Differentiation of losing weight in TCM Modern medicine

辨体减肥 Differentiation of losing weight in TCM 心 静 则 , 自 由

现代医学认为： 肥胖分为单纯性和继 发性两类。前者不伴 有明显神经或内分泌 系统功能变化，临床 较为常见。 Modern medicine considered that：Obesity is generally divided into two categories： primary and secondary obesity. The former is often seen in clinical practice with no obvious functional changes in the nervous or endocrine system.

后者多伴有内分泌 紊乱，多由于各种 激素，尤其是胰岛 素、性激素、肾上 腺皮质激素、瘦素 等分泌异常引起。 The latter is associated with endocrine disorders, due to a variety of hormones caused by abnormity, especially insulin, sex hormones, adrenal cortical hormone, leptin secretion.

中医学 Traditional Chinese Medicine 中医从脏腑辨证分 析肥胖主要与肝、脾、肾 三脏的功能有关，认为肥 胖是由于先天稟赋因素、 过食肥甘以及久卧、久坐、 少劳等引起，常伴有头晕、 疲劳、少气、懒言等其它 症状。 Analysis from visceral syndrome differentiation, obesity is related to the function of liver, spleen, kidney , TCM theory considered that obesity is the result of qi dificiency and multi-phlegm due to innate endowment factors, overeating, as well as a long time lying fatness sedentary and less labor. Often accompanied with dizziness, fatigue, disinclination to talk, little action shortness of breath and other symptoms.

万物归一 /simple 肥胖的诊断标准 Diagnostic criteria of obesity 如何区别实胖和虚胖 How to distinguish between real fatness and puffiness 肥胖的辨体施针 Manipulation of needling in differentiation of obesity

Diagnostic criteria of obesity 肥胖的诊断标准 世界标准 World Standards risk of Related disease Classification 分类 Normal range 正常范围 18. 5 -24. 9 平均水平 Average level Overweight 超重 25－29. 9 轻中度增高 肥胖 >30. 0 严重增高 Mild to moderate increase Severe increase Obesity BMI 体重指数(kg/m 2) 相关疾病危险度

肥胖的诊断标准 Diagnostic criteria of obesity Asia-Pacific Standard 亚太地区标准 体重指数(kg/m 2) 分类 Normal range 正常范围 18. 5 -22. 9 平均水平 Average level 超重 肥胖 严重肥胖 23－24. 9 25 -29. 9 >30. 0 轻度增高 中度增高 严重增高 Mild increase Moderate increase Severe increase Overweight Obesity Severe obesity 相关疾病危险度 risk of Related disease Classification

腹型肥胖 体重指数正常或不很高 腹围： 男性大于101厘米 女性大于89厘米 或腰围／臀围比值 男性大于0. 9 女性大于0. 85 在判断胖与不胖和危害大小 时，不仅要重视体重指数的高低, 更要测量腰围的粗细。 Central obesity Normal or high body mass index Abdominal circumference： male≥ 101 cm；female≥ 89 cm Or waist / hip ratio： male≥ 0. 9；female≥ 0. 85 Note： When determining fatness or nonfatness and the severity of harm， not only pay attention to the level of the index, but also measure thickness of the waist.

肥胖分虚胖（中心性肥胖）和实胖（均一性肥胖)　　 Obesity concludes puffiness (central obesity) and real fatness(uniformity of obesity). 古人把肥胖分成肉人(实胖) 和膏人(虚胖)。 The ancients divided the Obesity into the meat obese body (real fatness) and the creamy body (puffiness).

如何区别虚胖与实胖 How to distinguish between real fatness and puffiness 虚胖 1. 进食少 　　2. 易疲劳 　　3. 手脚易觉肿胀，下蹲时小 腿肿胀感强烈 　　4. 脸色偏白或泛青，怕冷汗 少，多白痰 　　5. 运动少，肌肉松弛 　　6. 尿液颜色清淡 　　7. 夜间多梦 (有3项以上符合就属于虚胖 体质) 1 2 3 4 5 6 7 Puffiness Impaired appetite Fatigue Edema of hands and feet, a strong sense of swelling in legs when squatting White or cyan complexion, aversion to cold , less sweating, more white phlegm Less exercise, muscle relaxation Light urine. Dream-disturded sleep ( match three or more items above, , the physique belongs to puffiness. )

如何区别虚胖与实胖 How to distinguish between real fatness and puffiness 实胖 1. 多食易饥 2. 易便秘, 大便≤ 3次/周 3. 外表多肉，结实 4. 经常感到口干舌燥，多浓痰 5. 脸色较红润 6. 小便赤、浊、黄、深 7. 易做噩梦 Real fatness 1 Polyphagia，polyrexia 2 Easy constipation(stool ≤ 3 times / week) 3 Fleshy, firm appearance 4 Often dry mouth, thirst, more thick phlegm 5 Relatively rosy face 6 Reddish, turbid, brownish, dark urine 7 Nightmares

肥胖的辨体施针 Manipulation of needling in differentiation of obesity

体针 Body Acupuncture 主穴(腹八针)：中脘、关元或中极、滑肉门、 天枢、外陵 Acupoint Prescription(8 points of abdomen): Zhongwan(RN 12), Guanyuan(RN 4), or. Zhongji(RN 3) , Huaroumen(GB 30), Tianshu(ST 25), Wailing(ST 26)

配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity 脾虚湿滞： 肥胖浮肿、疲乏无力、肢体 困重、尿少、纳差、腹满，脉 沉细、舌淡苔腻。 取穴：水分、手三里、足三 里、阴陵泉、丰隆、三阴交。 Spleen deficiency and dampness stagnation: Obesity, edema, fatigue, weakness, body weight difficulties, oliguria, anorexia, abdominal fullness. The pulse thin and deep, the pale tongue with a greasy coating. Points：Shuifen（RN 9） ， Shousanli（Li 10），Zusanli（ST 36） ，Yinlingquan（SP 9），Fenglong（ ST 40）Sanyinjiao（SP 6）

配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity 湿热内盛： 头目眩晕，头重，胸闷， 食欲不振，呕恶痰涎，肢 体困重，或见形体丰肥， 或闭经，舌苔黄腻，脉滑 取穴：大横、腹结、四满、 曲池、合谷、阴陵泉、丰 隆、内庭 Damp-heat Accumulation in the interior: Dizziness, headache, heavy head, chest tightness, palpitations, loss of appetite, nausea and vomiting phlegm, body weight difficulties, or the fat body, or amenorrhea, the yellow and a greasy coating, the slippery pulse. Points： Daheng(SP 15)， Fujie(SP 14)， Siman(KI 14), Quchi(Li 11)，Hegu(Li 4)， Yinlingquan(SP 9)，Fenglong(ST 40)， Neiting(ST 44).

配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity 胃肠实热： 头晕、消谷善饥、肢重困楚、 怠惰、口渴喜饮，舌红苔黄 腻、脉滑数。 取穴：大横、腹结、曲池、 支沟、合谷、丰隆、内庭。 Heat Stagnation in the Stomach and Intestines: Dizziness, polyrexia, bodily heaviness, sloth, thirst with desire to drink. Slightly slippery pulse number, the red tongue with a yellow , greasy coating, the slippery and rapid pulse. Points: Daheng(SP 15), Fujie(SP 14), Quchi(Li 11), Zhigou(SJ 6), Hegu(Li 4) , Fenglong(ST 40), Neiting(ST 44)

配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity 脾肾阳虚：疲乏畏寒，腰酸 腿软，阳萎阴冷，便溏、舌 淡或淡紫或淡暗、脉沉细无 力。 取穴：命门、肾俞、大赫、 血海、足三里、阴陵泉、三 阴交。 Spleen and Kidney yang Deficiency : Fatigue, aversion of cold, soreness and weakness in the lower back and knees, impotence and cold scrotum, loose stool, the pale or lavender or turb tongue, deep , thin and weak pulse. Points: Mingmen(Du 4), Shenshu(BL 23), D ahe(KI 12), Xuehai(SP 10), Zusanli(ST 36 ), Yinlingquan(SP 9), Sanyinjiao(SP 6)

配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity 肝郁气滞： 胸胁胀闷，胃脘痞满，月经 不调或闭经，失眠多梦。脉 细弦，舌苔薄，舌质暗 取穴： 太冲、行间、期门、 蠡沟、曲泉、膻中 Liver qi stagnation: Chest distress and epigastric distension， irregular menstruation or amenorrhea, insomnia， dreamdisturded sl-eep，the string and thin pulse， the dark tongue with a thin coating. Points: Taichong(LR 3)， Xingjian(LR 2)，Qimen (LR 14), Ligou(LR 5)，Ququan(LR 8)， Danzhong (RN 17)

取穴：口、食道、饥点、 内分泌、脑、胃、脾、三 焦、膀胱、小肠、交感、 皮质下 Points： Mouth, esophagus, hunger point, endocrine, brain, stomach, spleen, triple energizer, bladder, small intestine, thympath-etic, subcortex

其他方法 Other ways to losing weight 刮痧 拔罐 Scrapping Cupping 经络 饮食 Meridians Dietary

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