| Research background:Obesity has brought by society of modernization and Westernization nowadays. It has various factors that closely related with metabolic factors, genetic factors, nutrition metabolism, neutroendocrine factors, dietary and habitual factors, psychological factors. The standard of normal body weight of fat in adults, male is about 15%~18% and woman is about 20%~25%. The proportion of body fat tends to increase together with aging. If the body fat increase to 20% of body or 25 of body mass index can be diagnosed as first stage of obesity in Asia countries. If there is non-pathological causes of increasing body fat can be called’simple obesity’, if there is obvious causes such as endocrine disorders or metabolic disorders is called’the secondary obesity’. Obesity can aggravate conditions of diseases such as cholelithiasis, diabetes, coronary heart disease, hypertension, diabetes, high blood pressure and infectious diseases, those would bring severe quality of one’s life. Concerning of obesity, there are many kinds of treatment for obesity, modern Western medicine treatment usually uses drugs and various surgeries, evident improvement effect on obesity can be found in the published research but also there includes various variety of side effects either. On the other hand, there are other treatments that the regulation of diet and exercises of weight loss must carry on strictly controlling and improving wrong habitual behavior in life. To keep the habitual regulations will results in loss of body fat, and leading to the goal of wieght loss gradually. The recent of researches of acupuncture shows that acupuncture treatment has evident effect of improvement of obesity and there are many ongoing researches on obesity using acupuncture such as body acupuncture therapy, electronic acupuncture therapy and catgut embedding therapy, etc. Acupuncture therapy has clear merits of evident effect, without toxic side effects.The purpose of study:The republished researches of Korean Sa-am acupuncture has shortage of their studies in china and abroad countries. Concerning lack of awareness of Korean Sa-am acupuncture, this research determine to apply Sa-am acupuncture on treating simple obesity to prove its own singularity of theory and importance of evident improvement of effect.Methods:The clinical study is about research of applying Korean Sa-am acupuncture to treat simple obesity. We will observe the decline in the rate of changes through weight, BMI(body mass index), waist circumference and WHR(waist hip ratio). The study adopts strict accordance standards with diagnosis, inclusion criteria and exclusion criteria in the process. The statistics program (SPSS 22.0.) will be adopted to compare between two groups during course of treatment. Qualified patients will be randomly divided into two groups, each group contains 30patients each. Treatment group will be assigned to Korean sa-am acupuncture therapy and control group will be assigned to routine acupuncture to compare. The process of acupuncture will be applied as patients in supine position, sterilize local skin before inserting needle. Manipulation techniques will be performed quick needle insertion with directing the needle tip; the reinforcing method is in the same direction of the normal flow along meridian and the reducing method is going against the normal flow of meridian pathway. Retaining needle for 20mins per treatment, the process of course has 2 times a week, total 8 times of treatment as one course will be performed.Results:The observation of two groups in first treatment based on general date such as age, gender, syndrome differentiation classification, BMI(body mass index), waist circumference and WHR(waist hip ratio) shows no significant differences statistically (P＞0.05). after finishing one course of each group of patients, the clinical research found weight, BMI(body mass index), waist and WHR(waist hip ratio) showing curative effect on treatment group than the control group treatment. (P＜0.05).1. weightThe statistics analysis of weight shows that the result has significant differences in each groups of before and after treatment (P＜0.01). The comparison in between two groups of before and after treatment show no significant differences (P＞0.05). The comparison of analyzed differences between two groups shows significant curative effect on treatment group than control group(P＜0.01).2. body mass indexThe statistics analysis of body mass index shows that the result has significant differences in each groups of before and after treatment (P<0.01). The comparison in between two groups of before and after treatment show no significant differences (P＞0.05). The comparison of analyzed differences between two groups shows significant curative effect on treatment group than control groups(P＜0.01).3. waist circumferenceThe statistics analysis of waist circumference shows that the result has significant differences in each groups of before and after treatment (P＜0.01). The comparison in between two groups of before and after treatment show no significant differences (P＞0.05). The comparison of analyzed differences between two groups shows significant curative effect on treatment group than control group(P＜0.01).4. waist hip ratioThe statistics analysis of waist hip ratio shows that the result has significant differences in each groups of before and after treatment (P＜0.01). The comparison in between two groups of before and after treatment show no significant differences (P＞0.05). The comparison of analyzed differences between two groups shows significant curative effect on treatment group than control group(P＜0.01).5. syndrome differentiationThe comparison of curative effect according to syndrome differentiation shows Spleen dysfunction due to stomach heat group has better curative effect on Sa-am acupuncture treatment and spleen transportation dysfunction group has better curative effect on normal routine acupuncture treatment. Furthermore, the research shows Sa-am acupuncture had effective rate of 90%, normal routine acupuncture had 83.3% on two groups, total comparison in between two groups of syndrome differentiation shows better curative effect on Sa-am acupuncture treatment than normal routine acupuncture.Conclusion:The clinical research on obesity shows that the treatment group reduce more weight, BMI (body mass index), waist circumference and WHR(waist hip ratio) than control group. Even though, treatment group(Sa-am acupuncture) was showing the better curative effect than control group (routine acupuncture), the routine acupuncture also shows curative effect on weight-loss. This study is demonstrated curative effect on clinical research by using Sa-am acupuncture theory, and it shows the needs of activation of more researches of Sa-am acupuncture in the future. |
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