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从"毒损胃络"论治糖尿病胃轻瘫OA

Treatment of Diabetic Gastropathy Based on"Toxins Damaging Gastric Collaterals"

中文摘要英文摘要

糖尿病胃轻瘫(Diabetic gastroparesis,DGP)是糖尿病常见的慢性并发症之一.国医大师南征教授基于多年临床经验,创新性提出"消渴胃病"病名.认为"伏邪内蕴"是DGP的发病基础,"毒损胃络"为核心病机,消渴日久,伏邪内蕴,久羁化毒,损伤胃络,胃之体用皆损而致.据此创立"解毒通络、调和脾胃"的治疗大法,立经验方消渴胃安汤,融止渴消导、行气养胃、解毒通络诸法于一方,辨证施治,灵活化裁,为DGP的中医辨治提供了理法方药完备的诊疗思路.

Diabetic gastroparesis(DGP)is one of the common chronic complications of diabetes.Professor Nan Zheng,a master of traditional Chinese medicine,based on his years of clinical experience,innovatively proposed the disease name"stomach disease of dia-betes".He believes that"latent pathogen internal accumulation"is the basis of DGP's onset,and"toxins damaging gastric collaterals"is the core pathogenesis.With the prolonged course of diabetes,latent pathogens accumulate internally,transform into toxins after long-term retention,and damage the stomach collaterals,resulting in impairment of both the structure and function of the stomach.Based on this,he established the therapeutic principle of"detoxifying and dredging the collaterals,harmonizing the spleen and stomach",and for-mulated the empirical formula Xiaoke Weian Decoction,which integrates methods of quenching thirst,promoting digestion,enhancing qi circulation and nourishing the stomach,as well as detoxifying and dredging the collaterals.By applying this formula in a flexible and tailored manner based on individual conditions,it provides a complete theoretical and practical approach for the diagnosis and treat-ment of DGP with traditional Chinese medicine.

张洁玉;代博;陈锦英;南征

长春中医药大学中医学院,吉林 长春 130017长春中医药大学中医学院,吉林 长春 130017长春中医药大学中医学院,吉林 长春 130017长春中医药大学附属医院,吉林 长春 130021

医药卫生

糖尿病胃轻瘫消渴胃病毒损胃络解毒通络调和脾胃分期论治消渴胃安汤

diabetic gastroparesisstomach disease of diabetestoxins damaging stomach collateralsdetoxify and dredge the collat-eralsharmonize the spleen and stomachstaged treatmentXiaoke Weian Decoction

《南京中医药大学学报》 2026 (5)

763-769,7

吉林省教育厅科学研究项目(JJHK20241063KJ)

10.14148/j.issn.1672-0482.2026.0763

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