Obesity
[Overview]
Obesity is the body’s intake of calories consumed exceed the calories, fat content in the body leading to excessive accumulation of fat formation.
Body weight more than 20% of standard weight, performance fear heat, sweating, fatigue as the main clinical features.Changes due to fat cells into the different physical nature of obesity and acquired obesity. The bad outcome is the formation of high cholesterol, hypertension, diabetes, coronary heart disease, fatty liver and other diseases. Obesity is a traditional Chinese medicine “phlegm,” “edema,” “Consumption” and other areas.
[Etiology and pathology]
Internal and external causes of the disease has two aspects: as endowment within the spleen, because too Feigan outside, less labor and more lying, cause spleen qi is weak, the endogenous phlegm; or older impotence, yin and yang imbalance, phlegm and blood stasis within the plot, can be so evil cloud endogenous, stasis body that may cause obesity.
Pathological changes of the spleen qi is weak, and many eat less move, causing cereal essence, not Reformed, anti as phlegm; or too Feiganhouwei, and less labor than the lying, cause spleen phlegm, phlegm falling inner product, and for obesity. Or because of middle age, kidney deficiency, yin and yang imbalance, wet phlegm inner product, or turn Phlegm and blood stasis, phlegm and blood stasis, stasis evil are so turbid body that may cause obesity. Yun phlegm heat in force, the fear Rehan more. By spleen muscles, limbs, spleen-deficiency loss, phlegm Yongzhi, water transport in the grain refined not muscles, limbs, Guchang sense Shenpi tired limbs, moving the shortness of breath sweating.
[Diagnostic points
Weight of more than 20% of standard weight, body mass index of more than 0.26, can be ruled out, such as Cushing’s syndrome, hypothyroidism, polycystic ovaries and other endocrine diseases.
25 years ago because the number of fat cells due to the increase of obesity known as body obesity; 25 years of age due to fat cell hypertrophy induced obesity as acquired obesity.
[Type] dialectical
1 Qi Tan Yong symptoms: body fat, moving the shortness of breath, sweating, color Shaohua, mental fatigue, drowsiness, Notani appetite, stomach fullness hospital, or loose stools thin, or swollen limbs and head and body weight difficulties. Fat tongue, white coating, smooth pulse.
Syndromes: temper deficiency, phlegm inside the barricade, then the body fat.
Mother and child disease, lung brand deficiency, is frequently shortness of breath, sweating; not Reformed cereal essence, it is the business of blood is not sufficient, not to charge the body, the skin Shaohua; Qing Yang Sung-Joo no listlessness, lethargy;Spleen qi stagnation, transportation of disorders, the Notani weak, the hospital distention, loose stools thin; wet Qi Yu, the swollen limbs and head and body weight difficulties; tongue fat, white coating, pulse with smooth, both Qi Tan Yong of the levy.
2 phlegm stasis symptoms: body fat, shiny surface there, good appetite, fear of heat, irritability, mouth and throat pain, or see urine constipation. Red tongue, thin yellow coating, slippery pulse.
Syndromes: Feigan thick and greasy, was suffering stomach fire, caused by phlegm-heat stasis, the body fat, a shiny surface; strong stomach fire, the consumption Valley good hunger, fear heat, irritability; stomach Huozhuo Tianjin, are on the hard throat, dark urine, constipation; red tongue, thin yellow coating, slippery pulse, are phlegm stasis of the levy.
3 inner Phlegm symptoms: body fat, moving easily sweat Shenpi shortness of breath, dizziness, chest or abdominal pain, hospital threat of inflation to ask, or Xiexia scar block. Tongue dark fat, thin white or greasy moisten fine.
Syndromes: frail elderly, spleen and kidney deficiency, phlegm and blood stasis within the plot, it is body fat, moving the Shenpi shortness of breath, sweating; phlegm and blood stasis, orifices loss of charge, then the dizziness; Xinmaitong poor, the chest; liver and stomach qi stagnation, the hospital asked the inflation threat or pain; blood stasis liver network, the scars caused by Xiexia blocks (fatty liver); tongue dark fat, thin white or greasy Ru thin, spleen and kidney are Qi, phlegm and blood stasis within the plot of the levy.
4 yin and yang imbalance symptoms: body fat, irritability, heat intolerance, when aversion to cold, depression or excitement, insomnia, addicted to lying lazy move, lumbar sorrow and grief, lower extremity edema, particularly the afternoon, women, irregular menstruation. Pink tongue, thin, weak pulse, or a thin string.
Syndromes: middle age, kidney loss, transpiration gasification water liquid function, and moisture accumulation within the phlegm, prone to cause obesity; kidney, Hot endogenous, the irritability span; liver failure nourishment, love Chi adjustment disorders, the depression or excitement; anger disturbed mind, the insomnia; liver and kidney deficiency, Chong and Ren loss of charge, then the women, irregular menstruation; deficiency, Spleen also loss, phlegm retention, is addicted to lying lazymove, lumbar sorrow and grief, lower extremity edema; pink tongue, thin, weak pulse, or thin string, are disorders of kidney yin and yang sign.
[Type] treatment
1 rule is Tan Yong Qi: Qi Spleen.
Recipe: Menispermaceae Astragalus Decoction Liujunzi.
Defense has 12 grams 12 grams 15 grams of astragalus Codonopsis Polyporus 9 g Poria 15 grams 12 grams Atractylodes Citrus 6 g 9 g Pinellia 12 Kehe coke hawthorn leaf 9 g subtraction with the disease: less urine, could Gase diarrhea 15 grams, Plantago 15 grams (including fry) to diuretic; abdominal distention, plus wood 6 g, Cyperus rotundus 9 grams, to qi stagnation.
2 phlegm stasis rule is: Qingwei phlegm Xiezhuo.
Recipe: Three small yellow plaster Tang Cheng Qi Decoction.
Coptis 3 g 9 g Scutellaria gypsum Shanzhizi 9 g 15 g (fry) rhubarb 5 g (later) Magnolia 9 g Pinellia 9 grams plus or minus 5 grams of licorice with the disease: the skin often occur Boil acne, plus dandelion 15 grams, purple to 15 grams, Dan 12 g, Radix 12 grams, to detoxify cooling; thirsty to drink, red tongue, little bitter, plus 15 g habitat, Scrophulariaceae 12 grams, Radix 15grams to YangYinShengJin.
3 inner product rule is tired stasis: blood circulation, expectorant light-weight.
Recipe: fried peach kernel safflower addition and subtraction.
15 grams of Salvia red peony 15 grams peach kernel safflower 9 g 9 g 9 g dl 9 g Chuan Xiong Peel 6 Ke Zelan 12 Keze diarrhea 12 g Poria 12 grams Radish leaf 9 g 9 Kehe addition and subtraction with the disease: body fat, high cholesterol who also added Puhuang 20 grams (including fry), Polygonum cuspidatum 30 grams, with blood lipid; fatty liver, plus Tri 15 grams, 15 grams Curcuma, seaweed 30 grams to stasis expectorant Ruanjian .
4 Therapeutic imbalance of yin and yang: yin and yang, and Water phlegm.
Recipe: Immortals Decoction.
Curculigo 9 g Epimedium 12 Keba halberd days 9 g Dodder 15 g Angelica 9 grams Anemarrhena 9 g 9 g Poria 15 grams Treats Polyporus 15 Keze diarrhea 15 grams subtraction with the disease: emotional restlessness, insomnia, Lily added 15 grams Caulis 30 grams, 15 grams Albizia, mother of pearl 30 grams (Xian Jian) to Liver rather God; backache worse, Gadou Chung 9 grams, Woodwardia 9 grams, waist to kidney health ; chest, plus Puhuang 20 grams (including fry), Zeeland 15 grams, turmeric 9 grams, the blood circulation of qi.
[Chinese medicine]
Fang Feng Tong Sheng Wan 6 grams each time, twice daily.
[Simple] side
1 Astragalus, Stephania, Alisma, mountain Tan, Salvia equal parts, crushed to fine tablet, each containing crude drug 1 g, each 5 3 times a day. For Qi phlegm accumulation-type obesity.
2 fried powder of Cassia blunt, every 3 to 5 grams 2 to 3 times a day. For obesity combined hyperlipidemia.
3 weight loss tea: leaves, sage of 6 grams, Hawthorn 10 grams, 3 grams of green tea a day 1, water several times brewed into tea. Applicable to all types of obesity.
[Other therapies]
Water treatment:
(1) White Poria 30 grams, 30 grams Yiyiren Hawthorn 15 grams, 50 grams of rice, porridge eat it. Spleen Tansheng for the obese.
(2) celery 250 grams, 50 grams of mushrooms, add spices fried. For obese patients with hypertension, hyperlipidemia.
Acupuncture:
Body acupuncture: Acupuncture Liang Qiu, Kung-sun, 1 day acupuncture, with diarrhea, followed by a strong sense of electro-acupuncture needle device for 20 minutes, two points are used interchangeably.
Ear: Take the stomach, spleen, heart, lung, endocrine, doors and other points of God, a day to take 2 to 3 points, buried the needle, or beads, 4 to 5 days to replace a second, alternating left and right ear, 5 to 7 times for the l course of treatment.
Physical therapy: based on personal preference and tolerance of selected aerobics, running, swimming and all kinds of ball games.
[Note]
1 Obesity is common in modern life, should be aware of its dangers, and actively take preventive measures.
(2) a strict diet, quit smoking and drinking.
2 living and orderly. To strengthen its activities