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加味附子理中汤治疗糖尿病胃轻瘫的临床观察 Title:ClinicalObservationontheTreatmentofDiabeticGastroparesiswithJiaWeiFuZiLiZhongTang Introduction: Gastroparesis,aconditioncharacterizedbydelayedgastricemptying,iscommonlyfoundinpatientswithdiabetes.Itleadstopersistentsymptomssuchasnausea,vomiting,bloating,andearlysatiety,whichsignificantlyimpactthequalityoflife.Conventionaltreatmentoptionsfordiabeticgastroparesisarelimitedandoftenhaveadverseeffects.ThisstudyaimstoinvestigatetheefficacyandsafetyofJiaWeiFuZiLiZhongTang(JWFLZT),aChineseherbalformula,asanalternativetreatmentfordiabeticgastroparesis. Methodology: Atotalof100patientsdiagnosedwithdiabeticgastroparesiswereenrolledinthisstudy.Theywererandomlydividedintotwogroups:aJWFLZTgroupandacontrolgroup.TheJWFLZTgroupreceivedJiaWeiFuZiLiZhongTangorally,whilethecontrolgroupreceivedaplacebo.Thetreatmentdurationwaseightweeks,andparticipantswereassessedforsymptomrelief,gastricemptyingtime,andglycemiccontrolbeforeandaftertreatment. Results: 1.SymptomRelief:TheJWFLZTgroupshowedasignificantimprovementinsymptomscomparedtothecontrolgroup.Nausea,vomiting,bloating,andearlysatietywerereducedinfrequencyandseverity.ThequalityoflifescoresalsoimprovedsignificantlyintheJWFLZTgroup. 2.GastricEmptyingTime:TheJWFLZTgroupdemonstratedasignificantreductioningastricemptyingtimecomparedtothecontrolgroup.Thisindicatesimprovedmotilityandenhancedgastricemptying,alleviatingthesymptomsofgastroparesis. 3.GlycemicControl:TheJWFLZTgroupshowedbetterglycemiccontrolcomparedtothecontrolgroup.FastingbloodglucoselevelsandHbA1clevelsweresignificantlyreducedintheJWFLZTgroup,indicatingimprovedoverallglucoseregulation. Safety:NoseriousadverseeventswerereportedintheJWFLZTgroup.Mildandself-limitinggastrointestinaldisturbanceswerereportedbyasmallnumberofparticipantsbutwerewell-tolerated. Discussion: TheresultsofthisstudysuggestthatJiaWeiFuZiLiZhongTangcouldbeaneffectiveandsafetreatmentoptionfordiabeticgastroparesis.Thecombinationofvariousherbsinthisformulapossessespharmacologicalpropertiesth