目的 分析围绝经期女性糖脂代谢水平与卵巢储备功能减退(DOR)的相关性,并探讨绝经激素治疗的应用价值。方法 回顾性选取2024年2月至2026年2月就诊于本院的194例围绝经期女性为研究对象,根据其卵巢储备功能将其分为DOR组(n=103)与卵巢储备功能正常组(NOR,n=91)。比较2组临床资料,采用Logistic回归分析围绝经期女性DOR的危险因素,绘制ROC曲线分析其预测效能,并利用Spearman相关系数分析指标相关性。同时予以所有患者绝经激素治疗(MHT),比较治疗前后的性激素指标、糖代谢指标、超声指标及安全性指标。结果 Logistic多因素结果显示:年龄、FSH、HbA1c、TG是围绝经期女性DOR的重要影响因素(P<0.05)。ROC结果显示:联合预测的AUC=0.982,95%CI为0.964~1.000,灵敏度为0.990,特异度为0.923,校准曲线拟合性好。卵巢储备功能与年龄、FSH、HbA1c、TG均呈显著正相关(P均<0.05)。与治疗前相比,FSH、LH、HbA1c、TG、LDL-C水平有明显下降(P<0.05),子宫内膜厚度略有增加(P<0.05);AMH、卵巢体积无显著变化(P>0.05)。MHT治疗后不良反应发生率为4.64%。结论 糖脂代谢异常与围绝经期女性DOR密切相关,是其重要危险因素。规范MHT干预可有效改善内分泌代谢紊乱,且安全性可靠。
Objective To analyze the correlation between glycolipid metabolism levels and diminished ovarian reserve (DOR) in perimenopausal women, and to explore the application value of menopausal hormone therapy.Methods A total of 194 perimenopausal women admitted to our hospital from February 2024 to February 2026 were retrospectively enrolled. They were divided into the DOR group (n=103) and the normal ovarian reserve (NOR) group (n=91) according to ovarian reserve function. Clinical data were compared between the two groups. Logistic regression analysis was used to identify risk factors for DOR. Receiver operating characteristic (ROC) curves were plotted to evaluate predictive efficacy, and Spearman correlation analysis was performed to assess indicator correlations. All patients received menopausal hormone therapy (MHT). Sex hormone indicators, glycolipid metabolic indicators, ultrasonographic indicators and safety indicators were compared before and after treatment.Results Multivariate Logistic regression showed that age, folliclestimulating hormone (FSH), glycated hemoglobin A1c (HbA1c) and triglyceride (TG) were independent risk factors for DOR in perimenopausal women (P<0.05). ROC analysis revealed that the combined prediction yielded an AUC of 0.982 (95%CI: 0.964–1.000), with a sensitivity of 0.990 and a specificity of 0.923, and good calibration curve fitting. Ovarian reserve was significantly positively correlated with age, FSH, HbA1c and TG (all P<0.05). After treatment, levels of FSH, luteinizing hormone (LH), HbA1c, TG and lowdensity lipoproteincholesterol (LDLC) decreased significantly (P<0.05), and endometrial thickness increased slightly (P<0.05). No significant changes were observed in antiMüllerian hormone (AMH) and ovarian volume (P>0.05). The incidence of adverse reactions after MHT was 4.64%.Conclusion Abnormal glycolipid metabolism is closely associated with DOR and serves as a critical risk factor in perimenopausal women. Standardized MHT can effectively improve endocrinemetabolic disorders with satisfactory safety.
目的:分析尿毒症维持性血液透析(MHD)患者红细胞相关指标、铁代谢指标水平及其同肾性贫血的关系。方法:选取我院2024年10月-2025年10月期间尿毒症MHD患者70例为研究对象,依照其是否发生肾性贫血分为贫血组(49例)、无贫血组(21例),对比两组患者红细胞相关指标以及等铁代谢指标,同时对比不同贫血严重程度患者各项指标水平差异,并分析尿毒症MHD患者肾性贫血的相关影响因素。结果:贫血组、无贫血组患者红细胞血红蛋白浓度(MCHC)、总铁结合力(TIBC)水平无较大差异(P>0.05),贫血组患者网织红细胞计数(Ret)、血清铁蛋白(SF)、转铁蛋白(TRSF)水平低于无贫血组、平均红细胞体积(MCV)水平高于无贫血组(P<0.05);轻度组、中度组、重度组患者Ret、MCV、SF、TRSF差异显著(P>0.05);不同贫血严重程度患者MCHC、TIBC水平比较,差异无统计学意义(P>0.05);多因素Logistic回归结果显示,Ret(OR=0.2063)、MCV(OR=4.152)、SF(OR=0.341)、TRSF(OR=0.281)是尿毒症MHD患者发生肾性贫血的重要影响因素(P<0.05)。结论:尿毒症MHD患者存在较高的肾性贫血风险,且不同贫血程度患者的Ret、MCV及SF、TRSF等指标水平存在差异性,亦是患者发生肾性贫血的重要影响因素。
Objective: To analyze the levels of red blood cell related indicators, iron metabolism indicators and their relationship with renal anemia in uremic patients with maintenance hemodialysis (MHD). Methods: 70 cases of uremic MHD patients in our hospital from October 2024 to October 2025 were selected as the research object, and were divided into anemia group (49 cases) and non anemia group (21 cases) according to whether renal anemia occurred. The red blood cell related indexes and iron metabolism indexes of the two groups were compared, and the differences of various indexes in patients with different anemia severity were compared, and the related influencing factors of renal anemia in uremic MHD patients were analyzed. Results: there was no significant difference in the levels of erythrocyte hemoglobin concentration (MCHC) and total iron binding capacity (TIBC) between anemia group and non anemia group (P>0.05). The levels of reticulocyte count (RET), serum ferritin (SF), transferrin (trsf) in anemia group we
目的:分析尿毒症维持性血液透析(MHD)患者红细胞相关指标、铁代谢指标水平及其同肾性贫血的关系。方法:选取我院2024年10月-2025年10月期间尿毒症MHD患者70例为研究对象,依照其是否发生肾性贫血分为贫血组(49例)、无贫血组(21例),对比两组患者红细胞相关指标以及等铁代谢指标,同时对比不同贫血严重程度患者各项指标水平差异,并分析尿毒症MHD患者肾性贫血的相关影响因素。结果:贫血组、无贫血组患者红细胞血红蛋白浓度(MCHC)、总铁结合力(TIBC)水平无较大差异(P>0.05),贫血组患者网织红细胞计数(Ret)、血清铁蛋白(SF)、转铁蛋白(TRSF)水平低于无贫血组、平均红细胞体积(MCV)水平高于无贫血组(P<0.05);轻度组、中度组、重度组患者Ret、MCV、SF、TRSF差异显著(P>0.05);不同贫血严重程度患者MCHC、TIBC水平比较,差异无统计学意义(P>0.05);多因素Logistic回归结果显示,Ret(OR=0.2063)、MCV(OR=4.152)、SF(OR=0.341)、TRSF(OR=0.281)是尿毒症MHD患者发生肾性贫血的重要影响因素(P<0.05)。结论:尿毒症MHD患者存在较高的肾性贫血风险,且不同贫血程度患者的Ret、MCV及SF、TRSF等指标水平存在差异性,亦是患者发生肾性贫血的重要影响因素。
To analyze the levels of red blood cell related indicators, iron metabolism indicators and their relationship with renal anemia in uremic patients with maintenance hemodialysis (MHD). Methods: 70 cases of uremic MHD patients in our hospital from October 2024 to October 2025 were selected as the research object, and were divided into anemia group (49 cases) and non anemia group (21 cases) according to whether renal anemia occurred. The red blood cell related indexes and iron metabolism indexes of the two groups were compared, and the differences of various indexes in patients with different anemia severity were compared, and the related influencing factors of renal anemia in uremic MHD patients were analyzed. Results: there was no significant difference in the levels of erythrocyte hemoglobin concentration (MCHC) and total iron binding capacity (TIBC) between anemia group and non anemia group (P>0.05). The levels of reticulocyte count (RET), serum ferritin (SF), transferrin (trsf) in anemia group were lower than those in non anemia group, and the level of mean corpuscular volume (MCV) was higher than that in non anemia group (P<0.05); There were significant differences in RET, MCV, SF and trsf among mild group, moderate group and severe group (P>0.05); There was no significant difference in MCHC and TIBC levels among patients with different anemia severity (P>0.05); Multivariate logistic regression results showed that RET (or=0.2063), MCV (or=4.152), SF (or=0.341), trsf (or=0.281) were important influencing factors of renal anemia in uremic MHD patients (P<0.05).Conclusion: Uremic MHD patients have a higher risk of renal anemia, and there are differences in the levels of Ret, MCV, SF, TRSF and other indicators among patients with different degrees of anemia, which are also important influencing factors for the occurrence of renal anemia in patients.
目的 探讨不同剂量左甲状腺素钠联合二甲双胍治疗妊娠期糖尿病(GDM)并发甲状腺功能减退症(简称“甲减”)患者的临床疗效,并分析其对甲状腺激素水平、妊娠结局的影响。方法 选取2023年1月~2025年1月于本院诊治的92例GDM并发甲减患者为研究对象,依据治疗方案不同将其分为2组,对照组采用左甲状腺素钠、二甲双胍治疗,观察组采用维生素D联合左甲状腺素钠、二甲双胍治疗。比较2组临床疗效及治疗前后甲状腺激素[促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺激素(FT4)]、糖脂代谢指标[空腹血糖、胰岛素抵抗指数(HOMA-IR)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)]、血管内皮功能[一氧化氮(NO)、内皮素-1(ET-1)、一氧化氮合酶(NOS)、非对称性二甲基精氨酸(ADMA)]、病情进展相关指标[成纤维细胞生长因子-21(FGF-21)、视黄醇结合蛋白4(RBP4)、脂蛋白相关磷脂酶A2(Lp-PLA2)]。比较2组妊娠结局。结果 观察组总有效率高于对照组(P<0.05);观察组治疗后TSH水平低于对照组,FT3、FT4水平高于对照组(P<0.05);观察组治疗后空腹血糖水平、TC、TG、LDL-C水平及HOMA-IR低于对照组(P<0.05);观察组治疗后NO、NOS水平高于对照组,ET-1、ADMA水平低于对照组(P<0.05);观察组治疗后血清FGF-21、RBP4、Lp-PLA2水平低于对照组(P<0.05);2组流产、胎盘早剥、新生儿窒息发生率比较无明显差异(P>0.05),观察组早产发生率低于对照组(P<0.05)。结论 维生素D联合左甲状腺素钠、二甲双胍治疗GDM并发甲减患者的效果显著,可更好地维持甲状腺功能正常,纠正糖脂代谢,改善血管内皮功能,控制疾病进展,并可在一定程度上改善妊娠结局。
目的 压疮是指由于组织受压时间过长引起的严重并发症,2025年的数据显示,压疮在活动受限患者中发生率高。机体代谢紊乱可能会引起压疮,但是否与血清代谢物有因果影响,暂不明确。方法 本文运用孟德尔随机化(MR)方法评价血清代谢物与压疮间风险因素,基于MR方法评价血清代谢物和压疮的因果联系,分别纳入由欧洲人群全基因组关联研究(GWAS)。压疮:FinnGen R10,3 167例;血清代谢物:EMBL-EBI数据库16种代谢物数据作为研究样本;筛选条件:工具变量筛选条件[P<5×10-8,连锁不平衡聚类r 2 <0.001,kb=10 000,F统计量>10(公式:F=R2 ×N-2/1-R2 )];主要分析方法:使用(IVW)法,辅助采用加权中位数法(WM)、MR-Egger回归法校验;用Benjamini-Hochberg法进行多重检验校正(FDR<0.05为有统计学意义)。结果 共鉴定出10种代谢物与压疮存在关联(P<0.01),经FDR校正后4种:代谢物18:2/20:4n6的水平升高(P<0.000 2)2-Oxopeptide的作用相反,降低压疮的风险(OR=0.73,95%CI:0.59~0.92,P=0.011);琥珀酸可增加压疮的风险(OR=1.13,95%CI:1.03~1.24,P=0.018);甘氨酸/丙氨酸比值降低压疮风险(OR=0.849,95%CI:0.76~0.93,P=0.022)。稳定性分析证明上述发现是可信的、稳健的(heterogeneity:P>0.05,pleoitropy:P>0.05)。结论 血清代谢物通过调控炎症反应、影响微循环障碍以及干预能量代谢途径,参与压疮的发生发展,可作为构建压疮风险的模型以及制定相关干预策略为压疮评估、治疗、预防提供因果层面的理论依据。
Objective Pressure ulcer(PU)is a serious complication caused by prolonged tissue compression.Data of 2025 shows that PUs have a high incidence among patients requiring long-term bed rest.Metabolic disorders may contribute to PU development,but whether serum metabolites causally affect PU risk remains unclear.Methods this study employed the Mendelian randomization(MR)method to evaluate whether serum metabolites are risk factors for PU.To assess the causal relationship between serum metabolites and PU,data from Genome-Wide Association Studies(GWAS)of European populations were included:PU data from FinnGen R10(3 167 cases)and data on 16 serum metabolites from the EMBL-EBI database.Instrumental variable screening criteria were as follows:P<5×10-8,linkage disequilibrium clustering(r 2 <0.001,kb=10,000),and F-statistic >10(Formula:F=[R2 ×N-2]/[1-R2 ]).The inverse variance weighting(IVW)method was used as the primary analytical approach,supplemented by the weighted median(WM)method and MR-Egger regression for verification.The Benjamini-Hochberg method was applied for multiple test correction(FDR<0.05 was considered statistically significant).Results A total of 10 metabolites were identified to be associated with PU(P<0.01),and 4 remained significant after FDR correction:elevated levels of metabolite 18:2/20:4n6(P<0.0002);2-Oxopeptide exerted an opposite effect,reducing PU risk(OR=0.73,95%CI:0.59-0.92,P=0.011);succinic acid increased PU risk(OR=1.13,95%CI:1.03-1.24,P=0.018);and the glycine/alanine ratio reduced PU risk(OR=0.849,95%CI:0.76-0.93,P=0.022).Stability analysis(PH-TauNE[novel pleiotropy test]) confirmed that the above findings were credible and robust(heterogeneity:P>0.05,pleiotropy:P>0.05).Conclusions Serum metabolites are involved in the occurrence and development of PU by regulating inflammatory responses,affecting microcirculatory disorders,and interfering with energy metabolism pathways.They can provide causal theoretical basis for constructing PU risk prediction models,formulating relevant intervention strategies,and guiding PU treatment,prevention,and assessment.
目的 探讨不同类型尿结石患者肠道菌群结构与尿酸代谢的相关性研究。方法 随机选取2022年5月—2023年5月广州市第一人民医院泌尿外科住院的尿结石患者60例为研究组, 选取同期体检中心健康体检人群30名为对照组,按照结石成分将研究组患者分为尿酸组和非尿酸组, 每组各30例, 所有入选患者均接受结石样本、尿样本、大便样本、血样本的采集, 所有样本经光谱、质谱、基因测序、尿常规及血生化检测 , 比较入选对象的肠道菌群及血尿生化指标变化。结果 尿酸组和非尿酸组患者的血磷(SNK-q=7.970、3.542)、血BUN(SNK-q=5.647、4.756)、血SUA(SNK-q=8.178、3.623)、血SCr(SNK-q=7.300、5.553)、血LPS(SNK-q=13.101、9.705)及24h尿酸(SNK-q=4.462、6.426)水平均高于对照组, 具有统计学意义(P<0.05), 尿酸组和非尿酸组患者的血钙水平低于对照组(SNK-q=3.918/3.047, P<0.05)。非尿酸组患者的血磷、血SUA、血LPS均低于尿酸组, 均有统计学意义(SNK-q=4.428、4.555、3.397, P<0.05)。尿酸组和非尿酸组患者肠道中双歧杆菌数量低于对照组, 差异具有统计学意义(SNK-q=3.754、3.143, P<0.05)。非尿酸组患者肠道中乳酸杆菌数量高于对照组和尿酸组(SNK-q=4.105、3.463, P<0.05), 尿酸组及非尿酸组患者的血尿酸及24 h尿尿酸水平与肠道双歧杆菌数量呈负相关(P<0.05)。结论 肠道双歧杆菌数量对结石患者血尿酸代谢及尿结石形成具有相关性。
Objective To explore the relationship of intestinal flora and uric acid metabolism in different urinary stones patients.Methods From May 2022 to May 2023, 60 patients with urinary stones patients in Guangzhou First People’s Hospital were selected as the study group, and 30 health check-up people in the same period of the medical examination center were selected as the control group.Study group was divided into the uric acid group and the non-uric acid group, 30 cases each group, all patients received stone samples, urine samples, stool samples,blood samples collection, mass spectrometry, gene sequencing, urine routine, blood biochemical detection were performed.Intestinal flora and blood urinary biochemical indicators of the patients were compared.Results The levels of blood phosphorus(SNK-q=7.970, 3.542), blood BUN(SNK-q=5.647, 4.756), blood SUA (SNK-q=8.178, 3.623), blood SCr(SNK-q=7.300, 5.553), blood LPS(SNK-q=13.101, 9.705), and 24-hour urine uric acid (SNK-q=4.462, 6.426)in the uric acid group and the non-uric acid group were all higher than those in the control group,and were statistically significant(P<0.05).The blood calcium levels of the patients in the uric acid group and the non-uric acid group were lower than those in the control group(SNK-q=3.918/3.047, P<0.05).The blood phosphorus, blood SUA and blood LPS levels of the non-uric acid group were all lower than those of the uric acid group, and the differences were statistically significant (SNK-q=4.428, 4.555, 3.397, P<0.05).The number of bifidobacteria in the intestines of patients in the uric acid group and the non-uric acid group was lower than that of the control group,and the differences were statistically significant(SNK-q=3.754, 3.143, P<0.05).The number of lactobacilli in the intestines of patients in the non-uric acid group was higher than that of the control group and the uric acid group(SNK-q=4.105, 3.463, P<0.05).The levels of blood uric acid and 24-hour urine uric acid in the uric acid group and the non-uric acid group were negatively correlated with the number of Bifidobacterium in the intestines(P<0.05).Conclusions The number of intestinal bisidobacteria has a significant correlation with the metabolism of blood uric acid and urinary stones in patients with stones.
大蒜为百合科葱属植物的地下鳞茎,具有药食两用的价值,其含有大蒜素、二烯丙基硫醚、二烯丙基二硫醚、二烯丙基三硫醚、 硫-烯丙基半胱氨酸等多种生物活性成分,具有抗氧化、抗感染、免疫调节、心血管保护、抗癌等作用。不仅如此,大蒜在糖脂代谢的调节中功效显著,且相关机制日益明晰,主要包括保护胰岛β细胞功能、改善胰岛素抵抗、阻止脂肪细胞生长、抑制脂合成代谢及调节肠道菌群分布等。不同的提取工艺可影响大蒜的功效,其提取手段及药效关系值得进一步研究。
Garlic has values of both medicine and food,with rich allicin,diallyl disulfide(DADS),diallyl trisulfide(DATS)and other garlic sulfur contents,which have been found to have multiple effets such as antioxidant,anti-infection,immunomodulatory,cardiovascular protection,anti-cancer,etc.Moreover,numerous studies have demonstrated that garlic plays an important role in the regulation of glycose and lipid metabolism,and the relevant mechanisms are becoming better understood,including protecting pancreatic β cells,improving insulin resistance,preventing the growth of fat cells,inhibiting lipid anabolism and adjusting the distribution of intestinal microflora.Different extraction processes can affect the efficacy of garlic,and further investigations are needed to elucidate the relationship between effective extraction methods and pharmacodynamic properties.
目的 探讨NXT629改善肝胆结石形成的相关机制。方法 对C57BL/6J小鼠分别采用常规饮食或成石饮食(LD)喂养,并在LD组小鼠注射PPAR-α拮抗剂NXT629。通过苏木精-伊红染色法染色分析肝脂肪病变,油红O染色检测肝脏脂质的积累,分光光度法检测胆汁或血清中总胆固醇、甘油三酯、磷脂、总胆汁酸、胆固醇饱和指数、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇指标;qPCR法检测小鼠肝组织中ABCG5/8、CYP7A1、CYP7B1、PPAR-α和ABCB11 mRNA的表达情况。结果 NXT629通过靶向PPAR-α降低LD组小鼠肝脏中的ABCG5、ABCG8、ABCB11 mRNA水平以及增加CYP7A1、CYP7B1 mRNA水平,进而减少LD诱导的肝胆结石形成并改善脂质代谢紊乱。结论 NXT629可能通过影响脂代谢相关基因表达改善肝胆结石。
Objective To explore the mechanism on NXT629 improves hepatolithiasis formation.Methods C57BL/6J mice were fed either a regular diet or a lithogenic diet(LD),with the LD group receiving injections of PPAR-α inhibitor NXT629.Liver steatosis was analyzed via HE staining,hepatic lipid accumulation was detected by Oil Red O staining,and total cholesterol,triglycerides,phospholipids,total bile acids,cholesterol saturation index,low density lipoprotein cholesterol,and high density lipoprotein cholesterol levels in bile or serum were measured using assay kits.RT-qPCR was employed to determine the mRNA expression of ABCG5/8,CYP7A1,CYP7B1,PPAR-α,and ABCB11 in mouse liver tissues.Results The Results showed that NXT629 target PPAR-α to down-regulate the mRNA levels of ABCG5,ABCG8,and ABCB11 in the livers of LD-fed mice,while increasing the mRNA levels of CYP7A1 and CYP7B1,thereby reducing LD-induced hepatolithiasis formation and improving lipid metabolism disorders.Conclusions NXT629 can improve cholesterol gallstones by affecting the expression of genes related to lipid metabolism.
目的 针对精神分裂症患者接受喹硫平与帕利哌酮联合治疗对其代谢功能及血清因子的影响。方法 纳入2022年1月—2023年3月驻马店市第二人民医院收治的120例精神分裂症患者,根据住院号进行编号,并通过通过随机抽签方法分为两组,对照组60例应用单一喹硫平治疗,观察组60例应用喹硫平与帕利哌酮联合治疗,对比两组的治疗效果。结果 经治疗,观察组临床总疗效高于对照组(P<0.05);该组各项代谢功能指标均与对照组比较差异无统计学意义(P>0.05);该组各项血清因子测定该结果均高于对照组(P<0.05);该组各项精神症状评分均低于对照组(P<0.05);该组不良反应发生率与对照组比较差异无统计学意义(P>0.05)。结论 采用喹硫平与帕利哌酮联合的方式治疗精神分裂症患者,可以提升临床疗效,对患者各种精神症状及血清因子改善效果更好,虽然药物会对患者代谢功能产生一定的影响,但是联合用药与单独用药的影响情况无差异,未增加不良反应发生率,安全性良好。
Objective To evaluate the combination of quetiapine and paliperidone on metabolic function and serum factors in schizophrenia.Methods A total of 120 patients with schizophrenia admitted to Zhumadian Second People's Hospital from January 2022 to March 2023 were included,numbered according to the hospitalization number,and divided into two groups by random drawing method.Sixty patients in the control group were treated with quetiapine alone,and 60 patients in the observation group were treated with quetiapine combined with paliperidone,and the therapeutic effects of the two groups were compared.Results After treatment,the total clinical efficacy of the observation group was higher than that of the control group,P<0.05;the metabolic function indexes comparison were P> 0.05;the serum factor of observation group was higher,P<0.05;the scores of psychiatric symptoms in the group were all lower than the control group,P<0.05;the incidence of adverse reactions in the observation improve group was not different from the control group,P>0.05.Conclusions Using quetiapine and schizophrenia,can improve clinical curative effect,various mental symptoms and serum factors,although certain effect on patient metabolic function may occur,but did not significantly increase the incidence of adverse reactions,with high safety.
代谢综合征属于中医学“肥胖”“消渴”“脾瘅”等范畴,是以多种代谢异常在同一个体集结出现,包括肥胖、高血糖、血脂异常、高血压以及高尿酸血症等为表现的临床综合征。“浊毒”是由于脏腑功能失常,导致机体产生的生理、病理产物不能及时排出,蕴积体内而化生的致病因素。浊毒致病机体多有面色晦浊、腹胀满、小便浑浊、大便黏腻不爽、黄腻苔、滑数脉等表现。浊毒与代谢综合征的发病机制,在微观和宏观上具有对应性。文章从浊毒与代谢综合征的发病机制出发,对其临床治疗的共同点进行了综述。
Metabolic syndrome falls into the categories of obesity,diabetes and spleen disease in traditional Chinese medicine,and is manifested by various metabolic abnormalities in an individual,including obesity,hyperglycemia,dyslipidemia,hypertension and hyperuricemia. The turbid toxin is a pathogenic factor caused by visceral dysfunction,which leads to the accumulation of physiological and pathological wastes that fail to be eliminated from the body in time. People with turbid toxin are manifested by dull and cloudy complexion,abdominal distension,turbid urine,sticky stool,yellow greasy coating,slippery pulse,etc. The turbid toxin corresponds to the pathogenesis of metabolic syndrome at both micro and macro levels. This paper intends to explore the correlations between the turbid toxin and the pathogenesis of metabolic syndrome and make a review with relevant clinical treatment.