Acupuncture Treatment Of Obesity Clinical Retrospective Study

[Objective]Observe the efficacy rate of applying main and secondary acupuncture point with guidance of basis theory of Traditional Chinese Medicine syndrome of differentiation for treatment of simple obesity patients, determine the efficacy rate upon treatment, as well as provide guidance on clinical research.[Method]Retrospective of the past 5 years(January 2004 to December 2009) of simple obesity patient of SINGAPORE KWONG WAI SHIU HOSPITAL TCM CENTRE into four groups include accumulation of heat in the Intestines and Stomach; Stagnation of Liver Qi; Excess dampness due to deficiency of spleen and Stagnation of Blood due to deficiency of qi,226 cases in total. Give an objective evaluation and justifiable conclusion on efficacy of acupuncture treatment amongst categorized groups to analyze and conclude the effects of acupuncture treatment for simple obesity patients. Summarized by statistics to analysis:Determine which of the main and secondary acupuncture points and meridian as well as the obesity categories having highest appearing frequency. From another view point highlighted that while apply treatment to these 4 groups of obesity patients, that is to select acupuncture point which able to disperse heat, eliminate sputum and dampness as well as able to regulate the meridian system. Analysis before and after treatment of body weight, body mass index, body circumference by apply the statistical method of analysis (SPSS17) to probe into efficacy of acupuncture treatment for simple obesity.[Results]1) There are 30 acupuncture points in total frequently distributed among the Simple obese patients of different syndromes. The principal acupuncture points are determined by the most appearing frequency. (1) Eight acupoints surrounding the abdominal (i.e. Zhongwan, Xiawan, Qihai, Guanyuan, Tainshu, Daheng) (2) The intersection points (i.e. Daimai, Wushu, Weidao, Zulinqi) (3) Body acupuncture points (i.e. Fengshi, Zusanli, Sanyinjiao) and Zhigou were 25.9%, follow by Taibai, Hegu, Taichong, Gongsun, the occurrence frequency are 7.4%, follow by Fenglong, Xuehai, Ququan, Yanglingquan, Taixi, Shuidao, Neiting, Shangjuzu, Quchi, Liangqiu, Shuifen, Yinlingquan at 3.7% each.2) In term of acupuncture point selection, Foot Meridian acupuncture points were selected the most. Follow by acupuncture points on the Stomach Meridian of foot yangming and Spleen Meridian of foot Taiying. Consists of function on vitalizing Qi, hence strengthen spleen meridian system. This simulated that patients in the treatment of self-righteousness needed to pay more attention to repair and regulate the body's yin and yang of the basic concepts.3) As observed and analyzed by SPSS17, majority of patients (85.9%) consists of body mass index (BMI) ranging from 23.0-27.9 (overweight) and 28.0-32.9 (1 degree of obesity) prior to treatment. There is signaficant improvement after acupuncture treatment, the normal rate consists of 71.2%, which means patient managed to reduce their BMI to the normal range of 18.5-22.9 after underwent 30 times of acupuncture treatment.4) the patients who categorized under accumulation of heat in the Intestines and Stomach has gain the greatest achievement of 100% efficacy, Secondly is the group categorized under Stagnation of Liver Qi achieved an efficacy rate of 96.4%, both group are belonging to Sthenia syndrome. It followed by the group categorized under excess dampness due to deficiency of spleen, achieved an efficacy rate of 65.2%, lastly is the group categorized under Stagnation of blood due to deficiency of qi, achieved an efficacy rate of 54.3%, this two group are belonging to Asthenia syndrome. The result has proven that the group belonging to Sthenia syndrome has achieved greater efficacy as compare to the group belonging to Asthenia syndrome, P<0.01. The result proven that apply acupuncture treatment to obesity patient has significant improvement on body health and BMI. Compare among each category, the sequent is:accumulation of heat in the Intestines and Stomach> Stagnation of Liver Qi> excess dampness due to deficiency of spleen> Stagnation of blood due to deficiency of qi. [Conclusion]Acupuncture therapy can effectively reduce BMI and body weight of patients with simple obesity. Amongst 4 groups, the patients who categorized under accumulation of heat in the Intestines and Stomach has the highest efficacy rate, Secondly is the group categorized under Stagnation of Liver Qi, There is no significant improve for the group categorized under excess dampness due to deficiency of spleen and the group categorized under Stagnation of Blood due to deficiency of qi. The result has proven that the group belonging to Sthenia syndrome has achieved greater efficacy as compare to the group belonging to Asthenia syndrome.