Obesity

[Guest guest]

Here's the post on obesity, from Chinese Acupuncture

and Moxibustion by the Shanghai TCM University ISBN

7-81010-667-8

 

Jack

 

Simple obesity

 

Introduction

 

Obesity refers to accumulation of fat in the body due

to changes of the biochemical and physiological

functions. Clinically body weight increase by 20% more

than the standard level is regarded as obesity,

usually accompanied by abnormal changes of appetite

and sleep, sweating, dry mouth and disorder of stool.

 

TCM believes that obesity is mainly due to disorder of

the spleen and stomach as well as dysfunction of

defensive qi. The pathological changes are blood

sthenia and qi asthenia, exuberance of yin and

deficiency of yang as well as disorder of qi and

blood. Insufficiency of primordial qi in the triple

energizer affects metabolism of water and

transformation of qi, consequently leading to obesity.

 

Syndrome Differentiation

 

1. Heat in the stomach and intestines

 

Hyperorexia, polyphagia, dry mouth and preference for

drinking water, aversion to heat and profuse sweating,

irritability and susceptibility to rage, constipation,

yellow and scanty urine, red tongue with yellow and

greasy fur, slippery and powerful pulse or slippery

and rapid pulse.

 

Pale complexion and lips, poor appetite, abdominal

distension after meal, spiritual lassitude and

fatigue, palpitation and shortness of breath,

somnolence and no desire to talk, loose stool or

scanty urine and dropsy, light-colored tongue with

tooth prints on the margins, thin and white tongue

fur, thin, slow and weak pulse or deep and slow pulse.

 

3. Insufficiency of renal primordial qi

 

Bright-white complexion, preference for quietness and

aversion to activity, normal appetite or reduced

appetite, shortness of breath and asthma, sweating in

movement, dizziness and aching loins, or afternoon

fever, thirst without much drinking, or aversion to

cold and edema of limbs, often accompanied by

irregular menstruation in women and impotence in men.

Light-colored tongue with tender texture and tooth

prints on the margins, scanty tongue fur, deep, thin

and weak pulse.

 

Treatment

 

1. Body acupuncture Prescription: Quchi (LI 11),

Shangjuxu (ST 37), Neiting (ST44), Yinlingquan (SP 9)

and Sanyinjiao (SP 6).

 

Modification: For heat in the stomach or intestines:

Hegu (LI 4), Zusanli (ST 36) and Taibai (SP 3) are

added: for insufficiency of renal primordial qi,

Zhongwan (CV 12), Guanyuan (CV 4) and Sanjiaoshu (BL

22) are added: for constipation, Tianshu (ST 25),

Zhigou (TE 6) and Yanglingquan (GB 34) are added; for

profuse sweating, Zhongwan (CV 12), Shangwan (CV 13)

and Zusanli (ST 36) are added; for sonolence, Zhaohai

(KI 6), Shenmai (BL 62) and Tianshu (ST 25) are added;

for abdominal distension, Xiaochangshu (BL 27),

Xiajuxu (ST 39) and Wangu (SI 4) are added; for

palpitation and shortness of breath, Shenmen (HT 7),

Neiguan (PC 6) and Jugue (CV 14) are added. For thirst

with polydipsia, Zusanli (ST 36), Chengjiang (CV 24)

and Taixi (KI 3) are added, for edema of lower limbs,

Shangqiu (SP 5), Shuifen (CV 9) and Sanjiaoshu (BL 22)

are added; for irregular menstruation, Xuehai (SP 10),

Diji (SP 8) and Ququan (LR 8) are added; for

impotence, Shenshu (BL 23), Mingmen (GV 4) and

Guanyuan (CV 4) are added.

 

Performance: Heat in the stomach and intestines is

treated with reducing needling technique; asthenia of

spleen and stomach qi or insufficiency of renal

primordial qi is treated with reinforcing or mild

reinforcing and reducing needling techniques. In the

early stage 4-5 acupoints are selected each time.

Eventually ten or more acupoints are selected for each

treatment. Deep needling is required for all acupoints

except the ones on the limbs.

 

2. Ear Acupoints Prescription: Hunger Point (External

Nose) TB 1, 2i), Mouth (CO1), Esophagus, (CO2), Lung

(CO14), Stomach (CO4), Endocrine (CO18) and Pancreas

and gallbladder (CO11). (small digit numbers in this

section--footnote size)

 

Performance: All the acupoints mentioned above are

needled with filiform needles once every other day,

for embedment of needles and ear pressure wiht

Wangbuliuxingzi (Semen Vaccariae), patients are

advised to press themselves three times a day (in

hunger, before meal and sleep), each acupoint for 2-3

minutes. The two ears are pressed in alternation.

 

 

 

SiteBuilder - Free web site building tool. Try it!

http://webhosting./ps/sb/