Experience of ZHANG Boli in Syndrome Differentiation and Treatment of Metabolic Syndrome Based on the Theory of "Diseases Related to Damp，Turbidity，Phlegm，and Rheum"
10.13288/j.11-2166/r.2026.18.003
- VernacularTitle:张伯礼基于湿浊痰饮类病学说辨治代谢综合征经验
- Author:
Hongchang JI
1
;
Jiabao WANG
1
;
Xiao LI
1
;
Guangning QIN
2
;
Lu XIAO
3
;
Jingxian YAN
1
;
Xianglong HUANG
1
;
1
Author Information
1. Research Institute of Traditional Chinese Medicine，Tianjin University of Traditional Chinese Medicine，Tianjin，301617
2. National Innovation Center of Modern Traditional Chinese Medicine
3. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion
- Publication Type:Journal Article
- Keywords:
metabolic syndrome;
damp-turbidity;
phlegm-rheum;
experience of famous doctors;
ZHANG Boli
- From:
Journal of Traditional Chinese Medicine
2026;67(18):1936-1940
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized professor ZHANG Boli's experience in syndrome differentiation and treatment of metabolic syndrome （MetS） based on the theory of "diseases related to damp， turbidity， phlegm， and rheum". It is considered that damp， turbidity， phlegm， and rheum are the key pathological factors in the onset of MetS. The core pathogenesis of this disease includes the failure of the liver to govern the free flow of qi， the depletion of spleen and kidney， and the accumulation and impairment caused by damp， turbidity， phlegm， and rheum. It is important to emphasize early intervention， sequential treatment， and thorough elimination of pathogenic factors. The treatment takes fortifying the spleen and promoting middle jiao （焦）， soothing the liver and regulating qi， and tonifying the kidney to restore transformation as the fundamental principles. Furthermore， targeted treatments are implemented according to the evolution of damp， turbidity， phlegm， and rheum， including treating damp early， examining the tongue coating to eliminate turbidity， differentiating and treating concurrent phlegm， and applying warm dredging moderately. At the same time， specific medicinals are combined based on abnormal indicators such as blood glucose， blood lipids， blood pressure， and uric acid， aiming to address both root causes and symptoms simultaneously.
