Clinical Study In Treating Obesity Of Syndromes In Spleen Dysfunction Due To Dampness And Liver-qi Stagnation With Acupuncturing Back-Shu And Front-Mu Points

Objective:With the life is better and better,the structure of bite and sup is more and more rational,obesity is more and more familiar.Obesity not only affects posture,making life discommodity,but also it is the important basis of hypertension,arteriosclerosis,coronary heart disease,diabetes,high lipoprotein disease,etc.Obesity seriously affects human' s health.So, prevention and cure obesity is more and more regarded.Because acupuncture is facility,economy,effective,and with no side-effect,acupuncture is paying more and more attention in treatingadiposis,and it is used in clinic more and more widely.The clinical study is about treating obesity of syndromes in spleen dysfunction due to dampness and liver-qi stagnation with acupuncturing back-Shu and front-Mu points to observe the effects and find the best method to cure obesity.It shows that the effect of this methods is better than that of using shu-back points or front-mu points only.So differentiation of syndromes with cooperated acupoints,adding traditional reinforcing and reducing methods can achieve the function of treatment and form the reasonable acupuncture prescription to develop the research.Methods:Sixty-six cases of simple obesities who are in the acupuncture clinic in the First Appertain Hospital of Guangzhou University of TCM and Huizhou People Hospital are divided into 2 groups averagely which have 33 patients.Patients of syndromes in spleen dysfunction due to dampness and liver-qi stagnation are treated with acupuncturing back-Shu and front-Mu points and points in the spleen and stomach meridians.The treatment group:back-Shu and front-Mu points group,syndromes in spleen dysfunction due to dampness using Pishu(U.B.20),Zhangmen(Liv.13) as main points,coordinated with Zusanli(St.36),Fenglong(St.40)ect.Syndromes in liver-qi stagnation using Ganshu(U.B.18),Qimen(Liv.14) as main points,coordinated with Taichong(Liv.3),Taixi(K.3)ect.The control group:The acupoints in the spleen and stomach meridians using Zhongwan(Ren.12),Tianshu(St.25),Yinlingquan(SP.9),Sanyinjiao(Sp.6) as main points,coordinated with Zusanli(St.36)ect.According to the syndromes:constipation with intestine dryness adding Tianshu(St.25) and Zhigou(S.J.6);Zusanli(St.36) and Hegu(L.I.4) will be added if one is easily hungry;Fenglong(St.40)and Yinlingquan(SP.9) wil be added if one is in phlegm-damp type;Shenshu(U.B.23) and Sanyinjiao(Sp.6) will be added if one is self-fatness;Guilai(St.29) will be added in patients of irregular menstruation;Ququan(Liv8),Shimen(Ren.5) wil be added to patients of swelling;syndromes of liver-qi stagnation will use Taichong(Liv.3) and Sanyinjiao(Sp.6).local fatness will use surrounding needling and adding points according to differentiation of syndromes.The treatment group uses the therapy of needling back-Shu and front-Mu points,with exchanges between the points.Needling the places with 1.5 cun needle straightly after sweetening the body,using the methods of reinforcing and reducing methods.Body needles will be used everyday and will be settle for 20 to 30 minutes,ten times will be the first period of treatment,and the from the second period,it will be used every other day,and it is 10 times as a period.In the third period,one time per week,it will be treated 3 periods. The control group will be treated with acupuncture the points in the spleen and stomach meridians with the same methods as the treatment group.Results:After 3 period of treatment,the patients who are in treatment group:better available,available and invalidation is respectively 9,14,6,4.The patients of the control group is 3,10,8,12.The total efficiency of the 2 groups are respectively 87.88%and 63.64%.At the end of follow of 6 months,the effect is steady.It shows the total efficiency of back-shu and front-mu points is better than the points of the spleen and stomach meridian,but there is no obvious difference in statistics. On the curative targets including obesity indices as the difference of avoirdupois and BMI,there is no significant difference.But on the difference of the kummerbund and the girth of thigh,there are significant difference compared to the body needle group and the ear needle group.Compared to the back-shuand front-mu points,the difference of the girth of stern and abdomen in the points of the spleen and stomach meridian is obviously difference. What' s more,symptom in spleen dysfunction due to dampness and liver-qi stagnation with acupuncturing back-Shu and front-Mu points is obviously difference from chart 5 and 6.Conclusions:Using back-shu and front-mu points is a kind of cooperating points method.Whether acupuncturing back-Shu and front-Mu points or the points of the spleen and stomach meridian have good effects in treating obesity,but acupuncturing back-Shu and front-Mu points is better in improving the obesity indices,especially in syndromes of spleen dysfunction due to dampness and liver-qi stagnation from chart 5 and 6.People thinks eating foods as the most important thing but when they use different kinds of methods to lose weight,eating too much is one of the leading causes of obesity.Meridians of the body's vital energy pathways to run,the body's organs Acupoints meridian qi and blood transfusion in the special parts of the body surface,through the acupuncture treatment to stimulate acupoints surface in order to achieve the purpose of treating disease.Liver controlls dispersion,spleen governs transportation,and liver and spleen are in the second dirty coke,in closely related physiological.Spleen governs transport and depends on the liver controlling dispersion,liver function to normal, smooth dispersion,the spleen shipped healthy and vigorous;if spleen loses transfer or is in dampness,which can also affect the liver,so it is caused by missing liver dispersion,as "the wood limits the soil" or "the wood is superior to the soil";on the other hand,"soil attacks the wood"The back-shu points are infusion organs of the specific acupuncture points on the back,raise the gas hole is viscera converge,through the TCM meridians,Yu election to raise points of liver and spleen and liver of Jianpi Zusanli,HongLeong,tooChong,and so too the river with simple obesity treated with acupuncture points,leading to the delivery of transfer of spleen and liver of dispersion to achieve tonifing the qi and spleen,regulate the stagnation of liver-qi.Therefore,dampness stagnation in spleen dysfunction and liver-qi stagnation in patients with obesity,as Yu points raised with acupuncture treatment,a significant clinical effect,at the same time achieve the purpose of weight loss.Back-Shu and Front-Mu points can be assigned to clear the air machine, which can directly stimulate the acupuncture meridian therapy to regulate meridian qi through meridians to stimulate the qi meridians conditioning organs,organs make up relatively empty faster than the results,therefore, with back-Shu and Front-Mu point needle Treatment of Spleen Dampness barbed Liver depression and Qi stagnation and two sub-type obesity to stagnation of liver Qi stagnation obesity the most significant effect.