基于“浊气归心，淫精于脉”理论角度探讨心血管–肾脏–代谢综合征的辨治思路

To Explore the Differentiation and Treatment of Cardiovascular - Kidney - Metabolic Syndrome Based on the Theory of “Turbid Qi Returning to the Heart and Essence in the Pulse”

摘要: 随着人口老龄化和生活方式改变，代谢综合征(Metabolic Syndrome, MS)、心血管疾病(Cardiovascular Disease, CVD)及慢性肾脏病(Chronic Kidney Disease, CKD)的发病率逐年攀升。三者之间的相互作用逐渐被学界关注，形成了“心血管–肾脏–代谢综合征”(Cardiovascular - Kidney - Metabolic Syndrome, CKM)这一综合概念。CKM综合征强调代谢紊乱、心血管功能障碍和肾脏损害之间的病理生理关联，其协同作用显著增加患者全因死亡风险，故临床医生应重视其发生发展及防治。“浊气归心，淫精于脉”出自《素问·经脉别论》曰：“食气入胃，浊气归心，淫精于脉。”本文将从“浊气归心，淫精于脉”理论探讨CKM综合征的中医辨治新思路。

Abstract: With the aging of the population and lifestyle changes, the incidence of metabolic syndrome (MS), cardiovascular disease (CVD) and chronic kidney disease (CKD) is increasing year by year. The interaction between the three has gradually attracted the attention of the academic community, forming a comprehensive concept of “cardiovascular - kidney - metabolic syndrome” (CKM). CKM syndrome emphasizes the pathophysiological relationship between metabolic disorders, cardiovascular dysfunction and renal damage, and its synergistic effect significantly increases the risk of all-cause death in patients. Therefore, clinicians should pay attention to its occurrence, development, prevention and treatment. “Turbid qi returning to the heart, Yinjing in the pulse” comes from “Plain Questions∙Different Theory of Meridians”: “Shiqi enters the stomach, turbid qi returning to the heart, Yinjing in the pulse.” This article will explore the new ideas of TCM syndrome differentiation and treatment of CKM syndrome from the theory of “turbid qi returning to the heart and ejaculation in the pulse”.