Gastroparesis is the name of a disease in Chinese medicine. It is caused by external cold, dietary injuries, emotional and emotional disorders, spleen and stomach deficiency and other etiological factors. The stomach is the main lesion of the internal organs, often with the liver and spleen and other organs have a close relationship. Stomach qi stagnation, loss of harmony is the main mechanism of stomach pain. The treatment is to regulate qi and stomach as the main method, according to different symptoms, take the corresponding treatment.

Basic introduction Chinese medicine name: gastroparesis Pathogenesis: gastric epigastric diseases related to Western medicine: acute and chronic gastritis, etc. Other names: gastric epigastric pain Prevalence group: all people Disease classification: Internal medicine - spleen and stomach Infectious: none Explanation of terms, history, gastroparesis and the relationship between the name of the disease in Western medicine, etiology, mechanism of the disease, the main points of the diagnosis and examination, the basis for diagnosis, the identification of the disease, identification of the treatment, identification of the main points of the evidence, the principle of treatment, the evidence and treatment of the classification, other Treatment,Prognosis,Prevention,Abstract, Terminology Gastroparesis, also known as gastric pain, is a condition in which the pain in the epigastric region near the heart is a symptom. History 1, the name of stomach pain was first recorded in the "Neijing", such as the "Ling Shu - Evil Viscera and Viscera Disease Form" pointed out: "Stomach disease, abdominal distension, stomach and epigastric when the heart and pain." The Neijing first proposed that the occurrence of stomach pain with the liver, spleen related, but also put forward the cold evil, injured food disease. 2, before the Tang and Song dynasties, the literature of the heart pain belonging to the gastric pain and the heart pain belonging to the heart meridian itself, until the Jin and Yuan dynasties, Li Gao, "Orchid Room Secret Collection" first set up the "gastric pain", the gastric pain is clearly differentiated from the pain in the heart, so that gastric pain has become an independent disease. 3, the Ming and Qing dynasties further put forward the treatment of stomach pain method, "medical biography" said: "the ancient recipe for nine kinds of heart pain, ...... detailed its cause, all in the stomach and epigastric, but not in the heart." "The gas in the upper surge, the clear gas in the lower lift, the cold is warm, the hot is cold, the false is cultivated, the real is diarrhea, the knot is dispersed, and those who stayed in the line." The True Biography of Medicine - Heart and Abdominal Pain also points out the need to understand and apply the method of "Passing is not pain" from the identification of evidence. Gastroparesis and the relationship between the Western medical name of acute gastritis, chronic gastritis, gastric ulcer, duodenal ulcer, functional dyspepsia, gastric mucosal prolapse and other diseases of the upper abdomen pain as the main symptom, belongs to the category of gastroparesis in Chinese medicine. Etiology 1, the external evil offender stomach external cold, dampness and heat of the evil, internal guest in the stomach, can cause gastric qi blockage, not through the pain. Among them, cold is the most common. 2, dietary injury to the stomach dietary disorders, overfeeding and overstuffing, damage to the spleen and stomach, gastric qi congestion, not through the pain. 3, emotional upset, worry and anger, hurt the liver and damage the spleen, the liver loss of detachment, cross-reversal against the stomach, the spleen loss of healthy transportation, stomach qi stagnation, all lead to the stomach loss of harmony, and the development of gastric pain. If the spleen and stomach are weak in the body, the transportation and transformation are not in their duties, the qi is not smooth or the middle yang is insufficient, the middle jiao is cold, and the stomachache is caused by the loss of warmth and yang. Pathogenesis Stomach pain is located in the stomach and is closely related to the liver and spleen. The basic pathogenesis is gastric qi stagnation, loss of gastric harmony, and pain when there is no communication. Pathologic factors include Qi stagnation, cold condensation, heat depression, dampness obstruction and blood stasis. Pathological nature: Early stage is mostly solid; late stage is often weak spleen and stomach, but often mixed with deficiency and reality. Diagnostic points Diagnostic basis 1, epigastric gastric epigastric pain near the heart socket, the pain is different in nature such as distension, stabbing pain, hidden pain, severe pain. 2, often accompanied by loss of appetite, nausea and vomiting, noisy and acidic, belching and spitting and other upper gastrointestinal symptoms. 3, the onset of characteristics: the majority of young and middle-aged people, most of them have a history of recurrent episodes, before the onset of the onset of obvious triggers, such as weather changes, irritation, fatigue, overeating, starvation, diet, cold, dry and hard, spicy tobacco and alcohol or take drugs that damage the spleen and stomach. Differences 1, stomach pain and true heart pain true heart pain is the heart pain caused by cardiac pathology, mostly in the elderly, when the chest pain, its more stabbing pain, often aggravated by movement, the pain leads to the shoulders and back, often accompanied by palpitations, shortness of breath, sweating and cold limbs, the condition of the crisis, the location of the lesion, the degree of pain and the characteristics of the accompanying symptoms and their prognosis, there is a clear distinction between the gastric pain. 2, stomach pain and coercive pain coercive pain is to coerce the pain as a symptom, can be accompanied by fever and malignant cold, or yellow eyes and yellow skin, or chest tightness, very rarely with noisy acid, belching and spitting rot. Liver qi offending stomach stomach pain sometimes can also attack the pain of the wounds, but still to the stomach and epigastric pain as a symptom. The two have obvious differences. 3, stomach pain and abdominal pain Abdominal pain refers to the stomach and epigastric part of the following, the pubic bone hair above the entire position of pain as a symptom. Gastroparesis is the pain in the epigastric region of the stomach and epigastric region near the heart as a symptom. There is a difference between the two only in terms of the location of the pain. But the stomach in the abdomen, and intestines connected, so in individual special cases, stomach pain can affect and abdominal, and abdominal pain can also be involved in the stomach, which is to be identified from the main part of the pain and how to start the disease. The main point of identification should be to identify the deficiency, cold and heat, in the gas in the blood. In the real case, the pain is severe, fixed and immovable, refusing to be pressed, and the pulse is abundant; in the imaginary case, the pain is slow and slow, the pain is uncertain, preferring to be pressed, and the pulse is weak. When the pain is cold, the pain is severe, and when it is warm, the pain is reduced, which is cold evidence; burning pain in the stomach and epigastric region, the pain is urgent, when it is hot, the pain is severe, and when it is cold, the pain is reduced, which is hot evidence. Generally, the initial disease is in the qi, and the long-term disease is in the blood. Treatment Principles The treatment is based on regulating qi and stomach pain relief, and then divided into the treatment of deficiency and reality. If it belongs to stomach cold, dispersing the cold is the so-called pass; if it belongs to food stoppage, eliminating food is the so-called pass; if it belongs to stagnation of qi, regulating qi is the so-called pass; if it belongs to heat depletion, draining the heat is the so-called pass; if it belongs to blood stasis, resolving the blood stasis is the so-called pass; if it belongs to yin deficiency, benefiting the stomach and nourishing the yin is the so-called pass; if it belongs to yang deficiency, warming and transporting spleen yang is the so-called pass. Only by adopting appropriate treatments according to different disease mechanisms can the "Tong" method be utilized. Classification (a) cold evil guest stomach Symptoms: stomach pains, cold, like warmth, warm pain, cold aggravated, light mouth, thirst, or like hot drinks, tongue pale moss thin white, tight pulse. Treatment: Warming the stomach and dispersing cold, promoting circulation of Qi and relieving pain. Prescription: Xiangsu San combined with Liangshi Pill with addition and subtraction. Commonly used drugs: galangal, Wu Zhu, Xiangsu, Wu Yao, Chen Pi, Mu Xiang. (Symptoms: pain in the stomach and epigastrium, distension and refusal to be pressed, belching and swallowing of acid, or vomiting of undigested food with putrid odor, pain relieved after vomiting, lack of food and drink, irregular bowel movement, slightly relieved after getting vectored air and stools, with thick and greasy tongue coating and slippery pulse. Treatment: eliminating food stagnation, harmonizing the stomach and relieving pain. Prescription: Baohe Pill plus subtractions. Commonly used drugs: Shenqu, hawthorn, Laixianzi, Poria, Semixia, Chenpi, Lianqiao. (Symptoms: distension and pain in the stomach and epigastric region, pain in both hypochondriums, pain in trouble or pain, belching, vectorial breath, pain relief, chest tightness and belching, long sighs, poor bowel movement, thin white tongue coating, stringy pulse. Treatment: dredge the liver to relieve depression, regulate qi and stop pain. Prescription: Add and subtract Chai Hu Liver-Sparing Dispersion. Commonly used drugs: Chai Hu, Paeonia lactiflora, Ligusticum chuanxiong, Uljin, Xiangshu, Pericarpium Citri Reticulatae, Citrus aurantium dulcis, Fructus Forskohlii, Licorice. (Symptoms: pain in the stomach and epigastric region, acute pain, stuffiness and burning heat in the epigastric region, dryness and bitterness in the mouth, thirst without desire to drink, heaviness and fatigue, dullness and nausea, yellow urine, irregular bowel movement, yellowish and greasy fur on the tongue, and slippery pulse. Treatment: clearing away dampness and heat, regulating Qi and harmonizing the stomach. Prescription: Qingzhong Tang plus reduction. Commonly used drugs: Huanglian, gardenia, make half-sia, poria, grass nutmeg, Chenpi, licorice. (E) blood stasis stop stomach Symptoms: stomach and epigastric pain, such as needle prick, like knife cut, pain has fixed place, press the pain is very much, the pain is persistent, aggravate after eating, especially in the night, or see vomit blood black stool, the tongue is purplish or have petechiae, the pulse is astringent. Treatment: resolving blood stasis and opening up the channels, regulating Qi and harmonizing the stomach. Prescription: Lost Smile San combined with Danshen Drink with additional subtractions. Commonly used drugs: Pu Huang, Wu Ling Yi, Dan Shen, Sandalwood, Sandalwood. (Symptoms: vague burning pain in the stomach and epigastrium, seemingly hungry but not eager to eat, dry mouth and throat, heartburn and heat, lethargy and fatigue, thirst and desire to drink, dry stools, red tongue with little fluid, and fine pulse. Treatment: nourishing Yin and benefiting the stomach, harmonizing the middle and relieving pain. Formula: Consistent Decoction combined with Paeonia lactiflora and Licorice Soup plus subtractions. Commonly used drugs: Radix Salviae Miltiorrhizae, Ophiopogon, Radix et Rhizoma Dioscoreae, Fructus Lycii, Radix Angelicae Sinensis, Neem Ziziphi, Radix Paeoniae Alba, Radix et Rhizoma Glycyrrhizae. (Symptoms: vague, unrelenting stomach pain, preferring warmth and pressure, severe pain in the empty stomach, slowed down by food, attacked or aggravated by exertion or exposure to cold, vomiting of water, fatigue, dullness, tiredness of the limbs, lack of warmth of the hands and feet, loose stools, pale tongue with white moss and a weak or sluggish pulse. Treatment: warming the middle and strengthening the spleen, harmonizing the stomach and relieving pain. Formula: Astragalus Jianzhong Tang plus subtractions. Commonly used drugs: astragalus, cinnamon sticks, ginger, peony, roasted licorice, caramel, jujube. Other therapies Acupuncture therapy 1. Acupuncture: Neiguan, Zhongkou, and Ashansanli. Applicable to all kinds of stomach pain. Use laxative method for solid cases and tonic method for deficiency pain. 2. Moxibustion: Zhongguancun, Ashanshili, Shenjie. It is applicable to stomach pain of deficiency and cold. Stomach pain can lead to variations, such as stomach heat blazing, forcing blood to flow; or stagnant blood, blood not following channels; or weak spleen qi, unable to control blood, can lead to blood in stool, vomiting blood. Massive bleeding can lead to life-threatening loss of qi and blood. If the spleen and stomach transportation and transformation failure, dampness and turbidity within the birth, depressed and heat, fire and heat within the knot, resulting in visceral qi can not be seen abdominal pain, refusing to press, sweating, extremities, syncope, syncope off the critical evidence; or long into stasis, qi congestion, gastric loss of harmony, gastric qi upward, resulting in vomiting and regurgitation. If the stomach pain for a long time, from the qi division into the blood division, long pain into the network caused by stasis, stasis in the stomach and epigastric, can form choking. Preventive care This disease should emphasize on the regulation of spirit and diet in prevention. Patients should pay attention to regular life and dietary habits, avoid overeating, hunger and fullness; stomach pain persists, should be in a certain period of time into the fluid or semi-fluid diet, small meals, to light, easy to digest food is appropriate; avoid rough multi-fiber diet, try to avoid consumption of strong tea, coffee, tobacco, alcohol and spicy, etc., chewing and slow swallowing of food, be careful to use salicylic acid, adrenal corticotropic hormone and other Western drugs. At the same time, maintaining optimistic mood and avoiding overwork and tension are also the keys to preventing the recurrence of this disease. Literature abstract 1, "the spiritual center - evil viscera disease shape": "stomach disease, abdominal distension, stomach when the heart and pain, the upper branch of the two hypochondriacs, diaphragm and pharynx can not be blocked, food and drink can not be taken to the three miles also." 2, "the three causes of extreme a disease certificate square theory - nine pain narrative": "the heart pain, ...... to its pain in the middle epigastric, so in a nutshell said the heart pain, in fact, not heart pain, ...... if the twelve meridians outside the six evils, then its gas occlusion, depressed in the Middle Jiao, gas and evil competition, hair for pain, is the external cause; if the five viscera within the move, Mil to seven emotions, then its gas plumping, gathered in the middle epigastric, gas and blood fight, hair for pain, is the internal cause; diet and labor, touch disobedience is not a class, so that the visceral gas is not flat, plagued with isolation in the middle, food and drink recluse and propulsion, disruption of the intestines and stomach, hair for pain, is not internal and external cause." (3) Jingyue Quanshu - Heart and Abdominal Pain: "Stomach and epigastric pain evidence, mostly due to food, due to cold, due to the gas is not smooth, but due to food due to cold, are not all about the gas. However, when it comes to food and cold, all of them are related to qi. When food stops, qi stagnates, and when cold stays, qi condenses. Therefore, the key to treating pain, but to find out if it is a real evil, all should be based on regulating qi." 4, "clinical guide to medical cases - stomach pain": "the first disease in the meridian, long pain in the human Luo, to the meridian main gas, Luo main blood, can be known as the treatment of blood of course, where the gas has been blocked for a long time, the blood is also due to the disease, the circulation of the veins and channels since the paralysis, and the Xinxiang gas, Xin and soft blood method, the treatment of the inevitable reasoning." 5. Gu's Medical Mirror - Stomach Pain: "It must be known that those who refuse to be pressed are real, and those who can be pressed are virtual; those who suffer from pain and distension and are closed are mostly real, and those who are not distended and are not closed are mostly virtual; those who like cold are mostly real, and those who love heat are mostly virtual; those who are saturated are very real, and those who are very hungry are very virtual; those who have solid veins and thick gas are mostly real, and those who have little gas and are weak are mostly weak; those who are strong and new and have been ill for a long time are mostly real; those who are complementary and ineffective are mostly real; those who are attacked and get more and more dramatic are mostly virtual. Must look, smell, ask, cut four detailed identification, then the real and imaginary since clear."