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辨体减肥 Differentiation of losing weight in TCM 心自由静 , 则

什么是肥胖？ 心静 What is obesity？

现代医学Modern medicine 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。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 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. 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。

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 肥胖的诊断标准Diagnostic criteria of obesity 万物归一 /simple

肥胖的诊断标准Diagnosticcriteria of obesity 世界标准World Standards risk of Related disease Average level Mild to moderate increase Severe increase Classification Normal range Overweight Obesity 分类 BMI 体重指数(kg/m2) 相关疾病危险度正常范围 18.5-24.9 平均水平超重 25－29.9 轻中度增高肥胖 >30.0 严重增高

亚太地区标准Asia-Pacific Standard 肥胖的诊断标准Diagnostic criteriaof obesity risk of Related disease Average level Mild increase Moderate increase Severe increase 分类体重指数(kg/m2) 相关疾病危险度正常范围 18.5-22.9 平均水平超重 23－24.9 轻度增高肥胖 25-29.9 中度增高严重肥胖 >30.0 严重增高 Classification Normal range Overweight Obesity Severe obesity

腹型肥胖Central obesity 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。 Normal or high body mass index Abdominal circumference： male≥101cm；female≥89cm Or waist / hip ratio： male≥0.9；female≥0.85 Note： When determining fatness or non-fatness and the severity of harm，not only pay attention to the level of the index, but also measure the thickness of the waist.

肥胖分虚胖（中心性肥胖）和实胖（均一性肥胖)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 creamybody (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) Puffiness 1 Impaired appetite 2 Fatigue 3 Edema of hands and feet, a strong sense of swelling in legs when squatting 4 White or cyan complexion, aversion to cold , less sweating, more white phlegm 5 Less exercise, muscle relaxation 6 Light urine. 7 Dream-disturded sleep ( match three or more items above, ,the physique belongs to 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 如何区别虚胖与实胖How to distinguish between real fatness and puffiness

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

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(RN12),Guanyuan(RN4),orZhongji(RN3) ,Huaroumen(GB30),Tianshu(ST25),Wailing(ST26) 体针Body Acupuncture

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（RN9），Shousanli（Li10），Zusanli（ST36），Yinlingquan（SP9），Fenglong（ST40）Sanyinjiao（SP6）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(SP15)， Fujie(SP14)，Siman(KI14), Quchi(Li11)，Hegu(Li4)，Yinlingquan(SP9)，Fenglong(ST40)，Neiting(ST44). 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(SP15),Fujie(SP14), Quchi(Li11),Zhigou(SJ6),Hegu(Li4),Fenglong(ST40),Neiting(ST44) 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。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(Du4),Shenshu(BL23),Dahe(KI12),Xuehai(SP10),Zusanli(ST36),Yinlingquan(SP9),Sanyinjiao(SP6) 配穴：依据辩证分型 Acupoint Modifications: According to differentiation of obesity

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， dream-disturded sl-eep，the string and thin pulse， the dark tongue with a thin coating. Points:Taichong(LR3)，Xingjian(LR2)，Qimen(LR14),Ligou(LR5)，Ququan(LR8)， Danzhong (RN17)

取穴：口、食道、饥点、内分泌、脑、胃、脾、三焦、膀胱、小肠、交感、皮质下取穴：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 耳针 Ear seeds pressing therapy

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

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