蒋里 赵进喜 王世东 倪博然 张华

    摘要 脾、胃、肝、肾是人体代谢生理的重要脏腑，脾胃之受纳运化、肝之疏泄、肾之气化共同参与营养物质的合成、分解、转化，完成体内物质的利用与更新。在饮食、情志、遗传及体质因素影响下，脾胃肝肾系统失调，会导致肥胖、2型糖尿病、高尿酸血症、代谢综合征等代谢性疾病。从脾胃肝肾论治代谢性疾病，强调在健脾、清胃、疏肝、益肾等基础治法上，关注不同疾病的关键脏腑和辨证特点，以期对代谢性疾病的治疗提供新思路。

    关键词 代谢性疾病;脾胃肝肾;肥胖;代谢综合征;2型糖尿病;高尿酸血症

    Abstract The spleen，stomach，liver and kidney are important basis of human metabolic physiology.The absorption and transformation function of the spleen and stomach，the dispersion function of the liver and the transformation of the kidney qi participate together in the synthesis and transformation of nutrients，and provide the utilization and renewal of substances in the body.Disorders of the spleen，stomach，liver and kidney system may result in metabolic diseases such as obesity，type 2 diabetes，hyperuricemia and metabolic syndrome under the influence of dietary，emotional，genetic and constitutional factors.Based on the treatment of metabolic diseases by spleen，stomach，liver and kidney，this paper emphasizes the basic treatment of tonifying spleen，stomach，liver and kidney，paying attention to the key viscera and syndrome differentiation characteristics of different diseases ......