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TREATMENT_1

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TREATMENT_1

    TREATMENT

    WorldJ.Acup-Mox.Vo1.10,No.4,December,2000?39? ;TREATMENToF150CASESOFSIMPLEoBESITYWITHBoDY ;ACUPUNCTUREANDoToPoINTPELLET.PRESSINGTHERAPY ;WuJunli(武君丽)

    ;DeptofAcupMoxibustion,HospitalofNankaiUniversity,Tianjin300071

    ,China

    ;Obesityisasymptomcausedbyimbalance ;ofenergymetabolisminthehumanbody.Gen

    ;erallyspeaking,whenthefatcontentofthe ;bodyincreases(theheatderivedfromthedigest

    ;edfoodismorethanconsumedheatandstoresin ;thehumanbodyasafatform)andexceedsabove ;20%ofthestandardbodyweightorisbigger ;than24inbodyweightindex,itiscalledasobe

    ;sity.Obesityisdividedintotwocategories:Sec

    ;ondaryobesitywhichhasdefinitepathogenic ;causesandsimpleobesitywhichhasnodefinite ;pathogeniccausesandisfrequentlycalledasadi

    ;posis.From1996on,theauthorofthepresent

    ;paperhastreated150casesofsimpleobesity ;withbodyacupunctureandotopointpellet.-press-- ;ingtherapyandachievedsatisfiedresults.Here ;isthereport.

    ;CLINICALDATA

    ;Ofthe150cases,33weremaleand117fe

    ;male,ranginginagefrom18to62years.The ;shortestdurationofdiseasewasoneyearandthe ;longest30years.Thebodyweightexceeding20 ;

    ;30%ofthestandardweightwasfoundin72 ;cases.thatexceeding3150%in61casesand

    ;thatexceeding51%in17cases.A1lthe150cas

    ;esselectedwerediagnoseddefinitelyassimple ;adiposispatients.

    ;TREATMENTMETHODS

    ;1.AcupointSelection

    ;Acupointswereselectedaccordingtodiffer

    ;entiationofsyndromesofTCM.Mainacupoints ;wereTianshu(ST25),Shangjuxu(ST37), ;Neiting(ST44),Quchi(LI11),Sanyinjiao ;(SP6),Hegu(LI4),Shuidao(ST28),

;Zhigou(ST6),etc..Fortreatmentofaccumu

    ;latedheatinthestomachtype,Shangjuxu(ST ;37),Neiting(ST44),Quchi(LI11),Tianshu ;(ST25),otopointBiandFei(MAIC1)were

    ;used.Fortreatmentofconstipationduetolarge ;intestinaldrynesstype,Quchi(LI11),Tianshu ;(ST25),Zhigou(ST6),Zhongwan(CV12), ;otopointDachang(MA-SC4),Fei(MA-IC1), ;Pi(MAic),Sanjiao(MAIC4),etc.used.In

    ;treatmentofsmallintestinaldampheattype,

    ;Xiajuxhu(ST39),Neiting(ST44),Quchi ;(LI11),Qiangu(SI2),Shuidao(ST28), ;Sanyinjiao(SP6),otopointSanjiao(MA-IC ;4),Wei(MA-IC),Xiaochang(MA.SC2), ;Neifenmi(MAIC3)selected.

    ;2.Operation

    ;Vaccariaseedswerestuckontotheotopoint ;usingapieceofadhesivepiaster,whichwas ;changedonceevery3days.Thetwoearswere ;usedalternatively.Thepatientwasaskedto ;presshisorherotopointsabout3timesevery ;day,witheachotopointbeingpressedabout3

;

    ;?

    ;40?WorldJ.Acup-Mox.Vo1.O,No.4,December,2000 ;minuteseverytime.Duringthefirst3days, ;acupuncturetreatmentwasperformedonceevery ;day,withtheneedlesretainedabout30minutes ;everytime.Deepneedlinginsertionwasadopted ;andtheneedlewasmanipulatedtogenerate ;needlingsensationsbylifting,thrustingand ;twirlingintermittently.Thefirst3dayslater, ;theacupuncturetreatmentwasconductedonce ;everyotherday.Fromthe16thdayon,

    ;acupuncturewasgiventwiceeveryweek.Body ;acupunctureandotopointpelletpressingwere

    ;performedsimultaneously.

    ;oBSERVATIoNoNTHE

    ;THERAPEUTICEFFECT

    ;1.CriteriaforEvaluatingtheTherapeutic ;Efleet

    ;Accordingtothestandardsformulatedby ;NationalIntegratedTraditionalChineseand ;WesternMedicineTreatingObesityInstitute,

    ;thetherapeuticeffectwasjudged.Curedinthe ;shortterm:Aftertreatment,patients’symp—

    ;tomsandsignsdisappeared,thebodyconstitu

    ;tion(%)loweredtonormallevel(1essthan ;20%inmalesandbelow30%infemales);the ;bodyweightreachedthenormalstandard,and ;thebodyweightindexwasbelow26.Markedly ;effective:Thebodyweightdecreasedbyabove5 ;kgorthebodyconstitutiondecreasedbyabove ;5%.Effective:Symptomsandsignswerebet

    ;tered,thebodyweightloweredbyabove3kgor ;theconstitutiondecreasedbyabove1%.Ineffec

    ;tive:Bodyweightandbodyweightindexhadno ;anyapparentchangesorthepatienthim-.orher.. ;selfgaveuptreatment.

    ;2.Results

    ;Aftertreatment,ofthe150cases,16 ;(10.67%)werecuredintheshortterm,66 ;(44.00%)hadmarkedimprovement,63 ;(42.00%)wereeffective,5(3.33%)hadno ;anyeffect.Thetotaleffectiveratewas96. ;67%.

;DISCUSS10N

    ;1.Clinicalpracticeshowsthatintreatment ;ofsimpleobesitypatients;acupunctureisquite

     ;effectiveinbodyweightreduction.Inthepre

    ;sentpaper,asatisfactoryresultwasachievedin ;acupuncturetreatmentoftheabovementioned3

    ;syndrometypesofobesitypatients.Clinicalob

    ;servationdemonstratedthatcombinedtreatment ;ofsevereandmoderateobesitywithacupuncture ;andotopointpelletpressingwasmoreeffective,

    ;inspiteofbeingalsoeffectiveformildobesity. ;Therewasnosignificantdifferencebetweenthe ;malesandfemalesinthetherapeuticeffect.The ;treatmentforyoungobesitypatientswassuperior ;tothatforolderpatients.Inaddition,thethera

    ;peuticeffectwasevenbetterforobesitypatients ;withshorterdurationofdisease.

    ;Insimpleobesitypatients,notonlyabnor

    ;realsubstanceorenergymetabolismexists,but ;alsoabnormalchangesoffunctionsofmanyim

    ;portantorgansandneuroendocrinesystemoccur ;inthehumanbody.Acupuncturetreatment,on

;theonehand,caninhibittheobesitypatient’s

    ;hyperorexiaandthehyperactivityofgastroin

    ;testinaldigestiveandabsorptionfunctionstore

    ;duceenergyabsorptionthroughregulationofthe ;neuroendocrinesystemincludingthefeedingcen

    ;terofthehypothalamus.Inthisway,thehun

    ;gryinformationfromthehypothalamusis ;blocked.Acupuncturetreatmentcancorrect ;functionaldisorderofthevegetativenervesystem ;4

    ;

    ;WorldJ.Acup-Mox.Vo1.10,No.4,December.2000 ;bysuppressingtheexcitementofthesympathetic ;nerveandstrengtheningtheactivityofparasym

    ;patheticnerve.Ontheotherhand,acupuncture ;canalsopromoteenergymetabolism,increase ;energyconsumption,acceleratefatdecomposi

    ;tionandreachtheeffectofbody.-weightreduc.. ;tionatlast.

    ;2.Otopointpelletpressingissuitabletobe

    ;usedonlyforsimpleobesity.Forsecondaryobe

    ;sity,thetreatmentshouldbeaimedatthe

    ;pathogenicfactors.TCMholdsthatobesityis ;closelyassociatedwithdeficiencyofthespleen, ;phlegm,heat,dampness,stagnationofqiand ;bloodstasis,etc.andmainlyinvolvesthe ;spleen,stomach,liverandkidney.Otopoint ;pellet-pressingservestodredgemeridianqi,

    ;helpthespleenandstomachtransportwaterand ;damp,regulateZangandFuorgansandpro

    ;motethebody’sselfregulativefunction.a

    ;result,theaimofbodyweightreductioncanbe

    ;realized.Afteracupunctureandotopointpellet

    ;pressingtreatment,fatreductionoftenstarted ;fromtheface,neck,chest,then,thelower ;body,andthepatientfeltstronger,decreasedin ;appetite,increasedinurinevolumeandhada ;normalbowelmovement.

    ;3.Simpleobesityinvolvesphysiological ;changes,hasgeneticcausesandnervousfactors ;butoverintakeoffoodandreductionofphysical ;exercisemayalsocontributetoobesity.Mong ;withtheriseofpeople’slivingstandard,obesity

    ;isincreasinggraduallyinmorbidityanditsresul

    ;tantdiseasesarealsonoticeable.Amongthe ;multiplebodyweightreductionmethods, ;acupuncturecombinedwithotopointpellet.-press.- ;ingtherapyandtheprincipleofdiagnosisand

     ;treatmentaccordingtodifferentiationofsyn

    ;dromeshaveachievedapparentresults.More

    ;over,itavoidssomepossiblesideeffectsdueto

    ;simplediet,largemovementamount,andbody

    ;weightreductiondrugsandisthusworthtobe ;popularizedextensivelyinclinic. ;REFERENCES

    ;1唐万斌,.肥胖病.天津科技翻译出版公司.1992

    ;2刘志诚.针刺治疗单纯性肥胖症的临床和实验研究.1997

    ;年世界针联成立10周年学术大会专题报告

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