| Objective: In this study,young and middle-aged patients with simple obesity(spleen deficiency and dampness)were taken as the research subjects,the manual prescription was established by using the visceral tuina method,and the intervention was carried out with lifestyle,and the clinical efficacy of simple obesity(spleen deficiency and dampness)patients before and after treatment was compared with the changes in weight,BMI,WC,HC,WHR and TCM symptoms before and after treatment,and the effectiveness of visceral massage in the treatment of simple obesity was verified.It provides an effective standardized method for the clinical application of visceral massage in the treatment of simple obesity,and finally forms a generalizable manual prescription.Methods: In this study,36 patients with simple obesity(spleen deficiency and wet type)were screened according to the inclusion exclusion criteria.Visceral Tuina combined with lifestyle interventions.The intervention time was 4 weeks with 5 days of Tuina treatment 5days a week,35 minutes each time,and 2 days of rest.Subjects’ weight,BMI,WC,HC,WHR,and TCM syndrome scores before and after treatment were recorded and compared.Results: A total of 36 subjects were included in this study,34 were effective cases,and2 were dropped.(1)Comparison of body weight and BMI before and after treatment: the weight,BMI,WC,HC,and WHR of patients before and after treatment were all reduced compared with before,and the difference was statistically significant(p<0.05).(2)For WC,HC,WHR before and after intervention: WC,HC and WHR were lower before and after intervention than before intervention,and the difference was statistically significant(p<0.05).(3)The score of medical symptoms in patients after intervention was lower than that before intervention(p<0.05),and there was a significant difference in the change.According to the efficacy evaluation criteria,11 cases showed efficacy,20 cases were effective,and 3cases were ineffective,with a total effective rate of 91.17%.(4)Safety observation: During the entire test,the patient’s vital signs were stable and there were no adverse reactions such as skin breakage and subcutaneous ecchymosis.Conclusion:(1)When visceral Tuina combined with lifestyle intervention in young and middle-aged patients with simple obesity,it has the effect of reducing the weight and BMI of patients,and the effect is obvious.The patient’s body circumference WC,HC and WHR also improved significantly.(2)Visceral Tuina combined with lifestyle intervention in young and middle-aged patients with simple obesity also has obvious effects in improving TCM symptoms.(3)There are no adverse reactions in the process of internal visceral Tuina combined with lifestyle intervention in young and young patients with simple obesity,and the safety is good,which is worthy of further promotion in clinical practice. |