四川大学学报（医学版）2025，Vol.56Issue(3)：640-646,7.DOI:10.12182/20250560204
代谢综合征的中医病机解析与治疗策略
Traditional Chinese Medicine Perspective on the Pathogenesis and Management of Metabolic Syndrome
摘要
Abstract
Metabolic syndrome(MetS)is a cluster of metabolic disorders with diverse clinical manifestations.Jingui Yaolue,or Synopsis of the Golden Chamber,discusses over 40 different diseases in total.This study reveals that some of these diseases,including tanyin(phlegm-dampness),xulao(consumptive disease),and xiaoke(wasting and thirst),exhibit clinical manifestations similar to those of MetS.Furthermore,there are also correspondences between these diseases and MetS in terms of the etiology and pathogenesis.For example,the pathogenesis involves multiple organs,but is centered on the spleen;the disease arises from deficiency and ultimately leads to a dual deficiency of yin and yang;the syndrome patterns are complex and predominantly characterized by phlegm-turbidity.This article summarizes targeted treatment approaches for MetS mentioned in Synopsis of the Golden Chamber,including focusing on the spleen in the treatment of diseases involving multiple organs,supporting the vital energy while dealing with excess syndrome,balancing yin and yang in a state of dual deficiency of both yin and yang,and treating phlegm and blood stasis simultaneously due to the close connection between body fluids and blood.Integrating these treatment principles into current traditional Chinese medicine treatment plans for MetS may help optimize traditional Chinese medicine treatment protocols for MetS and improve clinical outcomes.关键词
代谢综合征/金匮要略/痰饮/虚劳/中医药治疗Key words
Metabolic syndrome(MetS)/Synopsis of Golden Chamber/Phlegm-dampness/Consumptive disease/Traditional Chinese medicine therapy引用本文复制引用
艾碧琛,石丹丹,李木兰,王占荣,李国菁..代谢综合征的中医病机解析与治疗策略[J].四川大学学报（医学版）,2025,56(3):640-646,7.基金项目
国家中医药管理局、国家卫生计生委、中央军委后勤保障部卫生局重大疑难疾病中西医临床协作能力建设项目(国中医药办医政发[2018]3号),湖南省卫生健康高层次人才重大科研专项项目(No.R2023130)和湖南省中医药科研计划项目(No.D2022016)资助 （国中医药办医政发[2018]3号）
