Discussion on syndrome differentiation and treatment of gastroparesis based on the theory of "atrophy, dyspnea and vomiting are ascribed to the upper part" based on the lung.

Gastroparesis is a gastric disease characterized by delayed gastric emptying. "Vomiting" is the main clinical manifestation of this disease, while "atrophy" indicates dysfunction of the stomach. Based on the theory of "atrophy, dyspnea and vomiting are ascribed to the upper part", originating from the Chapter of "Zhi Zhen Yao Da Lun" from the Suwen(Basic Questions) section this paper explored the pathogenesis and treatment idea of gastroparesis from the function of the lung. It is put forward that failure of lung qi in dispersion, so the lung qi cannot maintain the circulation of harmonizing qi and blood, leading to malnutrition of stomach and loss of stomach receiving food and drink function. Melancholy impairing lung, so lung cannot govern diffusion, leading to stomach governing the disfunction of dredging and descending. Impaired depurative descending of lung qi, so the large intestine and stomach are lost in the alternating operation of deficiency and excess, leading to stomach governing the disfunction of transportation and transformation. Therefore, the treatment approach is proposed to improve the stomach's function to receive food and drink, transport and transform and promote the recovery of gastric motility by replenishing and restoring lung qi, regulating emotions and catharsis and smoothing lung. Analyzing the effect of function of the lung on gastric motility is of great value for expanding the application of traditional Chinese medicine in gastrointestinal motility disorders, and digging new connotations of classic theories in modern clinical practice. [ABSTRACT FROM AUTHOR]