With the improvement of people’s living standard, the incidence of metabolic syndrome is increasing, which involves various pathological changes such as central obesity, hyperinsulinemia, reduced glucose tolerance, hypertension, dyslipidemia, microalbuminuria and the occurrence of cardiovascular disease, which seriously affects people’s quality of life. Therefore, it is especially important to prevent and control metabolic syndrome and improve the indicators of body functions. Liu Qi, Department of Internal Medicine, Guangdong Traditional Chinese Medicine believes that the occurrence of metabolic syndrome is closely related to the malfunction of the spleen and stomach, and although ancient Chinese medical texts do not have the same disease names as Western medicine, the causes and mechanisms of the disease are discussed in great detail. How to get it? Qibo said: this overflow of the five qi is also called spleen disease. The five flavors in the mouth, hidden in the stomach, the spleen for the movement of its essence, fluid in the spleen, so the population is also sweet; this fatty hair also, this person must eat a number of sweet and fat, fat people make internal heat, sweet people full, so its gas overflow, turned into thirst …… “Here is a discussion of the metabolic syndrome turned into thirst The etiology and symptoms of metabolic syndrome to thirst are discussed here, pointing out that people eat a lot of fat and sweet delicacies and neglect exercise, resulting in the body becoming more and more obese and finally developing internal heat, leading to the appearance of thirst (diabetes). This shows that the failure of the spleen and stomach to function normally is the main etiology of metabolic syndrome, and the prevention of metabolic syndrome should place the importance of regulating the spleen and stomach. According to the five elements of Chinese medicine, the spleen and stomach belong to the category of earth. The earth lives in the central state and produces all things and the law of heaven and earth, and the transportation and transformation of human water and grain essence depends on the normal physiological function of the spleen and stomach, which are responsible for transportation and transformation. In the early stage of metabolic syndrome, the clinical manifestations are dry mouth, excessive drinking, good hunger, and dysfunction of other internal organs, such as liver depression, distension and pain in both sides, bitterness in the mouth and dryness in the throat, and heart fire, which can cause distress and insomnia, and sores in the mouth and tongue; heat and phlegm, dampness, and turbidity are intertwined, consuming qi and hurting yin, resulting in fatness and sweating, increased waist circumference, and excessive drinking and urination. At this time, the main treatment should focus on strengthening the spleen and resolving turbidity, with earth as the central axis, and only when the central axis is rotating can many of the disease evils be removed, as the saying goes, “the spleen is valuable in transporting but not in supplementing”. As the disease progresses, in the middle stage of metabolic syndrome, there will be deficiency and reality. On the one hand, the patient will have deficiency symptoms such as weakness, shortness of breath, loose stools, dry mouth, soreness and weakness of the waist and knees; on the other hand, there will be fire-heat symptoms such as fear of heat, bitterness in the mouth, poor appetite and hunger, chest tightness and heart trouble. This is because of the deficiency of the middle earth, phlegm and dampness in the middle jiao, heat and fire, a mixed situation of cold and heat, at this time, we should still take care of the spleen and stomach as the main focus, do not attack, otherwise we will violate the precept of “deficiency and solidity”, at this time, we should take the deficiency and dispel the evil as the treatment, the use of medicine should emphasize the use of cold and warm, can be given diarrhea heart soup formula plus phlegm dispel turbidity formula, such as The combination of small sunken chest soup, Huang Lian warm gall bladder soup, gardenia black bean soup and other formulas. At the later stage of metabolic syndrome, the deficiency of the internal organs of the patient is more obvious, such as tastelessness of the mouth, abdominal distension, dizziness, soreness of the waist and knees, etc. At the same time, there is also stagnation of heat and stagnation. At this time, the treatment should be based on the dual tonification of the spleen and kidney, elimination of turbidity and circulation, and can be based on the Kidney Qi Pill or Liu Wei Di Huang Pill, combined with Si Miao San, Tao Hong Si Wu Tang, Pao Jia Zhu, Tu Tu Tu, Di Long and other prescriptions. In the treatment process, in addition to taking care of the spleen and stomach, we should also take into account the close connection between the middle earth and other internal organs, as mentioned by the medical sage Zhang Zhongjing in The Essentials of the Golden Mean, “When we see the disease of the liver, we know that the liver transmits the spleen, so we should first strengthen the spleen”, and in Su Wen – Jing Yin It is mentioned in “Su Wen – The Treatise on the Meridians” that “when drinking enters the stomach, the essence overflows and is transferred upward to the spleen. Spleen Qi disperses the essence and returns it to the lungs, which regulates the water channels and transmits it down to the bladder. Water essence four cloth, five parallel, combined with the four times five Tibetan yin and Yang, consider the degree as normal.” These all explain that the spleen and stomach transport water and grain essence is inseparable from the normal functioning of other organs, never isolate the spleen and stomach and ignore the role of other internal organs in the development of disease.