused by diabetes over time.Spleen Yin deficiency is the basis of diabetes,and cause spleen Yang deficiency,leading to both Yin and Yang deficiency of spleen,which affects the function of distributing nutrient essence of spleen,so treating disease from the aspect of spleen has become the top priority in the treatment of diabetes.Many experts have put forward their own unique understanding,which provides clinical experiences for the future treatment of diabetes.
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