Obesity is a common chronic metabolic disease. When the human body takes in more than the consumption, the excess heat will be stored in the body in the form of fat, gradually exceed the normal physiological needs and become obese, often accompanied by hypertension, diabetes, hyperlipidemia and other diseases, seriously damage human health. Obesity has simple and secondary points, of which simple people account for the vast majority of obese people, its onset is mainly affected by genetics, diet, exercise, mental, environmental factors. First, the main etiology pathogenesis obesity is mainly due to excessive accumulation of body fat. If the human body because of some function failure, or too much to eat fat, sweet and thick taste, will cause the body fat cream too much, accumulate in the body, and then into phlegm and wet fat turbidity, stagnation in the meridians, filled in the skin coup and viscera three jiao, thus hair for obesity disease. The current research believes that the obesity disease is mainly related to diet, labor and rest, physique, heredity, age, gender, work nature, mental and emotional and geographical factors. The human body Yang Qi is weak, gasification failure, dysfunction of the viscera, transportation and draining weak, Qi stagnation, lifting and lowering loss of division, blood flow is not smooth, fat, phlegm and damp accumulation of the body is the main pathological mechanism of obesity disease. Dysfunction of the internal organs, especially the spleen and stomach dysfunction, can lead to fat and water dampness without to transport, excretion, transfer, thus stop accumulation for fat and phlegm dampness, the body hair fat and body heavy; liver and kidney yin deficiency, Yang hyperactivity is fire and heat, affect the liver’s drainage, the kidney’s opening and closing gasification, so that fat and phlegm dampness of the evil accumulation in the body, and with fire and heat gel, hair for obesity. The human body lipid cream transportation, transfer, excretion, depends on the qi regulating, lift normal, blood flow smoothly, if the qi is unfavorable, then the body’s lipid cream can not be normal use and excretion; blood flow is not smooth, lipid cream transfer is not strong, also will cause the body lipid cream accumulation, excess accumulation of lipid cream into phlegm and dampness lipid turbidity, and in turn affects the qi of the up and down, blocking the blood vessels run, and make lipid turbidity phlegm and dampness day accumulation gradually more, hair for Obesity disease. Second, the characteristics of the application of the cream formula obesity disease is the main pathogenesis is this deficiency and the standard real, so the application of Chinese medicine cream formula for regulation and treatment has certain advantages, especially for the body condition is more complex obese patients. For young and middle-aged obese patients, the course of the disease is short, simple obesity and not accompanied by other diseases, mostly based on actual evidence, often have elimination of grain and good hunger, abdominal distension and fullness, constipation and other symptoms of dampness and heat in the obstruction, in addition to instructing their diet control and strengthen exercise, the cream formula is mainly to strengthen the spleen, clear the stomach and dry dampness, supplemented by the method of regulating qi, phlegm, laxative and so on. For middle-aged and old-aged obese patients, who have a long course of illness and cannot be controlled by diet and exercise, most of them are mainly with deficiency evidence, often with symptoms of deficiency of kidney qi such as fear of cold, soreness and weakness of the waist and knees, etc. At this time, the cream formula is mainly based on strengthening the spleen, benefiting the temperature and kidney, supplemented by draining the liver, resolving phlegm, dampness and eliminating blood stasis. For obesity combined with heart, brain, kidney and other complications, such as hypertension, hyperlipidemia, diabetes, fatty liver, cerebral infarction, etc., the condition at this stage is complex, mixed with deficiency and reality, it is appropriate to insist on the combination of disease identification and evidence identification. On the basis of adhering to the original treatment, it is advisable to slow down the application of cream treatment at this time, and not to make hasty efforts. The prescription of the cream treatment should be a combination of static and dynamic, attacking and supplementing at the same time, taking care of the spleen and stomach. When using the tonic agents such as tonifying the qi, strengthening the spleen and warming the kidneys, it should be accompanied by the products of resolving phlegm, dampness and activating blood, so that the tonic is not stagnant and the diarrhea is not over. Often use astragalus, ginseng, atractylodes, poria, yam, white lentils, etc. benefit the spleen; Chen Pi, Semen, Coix Seed, lotus leaf, Che Qian Zi, large belly skin, bamboo, calamus, etc. resolve phlegm and dampness; Dan Shen, peach kernel, angelica, red peony, Dan Pi, Ze Lan, etc. activate blood and water; Huang Ling, Huang Bai, Xia Gu Cao, cassia seeds, raw gypsum, etc. clear heat and dry dampness; bone marrow, Xian Mao, Xian Ling Spleen, cuscuta, etc. warm the kidney Yang. In case of obesity and constipation, rhubarb and heliotrope can be added as appropriate to clear the internal organs. If combined with hypertension with dizziness and head swelling, add asparagus, hooked vine, cassia, chrysanthemum, black bean, cicada, etc. to calm the liver and quench the wind and subdue yang; if combined with diabetes with irritability and thirst, drink more, eat more easily, add smallpox powder, gypsum, Zhi Mu, dandelion, etc. to clear heat and generate fluid to quench thirst; if combined with hyperlipidemia, use cornus, tea tree root, flat wood, chicken blood vine, Pu Huang, etc. to activate the blood and lower lipids. In addition, in the application of fine materials of the cream, because the traditional cream recipe to collect the paste more use ice sugar, honey, gum, deer horn gum and other gums as a base and flavoring agent, and for obesity combined with hyperlipidemia, diabetes, hypertension or tendency should be properly adjusted, caution or avoid using ice sugar, brown sugar, honey to collect the paste, instead of using xylitol, Yuanzhen sugar. Combined with increased blood uric acid or gout, should be used with caution or prohibited deer horn gum, turtle plate gum, turtle shell gum, etc.