Research Progress on Traditional Chinese Medicine Classification and Treatment of Diabetic Gastroparesis

Diabetic Gastroparesis (DGP), a common chronic complication of diabetes, is primarily characterized by impaired gastric motility and delayed gastric emptying. Symptoms include nausea, vomiting, bloating, loss of appetite, early satiety, and upper abdominal pain. With the increasing prevalence of diabetes, the incidence of DGP is also on the rise. However, there is currently no standardized mechanism of action, syndrome differentiation, or effective treatment methods for DGP, posing significant challenges for clinicians. This paper, based on the classification and treatment methods of DGP in (TCM), comprehensively analyzes and differentiates syndromes, categorizing DGP into syndromes such as Spleen Deficiency and Stomach Weakness, Deficiency of Both Stomach Qi and Yin, Spleen Yang Deficiency, Liver Qi Attacking the Spleen, Phlegm-Dampness Obstruction, and Blood Stasis Obstruction. It provides a detailed discussion on the etiology, pathogenesis, and corresponding treatment prescriptions for each syndrome. The aim is to offer more precise and personalized treatment strategies for patients with different symptoms of gastroparesis, thereby improving their quality of life and advancing the progress of TCM treatment for DGP.