| Obesity is a normal chronic metabolic disease which causes by energy intaked more than energy expended,so that the spare energy is saved in body in the liparoid form.Recent research indicates that obesity is a kind of chronic internal hormone metabolic disease.Its occurrence dues to a section disorder of eating regulation and energy metabolism cause by definite chemical factor.Energy intaked is more than energy expended and the spare energy is saved in body in the liparoid form so that body weight is over.The pathogenesis process is-very complicate.The earliest recognition by Traditional Chinese Medicine can trace hack to Fellow emperor's Canon of Internal Medicine Yellow emperor's Canon of Internal Medicine calls the fat guy "the fat high-ranking person".The Plant Questions has a description that "A person is 50 years old,heavy,inconvenient ears and eyes." There are also plenty of researches on its name,cause,pathogenesis,therapy and so on.Western Medicine is the mainly therapy for obesity,Traditional Chinese Medicine assists.Western Medicine uses drugs consider five aspects:appetite control,increasing energy expenditure,preventing digestion and absorption,influence lipid metabolism, restraint insulin secretion.The treatments of Traditional Chinese Medicine are Chinese Medicine and Acupuncture.Although Western Medicine effects fast, most of the weight-reducing aids has great side effect of tolerance and dependence.There are so many kinds of acupuncture therapies.They can help patients not only get rid of trouble of fat,but also avoid toxic side effect by taking medicine,so that they are greatly welcomed by obesity patients. But the methods are so many kinds,every method is special,each clinical doctor has his/her own way,the quantity of related literatures is great and these records are lack of induction,so its guidance for clinical therapy is not enough.Objective:To analysis and estimate 420 clinical literatures by collecting and arranging acupuncture treating obesity clinical literatures and using the method of Evidence Based Medicine(EBM).In order to further offer evidence that using EBM in system evaluation.Method:Assembling the lately 20 years all about acupuncture obesity clinical literatures,system evaluate and analysis all the literate by the way of EBM.Evaluate and analysis their disease state,scientific research design proposal,diagnose internalize and evacuate index,selection acupuncture system,contrast measure,therapeutic effect measure by EMB,in order to support more dependable evidence.Result:Of the 420 literatures enrolled,only 20 were authentic randomized controlled trials(RCTs),14 quasi-randomized controlled trials,68 non-randomized concurrent controlled trials and 259 narrative studies,95 had clear diagnostic criteria,31 mentioned enrolled or excluded criteria,298 had clear criteria for therapeutic effects,22 reported follow-up,9 reported adverse reaction.Conclusion:There are big problems in literatures' quantity and type, such as lack of system analysis literatures,small quantity of RCTs, unsatisfied of quality,too much narrative studies and expert comments, non-unity acupoints selection and ad-libitum.At present,correct randomization,concealment,blinding and placebo-control,and the RCTs with generally accepted criteria for assessment of diagnosis and therapeutic effects,safety evaluation and rational design of follow-up are needed.This study discover problem by research and analysis to bring acupuncture for obesity into great play and support evidence for system analysis.
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