Acupuncture Point Bury Line Clinical Research For The Treatment Of Simple Obesity

[Objective]Based on the previous clinical studies, we did the randomized controlled clinical research on the simple obesity symptom. In this study, we assessed the effect on body weight, waist circumference and body mass index of simple obesity patients in2,4, and6weeks after treatment and1moth’s follow-up with the catgut implantation therapy and acupuncture therapy, the pain level, the duration of pain or discomfort and adverse reactions during the process of catgut implantation therapy were also been recorded. Then we evaluated the safety and acceptable level of the participants who treated by catgut implantation, and provided some evidences for later study on simple obesity symptom treated by catgut implantation in clinic.[Methods]60simple obesity patients were randomly divided into two groups, which is catgut implantation therapy group (treatment group) and acupuncture group (control group), and each group has30cases. According to the previous literature analysis, Zhongwan, Tianshu, Guanyuan, Shuidao and Daimai were employed in the treatment group based on the principle of the acupuncture points selection by differentiation of disease as the mainly-used acupuncture points selection method, which was supplemented with acupuncture points selection by syndrome differentiation and Ashi points. The frequency of the catgut implantation was once every2weeks. Daheng, Shuidao, Zhigou, Quchi, Neiting, Fenglong, Zusanli, Sanyinjiao and Yinlingquan were used in the control group, the frequency of which was three times every week. The study cycle of both groups were6weeks(1course) treatment and1month’s follow-up, body weight, body mass index and waist circumference were respectively measured in the time point of2,4,6weeks after treatment and1month’s follow-up. By means of comparison among body weight, body mass index and waist circumference in the interior-group and inter-group before and after the therapy, we assessed the effects of both methods in treating simple obesity symptom. In addition, the pain level, the duration of pain or discomfort, adverse reactions and acceptable level of the participants during the process of catgut implantation therapy were also been recorded.[Results]1EffectCompared with pre therapy, body weight, waist circumference and body mass index were significantly decreased in the treatment group and the control group in2weeks,4weeks,6weeks and1month’s follow-up. After treatment, the effective percentage of the treatment group and control group was76.7%and63.3%, which respectively were63.3%and56.7% after1month’s follow-up. The results showed that the treatment group had good effect after6-week treatment and1month’s follow-up, nevertheless, there was no statistical significance (P＞0.05) between two groups after6weeks treatment, but the effective rate of the treatment group was slightly higher than the control group. The detailed analysis are as follows:(一)The interior-group comparison. The body weight, body mass index and waist circumference of the two groups were respectively significantly decreased in2weeks,4weeks,6weeks and1month’s follow-up compared with pre treatment (P＜0.01).(二)The inter-group comparison. There was no significant difference (P＞0.05) between two groups among body weight, body mass index and waist circumference in2weeks,4weeks,6weeks and1month’s follow-up.2SafetyThe level and duration of pain, there was no to little pain disappeared in2days of the majority participants in the catgut implantation process.Adverse reactions, there were no severe adverse reactions during the treatment and1month’s follow-up. Bruises and induration sometimes were found in the acupuncture points, and disappeared in1-2week.Acceptable level of the participants,0,1and2respectively represented the degree of "unacceptable","able to accept" and "easy to accept". As a result,2,1.5, and1respectively accounted for40%,33.33%and26.67%, which means, participants were easy to accept the catgut implantation therapy for simple obesity symptom.[Conclusion]The catgut implantation efficacy on treating simple obesity symptom is definite, which can lighten the weight, reduce the body mass index and waist circumference, and improve other related indicators of simple obesity patients, eventually, catgut implantation can reduce body fat accumulation and the degree of obesity. In the process of catgut implantation, there were no severe and related-therapy side effects, the pain produced in the catgut implantation was no to little and disappeared in no more than2days, and participants can be easy to accept this therapy. In addition, catgut implantation also was found to be effective on constipation, menstrual disorders, dysmenorrheal and abdominal distension among some patients. Catgut implantation therapy has a shorter frequency, longer action time and lower material consumption than acupuncture therapy for simple obesity symptom, worthy to recommand its clinical use.